Medicaid Jobs

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Healthcare Business Analyst (Medicaid/MMSI) - Fully Onsite in Columbia, SCJob Title - Healthcare Business Analyst (Medicaid/MMSI) - Fully Onsite in Columbia, SC

RICEFW Technologies IncCompany Name - RICEFW Technologies Inc

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Columbia, South Carolina, USA

Contract

Job Description: SCOPE OF THE PROJECT: SCDHHS is seeking a Business Analyst - Advanced to assist with implement small to large projects. Objectives to Be Fulfilled by Candidate: The principal duties of this position are to evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The BA will provide detailed analysis and document business processes and require

Medicaid Enterprise System (MES) ProgramerJob Title - Medicaid Enterprise System (MES) Programer

Nanda TechnologiesCompany Name - Nanda Technologies

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Raleigh, North Carolina, USA

Contract, Third Party

Job Title: Medicaid Enterprise System (MES) Programer JPC: 5599 Location: Raleigh, NC Experience: 8+ years Required/Desired skills: Advanced Planning Document DevelopmentExpert working knowledge in Medicaid Eligibility, NC FAST and/or HHS.Expert experience executing against multiple priorities/projects.Proficient use of project collaboration and tracking tools (Microsoft Project Suite, MS Teams, Zoom, etc.)Ability to interpret Medicaid and NC FAST policies to ensure compliance with CMS regulati

Experienced Business Analyst - Medicaid ClaimsJob Title - Experienced Business Analyst - Medicaid Claims

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Little Rock, Arkansas, USA

Full-time

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 Experienced Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of tech

Business Analyst - Medicaid ClaimsJob Title - Business Analyst - Medicaid Claims

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Milwaukee, Wisconsin, USA

Full-time

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 Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of technology to he

Healthcare Medicaid/Databricks/Tableau SpecialistJob Title - Healthcare Medicaid/Databricks/Tableau Specialist

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Columbus, Ohio, USA

Full-time

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

Advanced Planning Writer (Medicaid)Job Title - Advanced Planning Writer (Medicaid)

Serenity Info Tech, Inc.Company Name - Serenity Info Tech, Inc.

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Remote

Contract, Third Party

The Technical Specialist (Advanced Planning Writer) develops Advanced Planning Documents, and other documentation required for the planning, implementation, and operations activities in support of the NC Medicaid, Medicaid Enterprise System (MES) Program. This role also leads APD kickoff, review, and closeout meetings, reviews and provides feedback on NC FAST APDs, drafts CMS submittal letters and ties together all associated areas including business engagement, stakeholder management, project m

Business Analyst- MedicaidJob Title - Business Analyst- Medicaid

CSGCompany Name - CSG

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Remote

Full-time

CSG Government Solutions is a national leader in planning, managing and supporting complex projects that modernize the information technology and business processes of large government programs. Since 1997, we have applied our expertise, innovation, and results-oriented mindset to the most complex program modernization projects of over 200 government and other organizations including 48 state and territory governments, the U.S. Department of Health and Human Services, the U.S. Department of Labo

Advanced Planning Writer (5+ Exp on Medicaid/CMS/RFP/RFI/Contracts/Grants): 12+ Months 100% Remote Project: $ 70/hr C2C/1099: $ 65/hr W2.Job Title - Advanced Planning Writer (5+ Exp on Medicaid/CMS/RFP/RFI/Contracts/Grants): 12+ Months 100% Remote Project: $ 70/hr C2C/1099: $ 65/hr W2.

Beechwood Computing LtdCompany Name - Beechwood Computing Ltd

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Remote

Contract

This is a 100% Remote Project. NCDHHS 740666: NCDHHS is seeking a contractor to provide Advanced Planning development, support and other documentation required for the planning, implementation, and operations activities in support of the NC Medicaid, MES Program. The Technical Specialist (Advanced Planning Writer) develops Advanced Planning Documents, and other documentation required for the planning, implementation, and operations activities in support of the NC Medicaid, Medicaid Enterprise Sy

Business Analyst - Medicaid Claims / EligibilityJob Title - Business Analyst - Medicaid Claims / Eligibility

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Denver, Colorado, USA

Full-time

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 Business Analyst - Medicaid Claims / Eligibility at Gainwell, you can contribute your skills as we harness the power of te

Medicaid Business AnalystJob Title - Medicaid Business Analyst

RedSalsa Technologies, Inc.Company Name - RedSalsa Technologies, Inc.

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Austin, Texas, USA

Full-time

POSITION WILL BE 4 DAYS REMOTE WITH 1 DAY (TUESDAYS) REQUIRED TO BE ONSITE AT THE LOCATION LISTED ABOVE. PROGRAM WILL ONLY ACCEPT CANDIDATES WHO ARE LOCAL ONLY. PLEASE DO NOT SUBMIT CANDIDATES WHO ARE CURRENTLY OUT OF STATE AND ARE PLANNING TO MOVE TO TEXAS. CANDIDATES MUST ALREADY RESIDE IN TEXAS. The details of the position are as mentioned below: Title : Business Analyst 3(Medicaid) - 529501070 (HHSC) Location : Austin, TX, 78751 Duration : 12 Months contract job Level Description The Worker

Test Lead/Senior Test Analyst - Medicaid (Remote)Job Title - Test Lead/Senior Test Analyst - Medicaid (Remote)

S2TechCompany Name - S2Tech

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Remote

Full-time

Test Lead/Senior Test Analyst - Medicaid Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Feel free to learn more at . Why S2Tech?: Stable privately-owned company with a stro

Medicare/Medicaid Specialist D-SNP (Consultant III)Job Title - Medicare/Medicaid Specialist D-SNP (Consultant III)

Kaiser PermanenteCompany Name - Kaiser Permanente

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Oakland, California, USA

Full-time

Description: Job Summary: Serves as part of a consulting team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives. Manages moderately complex projects or pr

Sr. PBM Implementation Project Manager FFS Medicaid - RemoteJob Title - Sr. PBM Implementation Project Manager FFS Medicaid - Remote

UnitedHealth GroupCompany Name - UnitedHealth Group

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Remote or Des Moines, Iowa, USA

Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv

Fraud Nurse Reviewer - MedicaidJob Title - Fraud Nurse Reviewer - Medicaid

PeratonCompany Name - Peraton

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No location provided

Full-time

About Peraton Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space,

Lead Analyst, Reporting & Analytics (Medicaid and Medicare)Job Title - Lead Analyst, Reporting & Analytics (Medicaid and Medicare)

Molina HealthcareCompany Name - Molina Healthcare

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Full-time

Job Description Job Summary Collects, validates, analyzes, and organizes Mediciad, Medicare, and Marketplace data into meaningful reports for management decision making. Leads analytics by designing, developing, testing and deploying reports to leadership and other end users for operational, strategic, and goal tracking analysis. Job Duties Leads and provides indirect oversight of Healthcare Reporting Team activities and personnel. Provides technical expertise to the team and manages relatio

BSWHP - Tx Medicaid Encounter AnalystJob Title - BSWHP - Tx Medicaid Encounter Analyst

Baylor Health Care SystemCompany Name - Baylor Health Care System

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Remote

Full-time

JOB SUMMARY The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst) is responsible for monitoring and oversight of the end-to-end encounter management workflow. Supports program management activities around risk adjustment data management and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS). ESSENTIAL FUNCTIONS OF THE ROLE Monitors and oversees the end-to-end claims encounter management workflow. Analyzes cla

Network Advisor - Centene Medicare, Medicaid & Exchange - Express Scripts - HybridJob Title - Network Advisor - Centene Medicare, Medicaid & Exchange - Express Scripts - Hybrid

GE VernovaCompany Name - GE Vernova

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St. Louis, Missouri, USA

Full-time

POSITION SUMMARY: The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the planning, internal coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key client relationships. Utilizes technology, tools, processes and resources to anticipate and exceed client needs and expectations. Collaborates with internal business partners on

Business Development Senior Advisor - Medicaid/Marketplace Client Strategy - Express Scripts - HybridJob Title - Business Development Senior Advisor - Medicaid/Marketplace Client Strategy - Express Scripts - Hybrid

GE VernovaCompany Name - GE Vernova

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St. Louis, Missouri, USA

Full-time

The job profile for this position is Business Development Senior Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. POSITION SUMMARY The Medicaid/Marketp

Provider Network Consultant IV - Medicaid Care Delivery & OperationsJob Title - Provider Network Consultant IV - Medicaid Care Delivery & Operations

Kaiser PermanenteCompany Name - Kaiser Permanente

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Pasadena, California, USA

Full-time

Description: As a Provider Network Consultant, you will play a pivotal role in ensuring the strength and effectiveness of our Medicaid provider network. The Provider Network team is dedicated to managing relationships with providers and other external stakeholders, implementing new regulatory requirements, and optimizing network performance to ensure high-quality care delivery to our members. This position requires a blend of strategic thinking, relationship management, and analytical skills to

Medicaid Senior Actuarial AnalystJob Title - Medicaid Senior Actuarial Analyst

Kaiser PermanenteCompany Name - Kaiser Permanente

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Oakland, California, USA

Full-time

Description: Job Summary: This position is remote, however candidates must reside within the States that we operate in, which include California, Colorado, Georgia, Hawaii, Illinois, Maryland, Oregon, Washington and Virginia. This individual contributor is primarily responsible for Medicaid capitation rate analyses, support for financial forecasting and budgeting, and data analytics. This individual contributor is primarily responsible for providing support for researching and determining the li