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