Job Description
About Us
Circle of Care St. Louis is a nonprofit organization committed to empowering older adults and adults with disabilities to live independently. We provide high-quality case management, Medicaid-funded services, and community-based support to help individuals thrive in their own homes.
Position Overview
We are seeking an HCBS Finance & Operations Manager to oversee Medicaid billing, caregiver scheduling, HR, compliance, and client outreach for our Home and Community-Based Services (HCBS). This individual will manage billing through EMOMED, coordinate caregiver scheduling through an EVV system (CareSmartz360 experience strongly preferred), support staff and clients, and actively engage in soliciting and enrolling new clients.
This is a client-facing and employee-facing role requiring strong executive functioning skills, multitasking, and excellent organization and time management. Experience working in a nonprofit setting is highly valued, though not required. Candidates must also have experience serving individuals who require assistance with Activities of Daily Living (ADLs).
This position requires the ability to obtain the Missouri Medicaid Designated Manager Certification for both In-Home Services and Consumer Directed Services (CDS) within 60 days of hire. A reliable vehicle, valid driver’s license, and insurance are required.
Key Responsibilities
Process and reconcile Medicaid billing for HCBS through EMOMED
Monitor budgets, expenses, and funding sources
Prepare financial reports to support organizational planning
Ensure compliance with Missouri Medicaid guidelines and reporting requirements
Schedule personal care attendants (PCAs) and caregivers using an EVV system (CareSmartz360 strongly preferred)
Monitor staffing levels and resolve scheduling conflicts promptly
Oversee office operations, vendors, and compliance tracking
Maintain contracts, organizational records, and service documentation
Serve as a key contact for clients, families, and staff regarding services
Address client needs and ensure care plans are followed
Interview, hire, and onboard PCAs and administrative staff
Oversee employee timekeeping, HR records, and training compliance
Actively solicit and enroll new clients for HCBS services
Build and maintain relationships with referral sources (hospitals, nursing facilities, community partners)
Represent Circle of Care St. Louis at community events and outreach opportunities
Contribute to strategies that increase client referrals and program growth
Qualifications
Direct experience billing through EMOMED for Missouri Medicaid home care services
Knowledge of Missouri Medicaid guidelines & HCBS services
Experience working with individuals who require assistance with ADLs
Strong executive functioning skills: multitasking, self-regulation, organization, and time management
Minimum 3 years of experience in finance, operations, HR, or Medicaid billing
Ability to actively solicit and enroll new clients
Must be able to obtain the Missouri Medicaid Designated Manager certification for both CDS and In-Home Services within 60 days of hire
Reliable vehicle, valid driver’s license, and current auto insurance
Preferred but not required
Compensation & Schedule
Salary: $52,000 – $62,000 annually (equivalent to $25.00 – $30.00 per hour)
Schedule: Monday – Friday, 8:30 AM – 5:00 PM
Why Join Us?
Mission-driven, supportive team culture
Professional development and growth opportunities
Pathway to Director-level leadership as the organization expands
Opportunity to make a direct impact on the lives of older adults and adults with disabilities
How to Apply
Submit your resume and cover letter to hr@circleofcarestlouis.org
Subject line: HCBS Finance & Operations Manager Application
Note: Applicants without EMOMED billing experience, knowledge of Missouri Medicaid & HCBS services, the ability to obtain the Designated Manager Certification (In-Home + CDS), and a reliable vehicle will not be considered.