The Medicaid Enrollment Specialist performs a wide variety of specialized operational functions for the Legal department including provider Medicaid enrollment, revalidations, and account maintenance, reporting, research, administrative support, and/ or projects as assigned.

Position Location

This is a remote-based position within the Continental US.

Who We Are

VytlOne is the nation’s only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions—delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we’re not just transforming pharmacy—we’re making a purposeful impact on the communities we serve.

Why Choose a Career at VytlOne?

At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger—where their work truly matters. We foster a culture of authenticity, where you’re encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you’ll find a place where your ideas are heard, your contributions are valued, and your career can thrive.

MEDICAID

• Serves as primary subject matter expert for state fee-for-service Medicaid enrollment, revalidations and Medicaid contract maintenance.
• Prepares and submits timely Medicaid enrollment applications for pharmacies with minimal oversight.
• Obtain, verify, and maintain complete and accurate pharmacy demographic information and required Medicaid enrollment documentation.
• Ensures ongoing compliance with Medicaid enrollment requirements, including revalidations, EFT/ERA enrollments, officer updates, and license updates.
• Monitors changes in Medicaid enrollment rules and processes.
• Develops and maintains meaningful relationships with internal stakeholders, as well as state regulators.
• Responds promptly to requests for information from state Medicaid agencies related to such pharmacy specific Medicaid enrollments, revalidations and Medicaid contract maintenance.

RESEARCH

• Serves as support for research requests as assigned.

PROJECTS & ADMINISTRATION

• Executes or provides assistance with projects as assigned.
• Maintain and update databases and tracking systems.
• Create and design general correspondences, memos, business information etc. Proofread copy for spelling, grammar, and layout, making appropriate changes. Responsible for accuracy and clarity of final copy.
• Create, compose, and edit technical and/or administrative correspondence and documentation; screen and evaluate incoming and outgoing correspondence and prepare responses as appropriate.
• Prepare internal reports such as check requests, expense reports, IT requests, etc.
• Enhance professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Maintain good inter/intra departmental relationships. Work to create an amiable atmosphere within the department and company.
• Respond to change, performance improvement support, professional growth opportunities, and meet development goals
• Perform other job-related duties as assigned.
• Ad hoc travel.

Education:

• Bachelor’s degree or equivalent industry experience with demonstrated ability required.

Experience:

Required:

• Experience with enrolling health care providers in state fee-for-service Medicaid programs, managing Medicaid revalidations, and maintaining compliance with Medicaid enrollment requirements; credentialing or other equivalent industry experience with transferable skillset.
• Experience in the healthcare or other highly regulated industry.
• Strong knowledge of and experience in using Microsoft Office and Adobe products.
• Experience interfacing with internally with subject matter experts across all levels and areas of an organization.
• Experience managing multiple projects effectively and timely.
• Strong organizational and time management skills.

Preferred:

• Roles within legal (paralegal), regulatory, and/or compliance departments.
• Advanced technical level skillset with Microsoft Office and Adobe Acrobat products.
• Experience interacting with state regulators.

Knowledge, Skills, and Abilities:

• Possess a strong attention to detail and ability to consistently adhere to established administrative procedures and timelines, including regulatory deadlines. Demonstrates reliability and precision in managing tasks, ensuring compliance with organizational standards and timely execution of responsibilities, while maintaining accuracy and accountability throughout each step of the process
• Strong written and verbal communication skills.
• Demonstrates strong time management and organizational skills, effectively balancing multiple priorities while maintaining focus on deadlines and deliverables.
• Ability to effectively manage multiple tasks and competing deadlines by assessing urgency, impact, and dependencies.
• Skilled in prioritizing work based on regulatory timelines and stakeholder needs, ensuring high-quality outcomes under pressure. Able to quickly evaluate shifting priorities meet critical deliverables without compromising overall productivity.
• Exhibit sound judgment and critical thinking in a complex and fast-paced environment. Able to analyze information objectively, evaluate potential risks and outcomes, and make informed decisions that align with organizational goals. Skilled in identifying key issues, asking the right questions, and applying logical reasoning to solve problems and guide strategic direction.
• Ability to review, research, and adapt to regulatory requirements, with a focus on state Medicaid programs.
• Effectively develop and maintain collaborative relationships across all levels of the organization, and externally including state Medicaid agencies. Demonstrates strong interpersonal and communication skills in engaging with various stakeholders to foster collaboration, trust, and alignment with strategic objectives.
• Responds promptly to requests for information from internal and external stakeholders, ensuring accuracy and professionalism in communications, including state regulators. Proactively escalates issues to management when appropriate, demonstrating accountability and sound judgment.
• Self-starter with a strong sense of responsibility and initiative.
• Proficient in Microsoft Office products and Adobe .
• Proactively identify process/quality improvement opportunities that may pose risks to the organization and/or help strengthen compliance, efficiency, and overall effectiveness in role.

WE OFFER

At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment.

• You’ll work with a mission-driven organization focused on improving healthcare outcomes
  • Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:
  • Comprehensive mental health and wellbeing resources
  • Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
  • Company-paid basic life/AD&D, short-term and long-term disability insurance
  • Rx, dental, vision, other voluntary benefits, and FSA
  • Employer-matched 401k Plan
  • Industry-leading PTO plan
  • And more!

Join us and help build the future of pharmacy care – better outcomes, stronger margins, and healthier communities.

FOR MORE INFORMATION:

VytlOne Website VytlOne LinkedIn

VytlOne (formerly Maxor) is an EOE, including disability/vets