Medicaid Referral Manager (Remote Must be located in Kansas)

Job Title : Medicaid Referrals Manager

Location : Remote Must Reside in Kansas

Employment Type : Full-Time

Salary : $80000 range Bonuses $20K

About the Role

A growing home care organization is seeking an experienced Kansas Medicaid Referrals Manager to support referral growth and client acquisition across Kansas. This is a fully remote role but candidates must live in Kansas and have strong relationships or experience with major Managed Care Organizations (MCOs) such as UnitedHealthcare Community Plan Sunflower Health Plan Healthy Blue Kansas and Aetna Better Health of Kansas. The ideal candidate understands Kansas Medicaid long-term services and supports (LTSS) HCBS waiver pathways and referral development within managed care.

Key Responsibilities

Business Development

Develop and execute strategies to increase referrals for home care and community-based services across Kansas

Build strong relationships with key MCO partners including United Sunflower Healthy Blue and Aetna

Establish and maintain partnerships with hospitals discharge planners social workers AAAs and community organizations

Expand referral channels through proactive outreach presentations and relationship cultivation

Market Knowledge

Maintain strong knowledge of Kansas Medicaid HCBS waivers and MCO authorization processes

Track industry updates regulatory changes and new opportunities within the KC Wichita Topeka and rural Kansas markets

Identify trends and competitive activity to refine outreach plans

Client Engagement

Educate members families and referral partners on available services and Medicaid benefits

Support clients through the referral authorization and service onboarding process

Serve as a knowledgeable resource on waiver eligibility and MCO procedures

Collaboration

Partner with intake scheduling and clinical teams to ensure smooth onboarding of new clients

Communicate proactively with internal teams regarding referral volume client needs and service requirements

Address issues raised by MCOs clients or caregivers to maintain strong relationships

Reporting and Tracking

Document outreach activities referral outcomes and client acquisition metrics

Prepare status updates and performance reports for leadership

Monitor trends in conversion rates referral sources and market growth

Qualifications

Experience

35 years of experience working with Kansas Medicaid or MCOs

Direct experience with United Sunflower Healthy Blue or Aetna strongly preferred

Background in referral management home care case management or MCO provider relations is ideal

Skills and Competencies

Deep understanding of Kansas Medicaid LTSS and HCBS processes

Strong communication relationship-building and presentation skills

Ability to work independently in a fully remote environment while achieving measurable goals

Organized proactive and comfortable with CRM / EMR documentation

Education

Bachelors degree in business healthcare administration social services or related field preferred

Equivalent experience considered

Benefits

Competitive salary with bonus structure

Health dental and vision insurance

Remote work environment

Opportunities for professional development and career advancement

Required Experience :

Manager

Key Skills

Anti Money Laundering,Access Control,Content Development,Flex,AC Maintenance,Application Programming

Experience : years

Vacancy : 1