MMIS jobs in Remote

Testing Lead || Onsite role in Pierre, South Dakota || Medicaid Management Information Systems (MMIS) experience is required ||.

Pierre, South Dakota

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21d ago

Job Title: Testing Lead Location: On-site from Day 1 /Pierre, South Dakota Duration: 12 Months Medicaid Management Information Systems (MMIS) experience is highly required. Activities include but are not limited to: Coordinate testing efforts with system project leads and the Department s IT team.Create and document comprehensive test scenarios while understanding system impacts to all relational systems and programs. Conduct testing scenarios within various systems, review and track results, a

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Contract

$50 - $55

MMIS Test Lead

Pierre, South Dakota

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Today

IDR is seeking a MMIS Test Lead to join one of our top clients for an opportunity in Pierre, South Dakota. This role involves leading testing efforts for a critical state project within the healthcare IT industry, ensuring system integrity and regulatory compliance. The position offers an exciting chance to contribute to impactful public sector initiatives. Position Overview for the MMIS Test Lead: Lead and coordinate testing efforts across project teams, business stakeholders, and ITDesign, de

Full-time

Senior Business Analyst - Healthcare Claims - MMIS

Indianapolis, Indiana

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Senior Business Analyst - Healthcare Claims - MMIS at Gainwell, you can contribute your skills as we harness the power of

Full-time

USD 69,400.00 - 99,200.00 per year

Advisor Technical Analyst - MMIS / Medicaid Pharmacy

Baltimore, Maryland

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 86,800.00 - 124,000.00 per year

Principal Technical Analyst - MMIS - Medicaid Pharmacy

Baltimore, Maryland

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Today

Full-time

USD 108,500.00 - 155,000.00 per year

MMIS Finance Module - Test Lead

Remote

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11d ago

Role : Test Lead MMIS Finance Module Location: Remote Duration: Long Term Contract Key Responsibilities Min 8+ years of QA experience Develop the overall test strategy for the MMIS Finance module (Claims Payment, Financial Management, GL, AR/AP, CMS reporting).Hands-on testing experience on claims adjudication, provider payment rules, federal claiming/CMS reporting, AP/AR, GL/ERP integrations, and EDI/EFT financial flows.End-to-end testing activities for the MMIS Finance module, ensuring that fi

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Contract, Third Party

Depends on Experience

Medicaid Business Analyst with Strong Medicaid, MMIS || BackfillAustin, TX (Hybrid - Locals only) || Must have linkedin and 14+ years of exp. ||

Hybrid in Austin, Texas

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Today

Medicaid BusinessAnalyst with Medicaid, MMIS || Backfill Austin, TX (Hybrid - Locals only) Must have linkedin and 14+ years of exp. Active Texas DL & LinkedIn Id Must for submissionPlease do not submit candidates who are currently out of state and are planning to move to Texas. Candidates must already reside in TexasRequired Skill:Required 10 years Experience with Medicaid programs within the state of Texas Required 7 years Experience with Medicaid Management Information Systems (MMIS) Job Descr

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Contract, Third Party

Up to $80

Advisor Business Analyst - MMIS / Medicaid Pharmacy

Washington, District of Columbia

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As an Advisor Business Analyst - MMIS / Medicaid Pharmacy at Gainwell, you can contribute your skills as we harness the power o

Full-time

USD 86,800.00 - 124,000.00 per year

Testing Lead (MMIS)

Pierre, South Dakota

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18d ago

Radiant digital, Inc, delivers Program Management, Science, Engineering, and Technology Solutions to Federal, Commercial State, and Local Agencies. Our Technology support to many DoD Agencies, NASA, Voice of America, FDA, and State Agencies such as State of FL, RI, MS, ND, VA, and WV extends our delivery of solutions worldwide.If you are interested in applying for this requirement, please do respond with your updated resume. Job Title:Testing Lead (MMIS)Location: Pierre, South Dakota -OnsiteDura

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Full-time, Third Party

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

Remote

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14d ago

Job: Technical Delivery Manager (MMIS Medicaid Business) Location: Remote from anywhere in US Job Duties: Responsible for managing Healthcare Products, from design to deployment, and implementation support efforts.Directly oversee the MMIS Claims Adjudication lifecycle, ensuring all payment processing modules align with CMS standards and state-specific business rules.Should be able to contribute in building and maintaining modern applications with cloud native architectureManage top-down oversig

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Contract, Third Party

$60 - $70

IBM DataStage Developer - Remote (Medicaid/MMIS required )

Remote

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Today

Title: IBM DataStage Developer - Remote (Medicaid/MMIS required ) Locations: Remote Client : State of NE Job Summary: We are seeking an experienced IBM DataStage Developer/Engineer to design, develop, and maintain IBM InfoSphere DataStage jobs supporting the Medicaid Data Management Platform.This role focuses on building robust, scalable data pipelines that enable accurate and high-performance reporting within a Medicaid/MMIS data environment.The ideal candidate will work closely with data arch

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Contract, Third Party

Depends on Experience

IT Project Manager || Must have experience in Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1 || Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota||

Remote

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13d ago

Job Title: IT Project Manager Location: Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota at least quarterly at candidates' expense Duration: 24 Months Scope of work: Client is seeking a qualified individual(s) to provide project management support for DSS program areas working on technology implementations. Active implementations requiring support include Provider Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1. Project list is not exhaustive

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Contract

$65 - $69

Technical Business Analyst with Claims Module experience- Remote

Remote

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4d ago

Minimum of 8+ years of experience in health care experience especially in MMIS domain.In depth understanding of Claims and Claims lifecycle:Claim submission Paper and EDI X12Adjudication Payment Cycle (Finance)ReportingEncounters and CapitationEDI X12 formats like837P/I/DX12 formats 835,834,270/271,276/277Familiarity with systems like CMdS, GHS, Facets and etcAbility to validate Test scenarios and test plans, test data.SQL: To validate data in backend tables (e.g., claim status, payment details

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Third Party, Contract

$55

IT Project Manager

Remote

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12d ago

Job Details: Position: IT Project Manager Location: Remote Type: Contract - (W2,1099)/Full Time Job Overview: Qualified candidates should have the following skills and experience: Mandatory experience in Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1 Successful experience managing information technology solutions. PMP certification or equivalent working experience. Knowledge of various software development methodologies (agile, waterfall, DevOps, etc.) Experience in

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Contract

$60 - $65

Java Developer with Medicaid/MMIS - Remote

Remote

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9d ago

Job Responsibilities -The candidate will be responsible for designing, coding and documenting lava based programs in support of mission critical high-performance Point-of-sale applications as well as other microservices based Java applications in support of Pharmacy Benefit Manageme support of the PBM (Pharmacy Benefit Management) platform. BackgroundRequirements:10+ years of industry experienceStrong experience with Java, JEE, JDBC, Spring and Spring Boot framework, Webservices (SOAP/REST), ESB

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Contract, Third Party

$50

QA Automation Test Lead with Medicaid/MMIS - 100% Remote

Remote

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6d ago

Key ResponsibilitiesLead end-to-end testing strategy, planning, and execution for Medicaid/MMIS applicationsDesign and review test plans, test cases, test data, and test scenarios across modules (claims, eligibility, enrollment, provider)Coordinate Product QA,MO, SIT, UAT, Regression, and Integration testing activitiesWork closely with business analysts, developers, and stakeholders Lead defect tracking, triage, and resolutionEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regul

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Contract, Third Party

$50

IT Testing Engineer - 100% Remote

Remote

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5d ago

Provide MMIS and QA SME knowledge.Prepare and maintain comprehensivetest plans, test strategies, test estimates, and test schedulesfor multiple project phases and functional areas.Define and tailortest conditions and approachesto suit specific system/application requirements.Track testing progress and preparetesting metrics, status updates, and reports.Establish and maintaintest environmentsand appropriatetest datafor successful execution.Participate inroot cause analysisin collaboration with de

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Third Party, Contract

$50

Enterprise Quality Program Test Lead - 10860

Montgomery, Alabama

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10d ago

Role Summary This position is responsible for leading and executing comprehensive User Acceptance Testing (UAT) and End-to-End (EE2E) testing activities within a Medicaid modernization initiative. The role involves developing test strategies, creating test cases, managing testing teams, and ensuring the seamless performance of complex integrated Medicaid systems. The successful candidate will serve as a key quality assurance partner, ensuring compliance with CMS regulations and supporting the de

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Third Party, Contract

Depends on Experience

Senior Mainframe COBOL Programmer - IDMS (Medicaid) - REMOTE (W2 ONLY)

Remote

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2d ago

Job Description: Only W2 resumes are accepted Work Location: Role is 100% remote Candidate location: No SC residency required. Candidate must reside in lower 48 states (Continental US) and comfortable working EST time zone hours. This project includes backfill on production systems, potentially working on smaller short-term projects and includes working with customers, development staff, operational staff and QA staff. DAILY DUTIES / RESPONSIBILITIES: Work collaboratively with the Medicaid Serv

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Contract

Depends on Experience

Healthcare/Medicaid IT Business Analyst - HYBRID (MUST be SC resident) - W2 ONLY

Hybrid in Columbia, South Carolina

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3d ago

Job Description: Only W2 resumes are accepted Work Location: Hybrid (4 days in office, 1 days remote). Candidate Location: Candidate MUST be a SC resident. No relocation allowed. SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the States aging MMIS and related applications with more modern capabilities along with corresponding business operations services. The MES Modernization effort will be incremental and modular in nature with a focus on c

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Contract

Depends on Experience

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MMIS jobs in Remote