Medicaid jobs

Medicaid Clinical Platform Product Manager

Remote

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12d ago

Position: Medicaid Clinical Platform Product Manager Location: Remote Job Type: W2 Qualifications3-5+ years experience in product management, ideally in healthcare or Medicaid, especially clinical or care management platforms.Strong understanding of clinical workflows, quality measures (HEDIS, STAR, etc.), and regulatory/compliance environment (CMS, state rules).Experience working with provider organizations (clinics, hospitals, MCOs) and understanding their operational challenges.Technical fami

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Contract

$50 - $60

Junior Business Analyst - LA Medicaid - Baton Rouge, LA

Baton Rouge, Louisiana

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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 Join a team that's shaping the future of healthcare technology. At Gainwell Technologies, we empower our clients to improve the

Full-time

USD 41,400.00 - 59,100.00 per year

Medicaid Instructional Designer and Trainer - Remote US

Remote or Milwaukee, Wisconsin

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Today

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work

Full-time

USD 37,700.00 - 53,800.00 per year

Healthcare Project Manager (Medicaid) : Columbia, SC (Onsite)

No location provided

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4d ago

Title: Healthcare Project Manager (Medicaid) Work Location: Columbia, SC onsite - 5 days/week Candidate Location: Candidate MUST be a SC resident or willing to relocate from (GA or NC) to Columbia, SC prior to starting the role at their own expense. Experience: 10+ Years Must have updated LinkedIn Candidate must show the DL copy on video at the time of submission Required Skills: Project Management Professional Certification (PMP) 3+ years of experience in project management in a healthcare,

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Third Party, Contract

Depends on Experience

Sr Data Modeler - Medicaid or Medicare, Erwin, Data Vault Modeling - REMOTE

Remote or Hybrid

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Today

Position: Data Modeler Location: United States (Remote) Experience: 10+ years Mandatory: Data Vault Modeling, ERWIN, Health Plan, Snowflake Data Warehouse, Azure, SQL, Data Modelling, Data Warehousing (DW) Concepts Desired: Power BI, Matillion, Data Lakehouse Architecture, Healthcare Claims (Payer's domain), Dimensional Modelling, Canonical Model Building Duties: Design and develop conceptual, logical, and physical data models Create and maintain data dictionaries and metadata repositories

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Third Party, Contract

$Depends on Experience

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

Medicaid SQL Database Admin

Remote or Hybrid in Mississippi

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Today

We are looking to fill a long-term Contract role as Medicaid SQL Database Admin Mode of Interview: Webcam/ In Person Work Arrangement: Remote Work Location: Remote Shift: EST Required Qualifications: 6 years of experience working with and supporting Worksite routine maintenance and upgrades 5 years of experience working with and supporting Teleforms 5 years of experience developing and delivering Worksite/Teleform/APA technology training across a diverse group of users both one- on-one and i

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Third Party, Contract

COBOL Developer With Prior experience supporting a State Medicaid/Eligibility project Experience

Remote

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4d ago

Job Title: COBOL Developer With Prior experience supporting a State Medicaid/Eligibility project Experience Location: 100% remote Duration: 1+ year contract Interview: An Internal Video Technical Screening With My Vendor then Video Interview with the Client Required Skills COBOL: Advanced proficiency in coding, debugging, and performance optimization (8+ years) CICS: Advanced knowledge of online transaction processing and system integration DB2: Advanced skills in database development, query opt

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Contract, Third Party

$50 - $60

Data Analyst (Medicaid, ADF, SQL, Python)

Eden Prairie, Minnesota

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Today

Responsibilities: Assist with ETL change requests. Develop ETL jobs for data ingestion, transformation, and extraction. Build and maintain ETL pipelines in Azure Data Factory (ADF). Create and maintain stored procedures. Analyze requirements and develop technical specifications. Document interfaces in Interface Control Documents (ICD). Support M&O (Maintenance and Operations) phase activities.

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Full-time

Business Analyst- Medicaid Membership (MCO Experience Required)

Remote

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14d ago

Role: Business Analyst- Medicaid Membership (MCO Experience Required) Location: USA (Remote) Business Analyst Job Description Medicaid Membership (MCO Experience Required) Required Skills & Experience Minimum 5+ years working at an MCO or Medicaid-focused environment in business operations and systems.Experience supporting or implementing Medicaid membership SaaS or hosted platforms.Good understanding of MCO operations and systems around Medicaid, MLTC, CHIP, DSNP lines of businessesFamiliarity

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Full-time

$40 - $50

Medicaid/ healthcare Project Manager

Hybrid in Columbia, South Carolina

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3d ago

Job DescriptionProject Manager - Project Lead DAILY DUTIES / RESPONSIBILITIES: The South Carolina Department of Health and Human Services is seeking a consultant to act as Project Manager on multiple IT projects. General Duties: Assists with developing business requirements;Building a project plan and executing to that plan;Managing project risks and issues;Ensuring that all deliverables and activities are completed with high quality and in a timely fashion;Reporting on project status and strat

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Third Party, Contract

Depends on Experience

Systems Analyst (Health Insurance / Medicaid)

Menands, New York

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Today

Trigyn's direct government client has an immediate need for Systems Analyst in Menands, NY. Description: The Systems Analyst will work closely with program staff, vendors and other stakeholders to define requirements for the project and in operations and maintenance of the system. The Systems Analyst will elicit, analyze, communicate and validate requirements. Specific activities to be performed include, but are not limited, to: ? Provide regular status updates to management on various project

Contract, Third Party

DOE

Program Manager

Hybrid in Cranston, Rhode Island

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Today

Date Posted: 10/17/2025 Hiring Organization: Rose International Position Number: 490209 Industry: Government/Staffing Job Title: Program Manager Job Location: Cranston, RI, USA, 02920 Work Model: Hybrid Work Model Details: 3 days in office, 2 days remote Shift: 8:00 AM - 4:00 PM (35 hours/week) Employment Type: Temporary FT/PT: Full-Time Estimated Duration (In months): 38 Min Hourly Rate($): 55.00 Max Hourly Rate($): 57.00 Must Have Skills/Attributes: Compliance, Data Analysis, Implemen

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Full-time

USD 55.00 per hour

Data Governance- Management Consultant

Sioux Falls, South Dakota

•

Today

Hello Hope you are doing great, Position : Data Governance and Documentation OR Who can Setup and Manage Medicaid along with Data Catalog, Data Lineage, Interface Registry, Interface Control Documents (ICDs) Interface Management Plan, Data Governance and Management Plan, and tool(s) Location :: Sioux Falls, SD - 1 Day/Month Duration : Long Term Job Description: Scope of Work DSS is seeking a qualified individual(s) for data governance and management. There are Medicaid-related data management

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Contract

IT Business Systems Analyst Expert

Remote

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5d ago

Position:- IT Business Systems Analyst ExpertLocation:- 100% RemoteClient: STATE OF NE Job code: 65008 Job Description: Client Info : Nebraska Department of Health and Human Services Note: * Candidates can work remotely. Expert Business Analyst Medicaid Managed Care Contract Compliance Tracking Position SummaryDHHS Information Systems and Technology (IS&T) is seeking a skilled Expert Business Analyst to lead the implementation and ongoing support of a Contract Compliance Tracking System. This r

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Full-time

Depends on Experience

Business Integration Specialist

Raleigh, North Carolina

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Today

Title : Business Integration Specialist Location : Raleigh, NC Duration : 12 Months Job Description: Business Integration Specialist with Pharmacist LicenceThe PBM Business Integration Specialist will provide expertise and business support to the Pharmacy and Ancillary Services Business Unit in the development and implementation of the Medicaid Enterprise Modular Pharmacy Business Management (PBM) Solution.The PBM Business Integration Specialist, as a Business Subject Matter Expert, will assist

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Contract

Depends on Experience

Technical MMIS Business Analyst

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

Business Analyst 3

Elgin, Texas

•

Today

Arthur Lawrence is looking for a Business Analyst 3 one of our client's in Elgin, TX. Please find the job description below and send us your updated resume if interested: Must-Have Skills: 8+ years of progressive experience as a Business Architect or in a similar strategic role, with enterprise-level initiatives. Proven success in leading large-scale digital transformation and business process reengineering projects. Bachelor's degree in Business, IT, Computer Science, or related field (Master

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Contract

Business Analyst

Remote

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4d ago

BA with Public Sector Experience. Experience in Integrated eligibility Medicaid, SNAP, TANF, Child Welfare etc Business Process Analysis: Analyze current financial, billing, and tax processes, identify gaps, inefficiencies, and dependencies, and propose optimized solutions for integration with the new SaaS solution. ? Requirements Gathering and Documentation: Work closely with stakeholders to capture and document business and technical requirements, including data mapping, transformation rules,

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Full-time, Third Party

$90,000 - $100,000

Sr. Data Analyst

Remote

•

Today

Job Title: Sr. Data Analyst Job Location: Remote Duration: long term contract Payrange : $55- $60/hr BenefitsforEligibleEmployees-HealthInsurance,PaidTimeOff(PTO),PaidHolidays. About Edify: Headquartered in Naperville, IL, we are a dynamic team with over two decades of industry expertise, dedicated to delivering robust business solutions, staff augmentation, and a comprehensive range ofapplication and web services. Recognized as one of INC. Magazine's Fastest Growing Private Companies, we're co

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Contract, Third Party

$55 - $60

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