Medicaid Referral Manager (Must be located in Kansas)

Job Title: Medicaid Referrals Manager
Location: Derby Kansas
Employment Type: Full-Time
Salary: $65000$70000 range Bonuses up to $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 role is based in the Derby/Wichita area and focuses on building and maintaining strong referral relationships with Managed Care Organizations (MCOs) and community partners throughout the state. 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 UnitedHealthcare Community Plan Sunflower Health Plan Healthy Blue Kansas and Aetna Better Health of Kansas
Establish and maintain partnerships with hospitals discharge planners social workers Area Agencies on Aging (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 Wichita Derby Topeka and surrounding 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 UnitedHealthcare Sunflower Healthy Blue or Aetna strongly preferred
Background in referral management home care case management or MCO provider relations is ideal

Skills and Competencies
Strong understanding of Kansas Medicaid LTSS and HCBS processes
Excellent communication relationship-building and presentation skills
Ability to work independently while managing a local territory and referral relationships
Organized proactive and comfortable with CRM/EMR documentation

Education
Bachelors degree in business healthcare administration social services or related field preferred
Equivalent experience considered

Work Arrangement
This position is primarily field- and office-based in the Derby/Wichita area with flexibility to work from home when appropriate based on scheduling outreach activities and business needs

Benefits
Competitive salary with bonus structure
Health dental and vision insurance
Opportunities for professional development and career advancement