Remote Work: Medicaid SME (Subject Matter Expert)

Overview

Remote
Hybrid
$70 - $80 hr
Contract - Independent
Contract - W2

Skills

Data management
Requirements management
IT strategy
Application development
Cyber security
Recruiting
Medicaid
SANS
Business analytics
Operations
Claims
Management
Entrepreneurship
Partnership
Leadership
Data
Policies

Job Details

Title: Medicaid BA / SME (Subject Matter Expert)
Location: Remote Work (Eastern Time Zone) New York City, NY
Duration: 12+ months

Responsibilities
  • Provides operations and functional expertise in Medicaid in areas such as eligibility, provider data management, claims, third part liability, managed care, Program Integrity.
  • Works with solution specialists and delivery teams to define functional and technical requirements.
  • 10+ years' experience in Medicaid systems delivery/operations, requirement management, and implementations
  • QMP programs for dual eligible population.
  • Claims
  • TPL (Third party liability)

Required qualifications
  • How many years of work experience do you have with Medicaid Claims Processing?
  • How many years of work experience do you have with TPL (Third party liability)?
  • How many years of work experience do you have with managing dual eligible person for Medicaid?

Spruce Technology, Inc. is a mid-size, award-winning (Inc 5000, SmartCEO, Entrepreneur of the Year) technology services firm with a steadily growing portfolio of commercial and government clients. Spruce provides innovative technology solutions, specialized IT staff, and IT strategy consulting nationwide. Spruce maintains partnerships with major technology vendors and continually develops leading-edge offerings in service areas such as digital experience, data services, application development, infrastructure, cyber security, and IT staffing.

Spruce Technology, Inc. is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Consistent with the Americans with Disabilities Act, it is the policy of Spruce Technology, Inc. to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process.

About Spruce Technology Inc.