MMIS jobs in Maine

Hybrid in Gardiner, Maine

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3d ago

Experience in MMIS system design reviews and technical discussions, offering insights grounded in deep knowledge of Medicaid systems and their implementation.Experience in data conversion and data migration efforts, including mapping, cleansing, and validation activities for modules such as provider, member, claims, and prior authorization.Knowledge in Medicaid and CMS requirements and how these translate into the MMIS.

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Full-time

Depends on Experience

MMIS/CMS Compliance/Certification Expert: 12+ Months 100% Remote Project: $ 79/hr C2C/1099: $ 73/hr W2

Remote

•

Yesterday

This is a 100% Remote Project. NCDHHS 777676: Job Title: Certification Project Specialist. This role will be responsible and play a key role in supporting leadership to maintain the relationship in planning and executing CMS certification activities in conjunction with project team implementing complex systems in support of NC DHHS. This position is assigned to the Advanced Planning Office (APO) Certification and Compliance Unit (C&C). The role leads the Certification Workstream for projects and

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Contract

$73 - $79

MMIS Business Analyst

Remote

•

11d ago

Our client is currently seeking a Technical MMIS Senior Business Analyst, and this position closely aligns with your expertise in project management, technical documentation, and your ability to bridge technical and business domains. It s a great opportunity to apply your skills in a dynamic environment focused on improving Medicaid systems. Position: Technical MMIS Senior Business AnalystLocation: Reston, VA (Remote) Key Responsibilities: Assess and interpret MMIS technical documentation (e.g.,

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Full-time

Depends on Experience

Healthcare Business Analyst

Remote

•

4d ago

6 or more years of experience in a relevant Business Analyst position with experience in Health Care/Health InsuranceStrong background in Medicaid, specifically claim processing using Institutional and Physician claim forms.Knowledge of Prior Authorization, Member, Provider, Long-Term Care, Inpatient/Outpatient concepts.Experience working with project and change management tools such as ALM, iTrace/rTrace.Software Development Life Cycle (SDLC) experience; waterfall methodologyExperience creating

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Contract

$50 - $60

Healthcare Business Analyst with Medicaid exp-Remote

Remote

•

Today

What we're looking for 6 or more years of experience in a relevant Business Analyst position with experience in Health Care/Health InsuranceStrong background in Medicaid, specifically claim processing using Institutional and Physician claim forms.Knowledge of Prior Authorization, Member, Provider, Long-Term Care, Inpatient/Outpatient concepts.Experience working with project and change management tools such as ALM, iTrace/rTrace.Software Development Life Cycle (SDLC) experience; waterfall methodo

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Contract

Depends on Experience

Certification Project Specialist with state govt exp - REMOTE

Remote

•

5d ago

Job Description: Crop to Crop resumes are accepted This position is assigned to the Advanced Planning Office (APO) Certification and Compliance Unit (C&C). The role leads the Certification Workstream for projects and collaborates with the Business Leads, Project Teams, functional/matrix managers, vendors and other stakeholders to ensure that CMS criteria are met, and project tasks are delivered on schedule, within budget, and positioned for a successful MMIS/CMS Certification, consistent with Pr

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Contract

Depends on Experience

Certification Project Specialist

Remote

•

5d ago

Role : Certification Project Specialist Client : Government of North Carolina(NCDHHS) Work Type : Remote Duration : 12 Months(Extendable) Max Payrate : 62$ Per Hour eSystems Inc. is a fast-growing Systems Integrator based in Princeton, New Jersey. We provide strategic IT solutions and services with primary practice areas in Java and Microsoft centric e-Business solutions, ERP solutions, Enterprise Application Integration, Data Warehousing and Business Intelligence solutions. Our clients include

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Contract, Third Party

$55 - $62

MES Procurement Business Analyst

Portland, Maine

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Today

JOB TITLE: MES Procurement Business Analyst JOB LOCATION: Remote but will need to travel 1-2 times per quarter onsite with client in San Juan, Puerto Rico WAGE RANGE*: $75-80/hr on W2 JOB NUMBER: 25-03435 JOB DESCRIPTION The MES Procurement Business Analyst will play a key role in supporting the full procurement lifecycle, with a primary focus on developing and managing solicitations such as Requests for Proposals (RFPs). This includes conducting market research, drafting procurement documen

Full-time

USD 75.00 - 80.00 per hour

Project Manager

Remote

•

5d ago

Job ID: NC-777676 Remote/Local Govt CMS Certification PM (12+) with MMIS, Medicaid, claims, eligibility, Agile/waterfall, CMMI, MS Project/Jira/MITAPulse experience Location: Raleigh, NC (NCDHHS-HB)Duration: 11 MonthsPosition: 1 (2) Skills:MMIS / CMS certification experience Required 5 YearsState government/public sector experience with health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS) Required 5 YearsProject management experience including experien

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Contract, Third Party

Depends on Experience

Certification Project Specialist

Remote

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3d ago

No of Req. : 01 Position Title : Certification Project Specialist Location : Raleigh, NC 27610 Work Arrangement : 100% Remote- Must reside and work in the U.S.; preference given to candidates located in or near Raleigh, NC Project Start : 10/22/2025 or TBD by client Project Duration : 12 Months with possible extension Salary/Rate : Open to W-2 on contract or 1099 Interview Type : Either Webcam Interview or In Person Client : Direct Background : Required References : 2 References Candidate Prese

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Contract

Depends on Experience

Need IBM Curam Developer - Remote

Remote

•

3d ago

Position : IBM Curam Developer Location : Remote Required Skills (rank in order of Importance): Bachelors degree in computer science, Engineering, Technical Science or equivalent industry experience Minimum of four (4) years of technical experience with IBM Cram framework; must have experience in Cram HCR and CGIS Cram Certification Experience with Cram OOTB modules Workflow, Tasks, CER rules, Evidence framework (both static and dynamic), IEG, Web-services, Java/J2EE. Writing complex SQL statem

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Third Party, Contract

Depends on Experience

Senior Business Analyst

Remote

•

Yesterday

Senior Business Analyst Remote Role Summary Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support Facilitate meetings with clients to gather and document requirements and explore potential solutions. Create test scenarios and develop test plans to be used in testing the business applications in order to verify that client requirements are incorporated into the system design. Analyze testing results through

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Contract, Third Party

SQL DBA (W2 Only -Visa Transfer Accepted)

Remote or South Carolina

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Yesterday

About this Position: Job Title: SQL DBA Responsibilities: Advising development and product teams on best approaches for required data model extensions and/or changes. Hands-on SQLdevelopment and application support in ways that are consistent with Microsoft best practices. Collaboration with Clemson's Oracle and IDMS database administration team to maintain test, staging, production databases and the development of operations procedures for database management. Developing and executing a data

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Full-time, Contract

Oracle DBA

Remote

•

17d ago

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He

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Full-time

Depends on Experience

ODM Developer

Remote

•

3d ago

Easy Apply

Full-time

Depends on Experience

Salesforce Developer

Remote

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13d ago

Easy Apply

Full-time

Depends on Experience

OpenText Developer

Remote

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4d ago

Easy Apply

Full-time

Depends on Experience

Threat Modeling Specialist

Remote or New Bloomfield, Pennsylvania

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16d ago

Easy Apply

Full-time

Depends on Experience

ALM Platform Specialist

Remote

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12d ago

Easy Apply

Full-time

Depends on Experience

DB2 Database Administrator

Remote or New Bloomfield, Pennsylvania

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16d ago

Easy Apply

Full-time

Depends on Experience

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MMIS jobs in Maine, USA