124 results (0 new)
Remote
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Today
10+ years of working experience as a Java developer Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare. Candidate should have hands-on experience on claims processing and Adjudication processes. Experience with user interface design. Knowledge of performance testing frameworks including Mocha and Jest. Excellent troubleshooting skills.
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Contract, Third Party
Depends on Experience
Remote
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3d ago
DAILY DUTIES / RESPONSIBILITIES: Work collaboratively with the Medicaid Services MMIS and MEDS Teams to make coding changes to Cobol and Ads programs using an IDMS Network Database or IDMS Relational Database, Technical and design specifications. Debug, unit test, and integration test coding changes. Support Quality Assurance staff during QA, User Acceptance, and External Testing by making needed coding changes. Communicate effectively in both written and spoken communication. work collaborative
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Contract
$70 - $75
Remote
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2d ago
Responsibilities Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain. Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts. Must have good experience in Reference code/data sets required in Claims adjudication including not limited to
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Full-time, Part-time, Third Party, Contract
Remote
•
3d ago
Job Description: Only W2 resumes are accepted Work Location: Role is 100% remote Candidate location: No SC residency required. Candidate must reside in lower 48 states (Continental US) and comfortable working EST time zone hours. This project includes backfill on production systems, potentially working on smaller short-term projects and includes working with customers, development staff, operational staff and QA staff. DAILY DUTIES / RESPONSIBILITIES: Work collaboratively with the Medicaid Serv
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Contract
Depends on Experience
Remote
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30+d ago
Position: Integrated Eligibility & Batch Operations Engineer Location: Remote Duration: Contract Job Description: Integrated Eligibility Functional Knowledge. Ability to manage high concurrent tasks/requests. Strong communication skills. Java/SQL language and ability to review/understand stack trace. Moderate understanding on Batch and Scheduling Desired Traits & Qualities: Requesting a dedicated resource for batch operation who could cater to requests from DEV, Testing, and Functional Teams to
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Contract
Depends on Experience
Remote
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14d ago
Job: Technical Delivery Manager (MMIS Medicaid Business) Location: Remote from anywhere in US Job Duties: Responsible for managing Healthcare Products, from design to deployment, and implementation support efforts.Directly oversee the MMIS Claims Adjudication lifecycle, ensuring all payment processing modules align with CMS standards and state-specific business rules.Should be able to contribute in building and maintaining modern applications with cloud native architectureManage top-down oversig
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Contract, Third Party
$60 - $70
Remote
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10d ago
Duration:3+ Months Contract Schedule:35 hours/week | 8:30 AM 4:00 PM Seeking a community focused Outreach Coordinator to support statewide Medicaid engagement initiatives related to HR 1 policy implementation and Community Engagement (CE) requirements. The role involves coordinating outreach events, public education sessions, community partnerships, and communication efforts to help Medicaid members understand program changes and available support services. Requirements: Bachelors degree in Com
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Contract
25
Remote
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Today
Title: IBM DataStage Developer - Remote (Medicaid/MMIS required ) Locations: Remote Client : State of NE Job Summary: We are seeking an experienced IBM DataStage Developer/Engineer to design, develop, and maintain IBM InfoSphere DataStage jobs supporting the Medicaid Data Management Platform.This role focuses on building robust, scalable data pipelines that enable accurate and high-performance reporting within a Medicaid/MMIS data environment.The ideal candidate will work closely with data arch
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Contract, Third Party
Depends on Experience
Remote
•
4d ago
Title:Product Manager with Medicaid - RemoteLocation:RemoteLength:Long termRestriction:w2 or c2cDescription: Webcam interview; Long term project Linkedin Must Remote Position SummaryThe Senior Product Manager role is responsible for successfully executing products and initiatives while providing coaching, growth opportunities, and leadership within the Enterprise Product Management practice. This role provides guidance to product teams and direct reports on product planning and execution; techn
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Contract
Depends on Experience
Remote
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13d ago
Job Title: IT Project Manager Location: Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota at least quarterly at candidates' expense Duration: 24 Months Scope of work: Client is seeking a qualified individual(s) to provide project management support for DSS program areas working on technology implementations. Active implementations requiring support include Provider Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1. Project list is not exhaustive
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Contract
$65 - $69
Remote
•
Today
Salesforce Developer Need to be onsite 1 day in CALIFORNIA Required Qualifications: 3+ years of SFDC development experience SFDC development experience in a healthcare payer environment Experience creating SFDC Lightning Pages and flows Experience using Salesforce Object Manager to manage, create, and customize standard and custom objects. Apex programming experience Salesforce Health Cloud (SFHC) experience SFDC Certified developer certification Experience supporting Medi-Cal / Medicaid
Contract, Third Party
Depends on Experience
Remote or Springfield, Illinois
•
Today
Functional Description: This role requires significant expertise of Medicaid Enterprise System modules and data warehouse or decision support systems. This role provides input and direction supporting a large data warehouse implementation and operations. The selected SME will provide direction to business and technical team members related to claims, provider, and recipient data. Roles in this function could partner with stakeholders to understand data requirements and support development tool
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Contract, Third Party
Remote
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6d ago
12+ year of overall IT experienceExperience in Medicaid Domain10+ years of working experience as a Java developer2 years of working experience as a Java LeadExperience with user interface design.Knowledge of performance testing frameworks including Mocha and Jest.Excellent troubleshooting skills.
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Contract, Third Party
$51
Remote
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10d ago
Job Responsibilities -The candidate will be responsible for designing, coding and documenting lava based programs in support of mission critical high-performance Point-of-sale applications as well as other microservices based Java applications in support of Pharmacy Benefit Manageme support of the PBM (Pharmacy Benefit Management) platform. BackgroundRequirements:10+ years of industry experienceStrong experience with Java, JEE, JDBC, Spring and Spring Boot framework, Webservices (SOAP/REST), ESB
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Contract, Third Party
$50
Remote
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6d ago
Key ResponsibilitiesLead end-to-end testing strategy, planning, and execution for Medicaid/MMIS applicationsDesign and review test plans, test cases, test data, and test scenarios across modules (claims, eligibility, enrollment, provider)Coordinate Product QA,MO, SIT, UAT, Regression, and Integration testing activitiesWork closely with business analysts, developers, and stakeholders Lead defect tracking, triage, and resolutionEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regul
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Contract, Third Party
$50
Remote
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6d ago
Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain.Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid systemMust have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts.Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, IC
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Contract, Third Party
$46
Remote
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4d ago
Should have strong MMIS health care domain experience and should have good knowledge of Medicaid and Medicare.Should have hands-on experience on claims processing and Adjudication processes.Must have good experience in Reference code/data sets required in Claims adjudication.Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.In depth understanding of Claims and Claims lifecycleClaim System:Testing knowledge and E2E Testing:
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Third Party, Contract
$50 - $55
Remote
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12d ago
Job Details: Position: IT Project Manager Location: Remote Type: Contract - (W2,1099)/Full Time Job Overview: Qualified candidates should have the following skills and experience: Mandatory experience in Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1 Successful experience managing information technology solutions. PMP certification or equivalent working experience. Knowledge of various software development methodologies (agile, waterfall, DevOps, etc.) Experience in
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Contract
$60 - $65
Remote
•
Today
Type of Requisition: Pipeline Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: Other Job Family: Data Science and Data Engineering Job Qualifications: Skills: Claims Data, Data Management, Data Visualization, HL7 Standards, Structured Query Language (SQL) Development Certifications: None Experience: 8 + years of related experience ship Required: No Job Description: Make meaningful contributions that fuel critical outco
Full-time
USD 127,500.00 - 172,500.00 per year
