Medicaid jobs in Raleigh, NC

Project Manager/Medicaid Program Administrator

Raleigh, North Carolina

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24d ago

NCDIT - Project Manager/Medicaid Program Administrator (808199) in Raleigh NC Onsite The NC HIEA Medicaid Program Administrator will ensure the effective administration of Medicaid initiatives at NC HIEA. This position is initially posted with a 09/30/26 end date to align with the federal end of fiscal year. There will be an extension beyond that date for at least another year. The NC HIEA Medicaid Program Administrator will ensure the effective administration of Medicaid initiatives at NC HIEA

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Contract

60 - 70

HRSN Medicaid Claims Analyst With QNXT

Remote

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5d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Third Party, Contract

Depends on Experience

Medicaid Chief of Policy

Remote

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23d ago

Title: Rural Health Transformation Medicaid Chief of Policy Job Posting #:164006 Client: State of Rhode Island, Executive Office of Health & Human Services (EOHHS) Location: Providence, RI Mostly remote with some onsite meetings Work Week: 35 Hours Duration: 5-year contract Extensions possible Key Responsibilities As a part of the Medicaid policy team, lead Medicaid policy efforts supporting RHTP and other strategic initiatives.Develop strategies to sustain RHTP-funded programs through Medicaid

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Contract, Third Party

Depends on Experience

Scrum Master with Medicaid - Remote

Remote

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2d ago

Atleast 8 -10 years of industry experience as a Scrum Master.Must have exp with Medicaid or MMISFacilitate daily standups (or the daily scrum) as needed.Participate in the meeting and capture feedback.Note areas for improvement and action items for future sprints.Work as the administrator of the scrum board. Ensure that cards are up to date and the scrum tool, is working well.Meet individually with team members and stakeholders as needed. Iron out team disagreements about process and work styles

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Third Party, Contract

$55

Technical Business Analyst (Healthcare Claims Domain and Medicaid/MMIS, Overall 10+ years of experience)

Remote

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2d ago

Job Description: Job Title: Technical Business Analyst (Claims Domain, MMIS) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle.

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Full-time

$70,000 - $95,000

Technical Project/Delivery Manager With Medicaid Experience - Remote

Remote

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2d ago

Required:15+ years of overall IT experience5+ years of managerial experienceDeep functional knowledge of Healthcare processes specially Medicaid BusinessAware of the Cloud native architecture along with understanding of associated technologiesDemonstrated understanding of Project Management processes, strategies and methodsExperience mentoring, coaching and developing rising talent in the technology departmentExcellent time management and organizational skills and experience establishing guideli

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Contract, Third Party

$61

CMS Medicaid Certification & Compliance Project Specialist

Remote

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5d ago

CMS Medicaid Certification & Compliance Project Specialist The Specialist will work closely with Business Leads, Project Teams, matrix managers, vendors, CMS and MITRE teams, and other stakeholders to ensure certification activities are properly coordinated, documented, and completed on schedule. This is a new position created to provide direct support for sensitive state certification processes and high-visibility MES projects. ResponsibilitiesSupport project teams in executing CMS Medicaid cer

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Contract

$50 - $55

Healthcare QA Tester (8+ year experience in MMIS, Healthcare, Medicaid and Claims)

Remote

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2d ago

Job Description: Job Title: IT Testing Engineer II (MMIS/Claims) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: (Min 3-8 Years of Exp) Key Responsibilities Gather requirements and scenarios from Development Team, Business Analyst and other stakeholders.Work closely with Project Management Team during design phase. Prepare detailed Test Scenario & Test casePerform hands-on functional and web UI testing Create and maintain test scripts, plans, and casesCondu

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Full-time

$70,000 - $80,000

Lead, Medicaid Technology

Remote or Oklahoma

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Today

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving end-to-end technology delivery for Medicaid initiatives. This role ensures successful implementation of use cases across multiple horizontal platform owners, aligning with regulatory requirements and enterprise architecture standards. The leader will serve as the primary technology point of contact for Medicaid, orchestrating cross-functional collaboration to deliver compliant, scalable, and innovat

Full-time

USD 117,600.00 - 161,700.00 per year

MMIS (Medicaid Management Info Systems) Domain Lead

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid Management Information Systems) Domain Lead with expertise in Medicaid Pharmacy, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Pai

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Full-time

Depends on Experience

Medicaid Enterprise Systems - Remote

Remote

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6d ago

Title:Medicaid Enterprise Systems - Remote Location:RemoteLength:Long termRestriction:w2 or c2cDescription:Interview Type: Webcam Interview Only Very long term project; initial PO for 1 year, expect to go for 4+ years Remote Job DescriptionThis is a new position. The previous Accenture support model for this role is no longer viable because the responsibilities require access to sensitive state processes. This position is responsible for supporting and driving the execution of the client Medica

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Contract

Depends on Experience

Senior Project Manager – Medicaid Technology & Operations

Remote or Hybrid in California City, California

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6d ago

Senior Project Manager Medicaid Technology & OperationsLocation: Hawaii Key Responsibilities Strategic Project LeadershipOversee planning and implementation of major projects, managing scope, timelines, and budget.Guide complex, large-scale initiatives that support strategic business objectives.Define project scopes and objectives with relevant stakeholders.Planning, Execution & MonitoringDevelop detailed project plans, including resource needs, schedules, and cost structures.Monitor project pe

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Full-time

Depends on Experience

MMIS (Medicaid) Data Conversion Manager

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid) Data Conversion Manager with expertise in MMIS and MES implementations, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federa

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Full-time

Depends on Experience

Sr Business Analyst / Trainer with Medicaid Pharmacy / PBM expertise

Remote

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3d ago

We are seeking to hire a Sr Business Analyst / Trainer with expertise in Medicare/Medicaid Pharmacy, including specific expertise in PBM (Pharmacy Benefits Management), to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, den

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Full-time

Depends on Experience

MMIS (Medicaid Provider) Integration & Analytics Delivery Manager

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid) Provider Integration & Analytics Delivery Manager with expertise in Medicaid Provider+ implementations, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insura

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Full-time

Depends on Experience

NCDIT - Project Manager/Medicaid Program Administrator

Remote

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12d ago

Project Manager/Medicaid Program Administrator (Remote) Primary Location: Remote V-Soft Consulting is currently hiring for a Project Manager/Medicaid Program Administrator (Remote) for our premier client. Education and Experience Contract development, administration, and monitoring: 3 years.Budget development, administration, and monitoring: 3 years.Implementing data governance and exchange and associated documentation according to state and federal regulations: 3 years.Coordinating staffing n

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Contract

Depends on Experience

Functional Business Analyst with SNAP, TANF, QHP, Medicaid/Medicare programs exp - 100% Remote - W2

Remote

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10d ago

WHO WE ARE: Founded in 2007, DTI (Diversified Technology, Inc.) is a successful African American owned IT Consulting/Staffing firm based in Chicago''s Loop. WHAT WE DO: We focus on providing delivery, staffing, and supported services such as enterprise integration/implementations including, but not limited to, CRM, EAM, ERP, PMO, and QA. We service clients in SLED (state/local gov''t & education), financial services, fortune, public utility, as well as regularly partnering with Big 4 SI partner

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Contract

40 - 40

NC FAST Power BI and Data engineer

Raleigh, North Carolina

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Today

Job#: 3043780 Job Description: NC FAST Power BI and Data engineer Location: Raleigh, North Carolina (Hybrid) Role Overview A position is available for a Data Engineer to focus on the design, development, and optimization of data pipelines and analytics solutions. This role supports a cloud-based analytics environment built on Microsoft Azure and Power BI, specifically for Child Welfare and Medicaid Program(s). The work involves leveraging Azure Synapse Analytics, Power BI, and integrations w

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Full-time

$45 - $57 per hour

DHB Certification & Compliance Project Specialist

Apex, North Carolina

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2d ago

DHB Certification & Compliance Project Specialist (809686) Start Date: 08/31/2026 End Date: 07/12/2027 No New Submittals After: 08/21/2026 Location: Raleigh NC This position is essential to supporting federal compliance efforts, including AoA, the MES Certification schedule, PBA CRR, and DAP, with MITA activities becoming an increasingly important requirement. This is a new position. The previous Client support model for this role is no longer viable because the responsibilities require access t

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Contract, Third Party

$55.55

Senior Health Actuary

Remote

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2d ago

Job Title:Senior Consulting Actuary Job Details: Client is dedicated to supporting decision-makers in state government healthcare agencies, mission-driven organizations, and other public and private sector organizations. Our team brings together deep expertise in actuarial science, health economics, data science, policy analysis, healthcare financing, and advanced analytics to help clients address complex questions involving healthcare financing and payment, cost and risk, program performance, a

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Full-time

200,000 - 230,000

Medicaid jobs in Raleigh, NC, USA