Medicaid SME

Jackson, MS, US • Posted 3 days ago • Updated 3 days ago

Contract W2

Contract Independent

No Travel Required

On-site

Depends on Experience

Fitment

Dice Job Match Score™

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Job Details

Skills

Medicaid program data and operations
Member/Eligibility data
Provider enrollment data
Claims and encounter data
Managed care program data
Gainwell Medicaid Management Information Systems (MMIS) or successor platforms
Medicaid program policies and regulatory requirements
large system implementations or modernization projects
communicate complex Medicaid data concepts to technical and non-technical stakeholders

Summary

Role: Medicaid SME

Location: Jackson, MS - 100% onsite

Duration: 1 year

The Medicaid SME must possess:

• Minimum of 15 years of experience working with Medicaid program data and operations

• Demonstrated expertise in the following Medicaid data domains:

- Member/Eligibility data

- Provider enrollment data

- Claims and encounter data

- Managed care program data

• Experience working with Gainwell Medicaid Management Information Systems (MMIS) or successor platforms

• Strong understanding of Medicaid program policies and regulatory requirements

• Experience supporting large system implementations or modernization projects

• Ability to communicate complex Medicaid data concepts to technical and non-technical stakeholders

Prefered Skills:

Experience implementing and managing Provider Enrollment systems

• Experience implementing claims systems and managing claims data

• Familiarity with CMS reporting and compliance requirements

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10113386
Position Id: 28544-677-
Posted 3 days ago

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