Medicaid jobs

IT Business Analyst (SAP)- Experience of pharmaceutical processes

Pennington, New Jersey

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8d ago

Role: IT Business Analyst Location: Pennington, NJ We are seeking an innovative and technically skilled IT Business Analyst with 5+ years of experience, preferably in pharmaceutical sales and distribution. The ideal candidate will possess expertise in SAP S/4HANA (SD, FI, MM, PP, QM modules) and Vistex Revenue Management in a business facing role, with a strong understanding of core business processes such as finance, supply chain, sales, and revenue management. This role requires a blend of bus

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Contract, Third Party

$40 - $50

Senior Software Engineer

Louisville, Kentucky

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Today

Become a part of our caring community and help us put health first The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior Software Engineer,Enterprise API and Integration is a critical role in advancing our enterprise API strategy and AI integration capabilities. This engi

Full-time

USD 106,900.00 - 147,000.00 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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Contract, Third Party

Lead Data Scientist

Remote

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Today

Become a part of our caring community and help us put health first The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top talent to develop robust and reusable AI modules and pipelines, ensuring adherence t

Full-time

USD 142,300.00 - 195,700.00 per year

Senior Lead Teradata Database Administrator, Remote

Remote or Belleville, Illinois

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Today

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 110,200.00 - 188,800.00 per year

Software Engineer - Python - Onsite

Columbia, South Carolina

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30+d ago

Title: Software Engineer - Python - Onsite Mandatory skills: Python, JavaScript, Angular, ReactJS,IBM Cram framework,Cram HCR, CGIS,Cram OOTB modules Workflow, Tasks, CER rules, Evidence framework, IEG, Web-services,Python, NodeJS, ReactJS, Angular, JSON, Django, python web frameworks,AWS, cloud technologies,Box, custom code, profiling, troubleshooting,waterfall, scrum, agile,healthcare insurance principles, healthcare insurance processes,Medicaid Management Information System, MMIS,software dev

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Contract

Depends on Experience

Applied AI Engineer

Remote

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Today

Become a part of our caring community and help us put health first We are seeking AI Engineers who have hands-on experience developing Python-based applications intended for use by others, beyond just building models or conducting data analysis. The traditional candidate will have a strong background in both traditional machine learning and emerging generative AI technologies. As a Senior Engineer, you will play a key role in developing and deploying innovative AI-powered solutions, working wit

Full-time

USD 129,300.00 - 177,800.00 per year

Encounter Data Management Lead

Remote or Kentucky

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Today

Become a part of our caring community and help us put health first The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting and Improvement organization (HQRI). This support includes submission of encounter data to Medicaid, Medicare, and DSNP states and will require the ability to manage inventory, ensure compliance adherence, and solve complex business challenges ranging from moderate to substantial. The Lead, Encounter Data

Full-time

USD 94,900.00 - 130,500.00 per year

Anaplan OWP Software Engineer

Remote

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Today

Become a part of our caring community and help us put health first Software Engineer for Anaplan focuses on building and enhancing the core platform capabilities that support high-throughput workloads, AI-powered insights, and efficient data flows to meet the business needs. This role is responsible for developing resilient, observable, and scalable systems, often using technologies like cloud-native tools. This role involves full-stack development, including front-end and back-end components,

Full-time

USD 80,900.00 - 110,300.00 per year

Senior Data Scientist

Remote

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Today

Full-time

USD 117,600.00 - 161,700.00 per year

Lead Data Scientist - Safety Alignment

Remote

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Today

Full-time

USD 142,300.00 - 195,700.00 per year

Lead Data Scientist - Autonomous Goal Management

Remote

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Today

Full-time

USD 142,300.00 - 195,700.00 per year

Lead Data Scientist - AI-Human Interaction

Remote

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Today

Full-time

USD 142,300.00 - 195,700.00 per year

Senior Engineering Manager

Dallas, Texas

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Yesterday

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 116,600.00 - 166,600.00 per year

Senior Engineering Manager

Houston, Texas

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Yesterday

Full-time

USD 116,600.00 - 166,600.00 per year

Senior Engineering Manager

Austin, Texas

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Yesterday

Full-time

USD 116,600.00 - 166,600.00 per year

Healthcare Data Architect - HBITS-07-14220

Albany, New York

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Today

Bachelor's Degree in Information Technology or Computer Science. 42 months of experience with developing reports specializing on Eligibility/Enrollment/Coverage data generated through NYS health exchange or other state-based or federal health exchange for Medicaid, CHP, and Essential Plan programs; NOT claims data. 42 months of experience with NYS health exchange, or other State- based or Federal health exchange, with specific focus on eligibility determination rules and NYS Affordable Care Act

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Contract, Third Party

Test Engineer(Manual and Automation)

Hybrid in Dallas, Texas

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5d ago

Job Title: Test Engineer(Manual and Automation) Location: Dallas, TX Duration: Long-term Job Summary: We are seeking a skilled Test Engineer with strong experience in both manual and automation testing to ensure the quality, reliability, and performance of healthcare applications. The ideal candidate should have hands-on experience with Agile methodologies, SQL, and API testing, along with a good understanding of Medicare and Medicaid business processes. Skills Needed: Manual Testing Expertise S

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Contract

Depends on Experience

Cloud Data Engineer - HBITS-07-14403

Albany, New York

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Today

84 months experience in Designing and implementing scalable cloud-based web applications using AWS. 84 months experience with analysis of complex business rules, workflow processes, and re-engineering business processes. 84 months experience with data processing and analysis using Python on Linux platform. 72 months experience writing transformations with Informatica Data Quality (IDQ) or similar ETL tool. 72 months experience with relational and NoSQL databases (like Oracle, Postgres, MongoDB,

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Contract, Third Party

Business Intelligence Lead Developer / Springfield, IL (Remote)

Remote or Springfield, Illinois

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Today

Required Qualifications: Experience with healthcare claims More than seven years of experience developing, implementing, and maintaining complex Tableau or MS Power BI dashboards, visualizations, and analytics Proven strong development of high performing SQL with more than five years of experience developing complex SQL scripts (Teradata/DB2/Oracle Load Utilities) or stored procedures At least three years of experience using x12/EDI data including 835, 277, and 837 At least five years develop

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Contract, Third Party

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