Medicaid jobs in Remote

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

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

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

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

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

QA Test Analyst (Healthcare, Medicaid/Medicare)

Hartford, Connecticut

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16d ago

Seeking a QA Test Analyst with strong experience in Manual and Automation testing of complex enterprise applications. The role involves functional, regression, integration, API, backend, and end-to-end testing in an Agile/Scrum environment. Key Responsibilities Create and execute test cases, scenarios, and automation scripts based on business requirements. Perform functional, regression, integration, SIT, UAT, API, and end-to-end testing. Conduct REST/SOAP API testing using Postman and validate

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Contract

Depends on Experience

Senior Business Analyst - Medicaid - SQL

Seattle, Washington

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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 As a Senior Business Analyst - Medicaid - SQL at Gainwell, you will apply your analytical expertise to help harness the power of

Full-time

USD 74,300.00 - 106,100.00 per year

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

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

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

Rural Health Transformation Medicaid Chief Of Policy Project Manager

Providence, Rhode Island

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23d ago

Role:Rural Health Transformation Medicaid Chief Of PolicyProject Manager Role: Duration: 5 years 35 hours a week Location: Providence, RI Primarily remote, with in-person attendance required for community meetings, regional sessions, RSAC meetings, partner convenings, and other activities. 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

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Contract, Third Party

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

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

Medicaid Portfolio Project Manager

New York, New York

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3d ago

Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sectors IT environment. Our team is on the forefront of helping to solve the government''s most complex IT challenges. If you are seeking a role that offers the opportunity to work on rewarding projects, consider a career with Cloud and Things. *This is an exempt position. Salarycommensuratewith experience* Job Title: MedicaidPortfolioProject Manager Location: A

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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

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

Senior Privacy Analyst

Alabama

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2d ago

Hello, Hope you are doing well, This is Santhosh from SYSTEM SOFT TECHNOLOGIES. Please go through the below position and let me know your interest. Senior Privacy Analyst Location: Montgomery AL-Onsite for 5 days Duration: 12 Months + Senior Privacy Analyst Contract Opportunity Position Summary The Senior Privacy Analyst supports the Agency Privacy Officer in the day-to-day operation of the Agency's privacy program. Reviews, tracks, coordinates, and documents privacy-sensitive requests and i

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Third Party

Senior Privacy Analyst

Montgomery, Alabama

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5d ago

Role Summary A Senior Privacy Analyst is responsible for supporting the implementation and management of the privacy program within a government agency. This role involves reviewing, processing, and documenting privacy-sensitive requests and incidents related to Medicaid recipients, providers, and program integrity data. The Senior Privacy Analyst ensures compliance with federal and state privacy regulations while maintaining the confidentiality and security of Protected Health Information (PHI)

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Third Party, Contract

Depends on Experience

Medicaid Business Analyst - IBM Cúram (govt IT exp) - HYBRID (SC Resident/MUST Relocate to SC) - W2 ONLY

Hybrid in Columbia, South Carolina

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6d ago

Job Description: Only W2 resumes are accepted Work Location: Hybrid (3 days in office, 2 days remote). Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense. SCDHHS is seeking a IT Healthcare Consultant-Business Analyst (BA) - Advanced to assist with the implementation of small to large projects. DAILY DUTIES / RESPONSIBILITIES: The principal duties of this position are to evaluate agency needs, as-is and to-be business p

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Contract

Depends on Experience

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