Medicaid jobs in Columbia, SC

Columbia, South Carolina

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Today

Business Analyst - Medicaid Location: Columbia SC Duration: 12 months Pay Rate: $55-$60 On W2 (No C2C/Sub Vendor Candidates allowed) Daily Duties/Responsibilities: 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 requirements. General

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Contract

$55

Principal Project Manager (HHS Background, Medicaid, Release Mgmt) UHGJP00113811

Remote or Minneapolis, Minnesota

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Today

job summary: Enterprise Healthcare client has an immediate opening for a highly motivated IT-Sr Proj Mgr II to join their dynamic and growing team. All qualified candidates are encouraged to apply! location: Telecommute job type: Contract salary: $40 - 50 per hour work hours: 8am to 5pm education: Bachelors responsibilities: What are the top 5-10 responsibilities for this position (please be detailed as to what the candidate is expected to do or complete on a daily basis)? - Defining w

Contract

USD40 - USD50

Mainframe Developer with Medicaid

Remote or Hybrid in Jefferson City, Missouri

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Today

Hello Job Title: Mainframe Developer with Medicaid Location: Remote Contract: 6+Months Job Description: Must have strong expexperience with MMIS/Medicaid along with below. Responsible for supporting and enhancing Medicaid-related mainframe systems using COBOL, JCL, DB2, and CICS. Works on claims processing, eligibility, and healthcare transactions, ensuring system reliability, performance, and compliance. Collaborates with business and technical teams to troubleshoot issues, implement enhancemen

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Contract, Third Party

Medicaid Data Engineer

Remote

•

Today

10+ years in IT, including 5+ years supporting State Medicaid agencies(Mandatory) Experience with CMS reporting requirements 2+ years of experience with PERM, T-MSIS, and other federal reporting projects 2+ years of experience with HEDIS, CHIPRA, and healthcare quality metrics Experience with Teradata or similar enterprise databases

Contract

Depends on Experience

Medicaid Subject Matter Expert / Healthcare Data Analyst with Medicaid experience

Remote

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9d ago

Job Title: Medicaid Subject Matter Expert Job Location: Springfield, IL (Remote) Duration: long term contract Payrange : $65 - $70/hr Benefits for Eligible Employees - Health Insurance, Paid Time Off (PTO), Paid Holidays. 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 of application and web services. Recognized as one of INC. Magazin

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Third Party, Contract

$65 - $70

Lead Functional Analyst with Integrated eligibility, Medicaid, SNAP, TANF

Remote

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2d ago

Job Title: Lead Functional Analyst- Integrated eligibility Location: REMOTE Employment Type: Contract Required experience: 15+ Years Required skills in projects: State Integrated Eligibility, Medicaid, SNAP, TANF About VLink: Started in 2006 and headquartered in Connecticut, VLink is one of the fastest growing digital technology services and consulting companies. Since its inception, our innovative team members have been solving the most complex business, and IT challenges of our global clients

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Contract, Third Party

Depends on Experience

Remote Federal Reports Financial Analyst - Medicaid Enterprise Data Warehouse

Remote or Denver, Colorado

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Today

JOB TITLE: Remote Federal Reports Financial Analyst - Medicaid Enterprise Data Warehouse JOB LOCATION: Remote WAGE RANGE*: $60hr to $65hr JOB NUMBER: 25-03784 REQUIRED EXPERIENCE: Prepare, validate, and submit required federal Medicaid financial reports (e.g., CMS-64, CMS-21, T-MSIS financial components, Budget/Expenditure reports). 3-7 years of experience in financial analysis, accounting, or government financial reporting. Experience with Medicaid or other healthcare/insurance finance. Wo

Full-time

USD 60.00 per hour

EDW Medicaid Subject Matter Expert or Data Specialist - Remote

Remote or Chicago, Illinois

•

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

Medicaid Business Analyst

Remote

•

Today

Responsibilities: Works with customers on presenting technical solutions for complex business functionalities. Possesses unwavering commitment to customer service and operational excellence. Provides customer support through leading client demos and presentations. Prioritizes and schedules work assignments based on the project plan, handling multiple tasks across project phases. Creates and modifies Business Process Models. Understands the overall system architecture and cross-functional in

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Contract

50 - 55

QA Analyst/ Tester

Columbia, South Carolina

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2d ago

. DIRECT CLIENT REQUIREMENT Daily Duties / Responsibilities: Develop test plans, QA, and/or User Acceptance Testing processes and test cases for product management and software development teams. Develop and maintain SDLC traceability from test cases to requirements and designs/software components Design and support user interface testing of applications and regression testing. Test software applications for reliability and stability. Implement testing programs to perform quality assurance

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Contract, Third Party

Depends on Experience

Remote QA Manager with Healthcare Medicare/Medicaid

Remote

•

Today

Healthcare QA Test Manager Overview The Healthcare QA Test Manager is responsible for leading quality assurance initiatives across healthcare applications and platforms. This role requires deep knowledge of healthcare systems, regulatory compliance (Medicare, Medicaid, HIPAA), and proven experience in managing QA teams, with strong expertise indefect managementto ensure timely resolution and delivery of secure, reliable, and compliant solutions. Key Responsibilities Lead and manage QA teamsacros

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Full-time

Depends on Experience

IT Quality Assurance Analyst - Consultant

Columbia, South Carolina

•

Today

Job Title : Quality Assurance Analyst - Consultant Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Hybrid (4 days in office, 1 days remote).Daily Duties / Responsibilities: Responsible for performing tests on technical solutions to isolate and solve issues. Initiates tests, analyzes results, and finds solutions to technical problems. * Develop test plans, QA and/or User Acceptance Testing processes and test cases for pr

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Full-time, Contract

BASED ON EXPERIENCE

Systems Analyst 3 - (Medicaid Experience Must)

Remote or Maine

•

Today

This is advanced technical services work involving the analysis, design, development, and implementation of diverse, enterprise-wide application systems. Responsibilities include researching and analyzing business needs, formulating and defining system scope and objectives, and designing systems and/or enhancements to existing systems capable of fully meeting business needs and objectives. The ideal candidate will understand all aspects of application and system analysis, to formulate solutions

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Third Party, Contract

Senior Project Manager -PMP-Medicaid

Remote

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2d ago

Job Requirements: This assignment requires proven, hands-on experience applying project management best practices to lead high-profile public sector SaaS low-code platform implementation projects, ideally within State of California government agencies. Also a need for demonstrated experience advancing Organizational Change Management (OCM) to build project buy-in and consensus around the project business case and the solution alternative. Key Responsibilities: Join the in-progress solution selec

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Contract

Depends on Experience

Senior Proposal Manager

Columbia, South Carolina

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Today

JOB TITLE: SME Proposal Manager Third Party Liability JOB LOCATION: Remote WAGE RANGE*: 100 - 125 JOB NUMBER:01 REQUIRED EXPERIENCE: Need a Strong Medicaid Proposal Manager with Third Party Liability experience. T he successful candidate will be responsible for writing and editing technical documentation/responses to federal/ State proposals. JOB DESCRIPTION Manage the process of developing technical proposal response documentation in support of multiple and concurrent federal/ State Reques

Full-time

Business Analyst Consultant- Healthcare exp Miust

Columbia, South Carolina

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8d ago

Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Daily Duties/Responsibilities: 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 requirements. General Duties and Responsibilities: Serves as a liaison between

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Contract

$60 - $70

Quality Assurance Analyst

Columbia, South Carolina

•

Today

About this Position: Job Title: Quality Assurance Analyst Daily Duties / Responsibilities: Develop test plans, QA and/or User Acceptance Testing processes and test cases for product management and software development teams. Develop and maintain SDLC traceability from test cases to requirements and designs/software components. Design and support user interface testing of applications and regression testing. Test software applications for reliability and stability. Implement testing programs to

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Full-time, Contract

Healthcare QA Director

Remote

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10d ago

We are looking for QA Director someone to have managed large QA org setup for Federal Healthcare projects and customers. If you are available and looking for new employment opportunities- please share your resume with contact details asap. Role: QA Director Location: Remote from anywhere in US Duration: 1+ year Exp level: 20+ years Key Responsibilties Develop and Implement quality assurance policies and proceduresOversee product and service quality evaluations through audits and inspectionsEnsur

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Contract, Third Party

Depends on Experience

Clinical Nurse Specialist

Remote

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9d ago

Title: Clinical Nurse Specialist REQUIRED: ACTIVE RN LICENSE (multi-state preferred) Key Responsibilities: Perform clinical coding and DRG validation for various service types. Review claims for accuracy and severity of stay based on appropriate diagnosis codes. Apply CMS guidelines, state policies, and payer requirements in coding processes. Support appeals and reconsiderations, including Medicaid-related cases. Collaborate with vendors and internal teams on coding and editing systems. Ensure

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Third Party, Contract

Depends on Experience

Sr. Data Analyst

Remote

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9d ago

Job Title: Sr. Data Analyst Job Location: Remote Duration: long term contract Payrange : $55- $60/hr Benefits for Eligible Employees - Health Insurance, Paid Time Off (PTO), Paid Holidays. 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 of application and web services. Recognized as one of INC. Magazine's Fastest Growing Private Comp

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Contract, Third Party

$55 - $60

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Medicaid jobs in Columbia, SC, USA