Manager of Medicaid Provider Relations – Home Care (Hybrid)
Location: Phoenix, AZ
Employment Type: Full-Time
Work Model: Office & Field-Based (with Limited Work-from-Home Flexibility)
About the Role
A rapidly growing national home care organization is expanding its Arizona market and seeking a Manager of Medicaid Provider Relations to lead referral development and strategic partnerships across the Phoenix area.
This role is primarily office and field-based, focused on building relationships with Medicaid Managed Care Organizations (MCOs), case managers, and referral partners. The position offers limited work-from-home flexibility when not in the field or attending meetings.
The ideal candidate comes directly from an MCO or healthcare organization that actively refers to home care providers and has a strong understanding of AHCCCS workflows.
Key Responsibilities
- Develop and manage referral pipelines through AHCCCS MCOs and community partners
- Build and maintain relationships with case managers, care coordinators, and provider networks
- Serve as the primary liaison between MCOs and the home care agency
- Educate referral sources on Medicaid-covered home care services and eligibility
- Drive census growth through consistent outreach and relationship management
- Track referral activity, conversion rates, and performance metrics
- Collaborate with internal teams to ensure timely patient onboarding
- Attend in-person meetings, provider visits, and networking events across the Phoenix area
- Maintain a strong in-office presence when not in the field
Target Background (Highly Preferred)
Candidates with direct experience from or working closely with:
- Banner Health Plan
- Mercy Care
- UnitedHealthcare Community Plan (UHC)
- Other AHCCCS MCOs or Medicaid provider organizations
Strong preference for candidates currently in roles that generate or manage referrals to home care agencies
Qualifications
- 3+ years of experience within Arizona Medicaid (AHCCCS)
- Direct experience with Medicaid MCOs, provider relations, or case management
- Strong understanding of Medicaid authorization and referral processes
- Proven ability to build relationships and grow referral networks
- Highly self-motivated with strong communication and organizational skills
- Bachelor’s degree preferred or equivalent experience
Compensation
- Base Salary: $70,000 – $75,000
- Bonus: 20% – 30% performance-based incentive
- Total Compensation Potential: $85K – $95K+