Manager, Medicaid Policy & Operations

• Bachelor’s degree in healthcare, public policy, business, or related field preferred
• 4–7+ years of experience in Medicaid policy or Medicaid operations
• Experience working within a Medicaid agency, managed care organization strongly preferred
• Hands-on experience with EPSDT programs strongly preferred
• Experience analyzing claims data and identifying drivers of denials or reimbursement variability
• Ability to use claims data, research, and external outreach (e.g., Medicaid agencies) to identify root causes and develop standardized processes
• Strong analytical, organizational, and communication skills
• Strong proficiency in Excel and comfort working with claims-level datasets to identify trends, summarize findings, and support data-driven decision-making

• This is a fully remote position. The employee will work from a home office or other suitable remote location with reliable high-speed internet access. Work is performed in a climate-controlled environment using standard office equipment including computer, phone, and video conferencing tools. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs.

This is a sedentary role requiring prolonged periods of sitting while working at a computer.

Physical demands include:

• Sitting for extended periods (up to 8 hours per day)
• Repetitive use of hands and fingers for typing and mouse operation
• Visual acuity for reading computer screens and documents
• Ability to communicate effectively via phone and video calls
• Occasional lifting of up to 10 pounds (office supplies, equipment)

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

#LI-REMOTE

A culture that plays to win, because patients are counting on us​

At GeneDx, we're driven by urgency and purpose: helping patients get diagnosed earlier.

Our mission, to empower everyone to live their healthiest life through genomics, drives our team to make a tangible impact each day – and shapes our culture where high standards, strong teamwork, and meaningful ownership are the norm.

We act with intention, support one another, and deliver work we're proud to put our names on.​ Here’s what you can expect day to day:​ 1.

Play like a champion (step up, redefine what’s possible, own it)​

We bring energy, focus, and a bias for action.

We step up, take initiative, and deliver on our commitments – with quality, speed, and care.​

We push past the obvious.

We challenge assumptions, raise the bar, and make thoughtful, decisive calls — choosing progress over perfection.​

We stay curious, ask questions, and share direct feedback with respect.

We adapt quickly and keep learning through collaboration and continuous improvement.​ If you’re motivated by meaningful work, a fast-moving environment, and teammates who care deeply about outcomes, you’ll thrive at GeneDx.

We welcome everyone regardless of their background.

All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability, age, and other characteristics protected by law.

GeneDx is a place where people from all backgrounds can make an impact.

All privacy policy information can be found here .