Medicaid jobs

Columbia, South Carolina

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Today

Location & Work Arrangement City, State: Columbia, South Carolina Work Arrangement: Hybrid Contract: This is a Contract position. Mode of Interview: 1 round, Virtual/Online. Key Duties and Responsibilities Test Design and Strategy Test Planning: Develop comprehensive test plans, QA, and/or User Acceptance Testing (UAT) processes. Test Case Development (5+ Yrs): Responsible for translating business requirements or policy documentation into detailed test cases and scenarios and building these int

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Third Party, Contract

Senior EDI Analyst / Business Systems Analyst - 100% Remote

Remote or Eden Prairie, Minnesota

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Today

Genesis10 is currently seeking a Senior EDI Analyst / Business Systems Analyst for a 3 month contract role with our healthcare client in Eden Prairie, MN. The resource is required to work on pacific time. Compensation: $ - per hour, depending on skill and experience level. Summary: We are seeking a highly skilled Senior EDI Analyst / Business Systems Analyst with extensive experience in healthcare payer systems, HIPAA X12 transactions, and integration platforms. The ideal candidate will have a

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Full-time

Integration Architect

Remote

•

Today

Job Family: Technology Consulting Travel Required: Up to 50% Clearance Required: None Guidehouse's Health IT Solutions team works with clients to measurably improve their technology outcomes through a mix of IT strategies, improvement in IT operations, and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data, Guidehouse propels IT operational improvement and technology adoption across departments and service li

Full-time

USD 149,000.00 - 248,000.00 per year

Sr./Lead Salesforce Developer

Remote

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Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: Other Job Family: Software Engineering Job Qualifications: Skills: Salesforce (Software), Salesforce Development, Salesforce Lightning Aura Components, Salesforce Lightning Web Components, Salesforce Platform Certifications: None Experience: 10 + years of related experience ship Required: No Job Description: At GDIT we build cutting-edge appl

Full-time

USD 136,000.00 - 184,000.00 per year

Lead Full Stack Engineer - AI Enablement Team

Louisville, Kentucky

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Today

Become a part of our caring community and help us put health first As Humana accelerates its transformation into an AI-enabled enterprise, the Lead Full Stack Engineer is a pivotal role responsible for driving strategic adoption of artificial intelligence tools and platforms across the organization. The Lead Engineer will provide technical leadership and hands-on expertise in designing, developing, and deploying AI-driven solutions and proofs-of-concept (POCs) that improve associate productivity

Full-time

USD 129,300.00 - 177,800.00 per year

Sr Data Engineer

Remote

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Today

Become a part of our caring community and help us put health first We're seeking a Senior Data Engineer with a strong background in cloud data architecture and hands-on experience working with Azure AI and Speech Services. The ideal candidate will be responsible for designing scalable data pipelines that ingest, transcribe, and transform audio recordings into structured, analytics-ready formats. You will get to play a key role in developing and deploying innovative AI-powered solutions, working

Full-time

USD 117,600.00 - 161,700.00 per year

Health IT Program Director - HBITS-07-14425

Albany, New York

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Today

84 months experience in Information Technology leading and supporting software deployments, technical architecture, or information architecture, system security and privacy. 84 months experience on at least one large scale system that is either multi agency or statewide or having a user base over 5,000 system users.. 84 months of experience in Health Information Technology, including experience with X12 HIPAA-compliant EDI transactions and/or experience with ANSI NCPDP transactions.. 48 months o

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Third Party, Contract

Sr. Systems Analyst

McLean, Virginia

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Today

JOB TITLE: Sr. Systems Analyst JOB LOCATION: Remote WAGE RANGE*: $58 - 62/hr. - W2 Only! JOB NUMBER: Remt000103 REQUIRED EXPERIENCE: Bachelor's Degree or Master's Degree with 7 - 11 years of working with several programming languages and operating systems. Preferred Majors: Computer Science, Information Systems, or a closely related field Experience with software development life cycle (SDLC) and software testing life cycle (STLC) Experience with System Operations using ITIL processes Exp

Full-time

USD 58.00 - 62.00 per hour

Associate Director, Cloud Solutions Engineering

Remote

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Today

Become a part of our caring community and help us put health first The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise cloud strategy-focused on the design, implementation, and optimization of cloud compliance, operational excellence, and cost efficiency in a complex multi-cloud environment. This position serves as a strategic advisor and operational leader, collaborating with Application and Product Teams, Cloud Engineering, FinOps, Finance,

Full-time

USD 156,600.00 - 215,400.00 per year

Infrastructure Operations Lead - Cloud and AI/GenAI Enablement

Remote

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Today

Become a part of our caring community and help us put health first The ideal candidate brings a passion for emerging technologies, a strong foundation in Infrastructure Operations and the curiosity and rigor to build next-generation capabilities that improve healthcare delivery, reduce risk and optimize operational performance. If you're passionate about innovation and love working in an environment where you can constantly improve and adopt new technologies to drive business results, then Human

Full-time

USD 142,300.00 - 195,700.00 per year

System Analyst - HBITS-07-14313

Albany, New York

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Today

84 months of experience in Information Technology supporting large software systems or applications. 84 months of experience analyzing intricate business processes and creating and reviewing test plans. 84 months of experience researching, documenting, communicating, and validating requirements throughout the system, process, or product/service development lifecycle for all changes to processes that would enable the organization to achieve its goals. 84 months of experience providing written com

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Contract, Third Party

CRM Solutions Architect - HBITS-07-14324

Albany, New York

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Today

48 Months experience Developing CRM Solutions in Microsoft Dynamics or PowerApps 84 Months experience designing application architecture, developing & deploying n-tier asp.Net Web apps using vb.net web services. 60 Months experience acting in advisory role to IT management in Web application architecture, software evaluation, POC, and mentoring developers in areas such as system architecture, design patterns, common system utilities, and secure Web application coding. 72 Months experience coding

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Contract, Third Party

Business Analyst / PBM Platform / W2 / Pharmacy / Healthcare

Remote

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22d ago

Job Title: Business Analyst Location: Hybrid / Remote Duration: 6 Months (Possible for extension) Job Description We are seeking an experienced Business Analyst with strong knowledge of Pharmacy, PBM , and Healthcare systems. The ideal candidate will work closely with business stakeholders, product owners, and technical teams to gather, analyze, and translate requirements into actionable solutions that improve healthcare operations, pharmacy workflows, and PBM processes. Key Responsibilities Co

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Contract

$50 - $55

Healthcare IT Business Analyst - HBITS-07-14314

Albany, New York

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Today

84 months of experience in Information Technology supporting software systems or applications. 84 months of experience analyzing intricate business processes and creating and reviewing test plans. 84 months of experience documenting, communicating, and validating requirements throughout the system, process, or product/service development lifecycle for all changes to processes that would enable the organization to achieve its goals. 84 months of experience providing written communications to busi

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Contract, Third Party

Senior Responsible AI Data Scientist

Remote

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Today

Become a part of our caring community and help us put health first Humana is seeking a Senior Responsible AI Data Scientist to champion the ethical development of artificial intelligence across our organization. This is a highly cross-functional position requiring deep technical expertise in AI and machine learning and a passion for advancing Responsible AI initiatives through collaboration with diverse stakeholders across the enterprise, including legal, compliance, education, and IT. In this r

Full-time

USD 117,600.00 - 161,700.00 per year

Senior Analyst, Network Strategy, Pricing & Analytics - REMOTE

Remote or Long Beach, California

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Today

Job Description Job Description Job Summary Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, mor

Full-time

IT Project Manager w/Gov exp & Medicaid/Healthcare - HBITS-07-14281

Albany, New York

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Today

84 months of providing guidance and oversight to large teams in the IT Healthcare Industry Bachelor's degree Information Technology or Computer 2 Science or similar field of study 60 months of experience leading software implementation projects or in house application development projects using industry standard project methodologies (SDLC). 60 Months working on IT projects in the Healthcare industry, Medicaid or Medicare Systems. 60 months experience working with State, Federal or Local governm

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Contract, Third Party

BA Healthcare Consultant

Columbia, South Carolina

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Today

Job#: 2088993 Job Description: Position Overview: We are seeking a skilled Business Analyst with experience in IBM Cram software, Medicaid eligibility, and government IT projects. The ideal candidate will serve as a liaison between business units and IT, translating business needs into technical solutions that enhance operational efficiency and support strategic goals. Key Responsibilities: Act as a liaison between business programs and IT to deliver technical solutions.Analyze business operat

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Full-time

Senior Director, Strategic Growth - Health IT

Reston, Virginia

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Today

The Health IT Division of the Fed Civ Business Area of the Digital Modernization Sector has an immediate opening for a Strategic Growth Director. The Strategic Growth Director will work directly with the Business Area Growth Officer and collaborate closely with the Health IT Division Manager to support the growth and strategic development of the Health IT Division as well as support the overarching strategic and growth initiatives of adjacent Health IT related work. Primary responsibilities inc

Full-time

USD 154,050.00 - 278,475.00 per year

Senior Business Analyst

Remote

•

Yesterday

Role: Business Analyst Location: Remote Duration: 6+ Months Required Qualifications Bachelor's degree with 7+ years of business analysis experience or master s degree with 5+ years of business analysis experience.Minimum 5 years of experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals.Minimum 3 years of Lead Business Analyst experience on large complex projects.Strong knowledge in Medicaid Management Information System around Claim Payments an

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