Medicaid jobs in Remote

Pierre, South Dakota

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6d ago

Job ID: SD-RFP19317 DSH Analysis Onsite/Local Govt Medicaid BA/Program Analyst with federal policy changes, audit, DSH payment model, regulatory compliance experience Location: Pierre, SD (DSH) Duration: 8 Months Experience working with Medicaid Data. At least 3 years of experience working with DSH rules, regulations and related issues. At least 3 years of experience in working with Medicaid rules, regulations and related issues. Understanding of the requirements and work to be performed. Respon

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Contract, Third Party

Depends on Experience

Program Manager (SNAP, Medicaid)

Hybrid in Hartford, Connecticut

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Today

Title: Program Manager (SNAP, Medicaid) Location: Hartford, Connecticut Duration: 12 Months Client: State of CT Position Summary We are seeking a highly organized and detail-oriented Project Coordinator to support a Program Manager in the delivery of the HR1 Program, a high-visibility initiative focused on reducing SNAP error rates and improving program performance. The Project Coordinator will support multiple concurrent projects by coordinating program activities, facilitating executive and o

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Third Party, Contract

Depends on Experience

Medicaid DSH Consultant

Remote

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2d ago

Overview:Seeking an experienced Senior Medicaid Disproportionate Share Hospital (DSH) Consultant to support a state Medicaid program in the analysis, administration, and calculation of DSH supplemental payments.The consultant will provide subject matter expertise in Medicaid reimbursement methodologies, federal and state regulatory compliance, hospital data analysis, payment calculations, and audit support.The role involves working with healthcare providers and Medicaid stakeholders to ensure ac

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Contract

$80 - $90

Lead Java Developer

Albany, New York

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Yesterday

Job Title: Lead Java Developer Work Location: North Pearl Street Albany New York 12203 (Onsite) Long Term Contract If you find this opportunity suitable, kindly share your updated resume. Also, please let me know a good time to connect with you for a quick discussion. Looking forward to hearing from you! Job Description Mandatory Qualifications: More than seven (7) years of experience working on complex projects2 or more years in a leadership role as a Developer.Morethan 7 years of experience a

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Contract

Depends on Experience

Senior QA / Reconciliation Analyst with Healthcare payer / Medicaid / MMIS testing experience : Remote

Remote

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Today

Senior QA / Reconciliation Analyst Job Description Role Summary Senior QA and data-validation role focused on ETL testing, large-scale data reconciliation, regulatory-output validation, and root-cause analysis for AWS Databricks data pipelines. Roles & Responsibilities Define and execute test strategies for complex ETL / ELT pipelines and regulatory data outputs. Perform record-count, control-total, field-level, segment-level, and file-level reconciliation. Validate source-to-target mappings,

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Contract, Third Party

Depends on Experience

Solution Architect - Facets & Medicaid Regulatory Transformation

Remote

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Yesterday

Hi, Role:Solution Architect Facets & Medicaid Regulatory Transformation Location: Remote Broad architecture expertise across Mainframe + Java + Facets + DataStage/Talend, because they need to determine where each regulatory change belongs. Role Summary Seeking a senior healthcare Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem. The architect should have deep knowledge of Facets, Mainframe,

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Full-time, Third Party

Depends on Experience

Solution Architect – Facets & Medicaid Regulatory Transformation

Remote

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Yesterday

We are seeking a senior Healthcare Solution Architect with strong TriZetto Facets architecture experience and expertise in Medicaid managed care and state-specific regulatory transformations. Key Responsibilities: Lead end-to-end architecture for Medicaid regulatory changes across healthcare payer platforms. Assess impacts across Facets, Mainframe, Java/J2EE, APIs, databases, batch systems, and ETL platforms. Design solutions for member enrollment, eligibility, benefits, claims adjudication, pri

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Contract

Depends on Experience

Sr Manager over MMIS / Medicaid and PMB Data & Analytics

Remote

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Yesterday

We are seeking to hire a Senior Manager for Medicaid / MMIS and PBM Data & Analytics, 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 Federal Holidays, and a matching

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Full-time

Depends on Experience

Only w2 - Senior Data Architect ( T-MSIS / Medicaid is Must) Remote

Remote

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Yesterday

Senior Data Architect & T-MSIS SME - Only w2 or 1099 Remote Long Term Contract Role Summary Senior architecture role focused on modern healthcare data platforms, Medicaid/T-MSIS domain expertise, and large-scale modernization using AWS Databricks. Roles & Responsibilities Define scalable data architecture patterns using AWS Databricks, PySpark, Spark SQL, Delta Lake, and lakehouse / medallion architecture principles. Design canonical/conformed data models, metadata-driven transformation patte

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Contract

55 - 62

Medicaid QNXT Provider

Remote

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2d ago

Position:Medicaid QNXT ProviderLocation: Remote Job Summary:We are seeking an experienced Medicaid QNXT Provider Contract Setup & Testing Specialist with expertise in provider contract configuration, reimbursement methodologies, and functional testing within the healthcare payer domain. The ideal candidate will have hands-on experience setting up and validating provider contracts in the QNXT platform, testing contract configurations, validating fee schedules and reimbursement rates, and ensurin

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Third Party, Contract

Depends on Experience

Senior Project Manager – Medicaid MMIS

Hybrid in Boise, Idaho

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13d ago

Senior Project Manager Medicaid MMIS Implementation Location: Boise, ID Hybrid- Need local Candidates only or near by candidates Local Candidates Only Interview: Webcam or In-Person Experience : 18+ years Important: Local candidates only. Please share resumes with current location and relevant healthcare/state government project experience. Job Description: Seeking a Senior Project Manager to lead the end-to-end implementation of Medicaid Management Information System (MMIS) modules and com

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Contract

Depends on Experience

Medicaid Project Manager with PMP

Montpelier, Vermont

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9d ago

Role: Medicaid Project Manager Location: Remote Duration: Long Term Consultants willing to work on W2 Responsibilities: Provide an introductory process Assign work Set the schedule Provide high-level oversight Provide performance feedback Establish a deliverable review process Approve deliverables submitted for work performed Establish invoice process Approve invoices submitted for work performed Provide necessary resources Resolve issues Required Skills: PMP HIPAA EHR and Med

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Contract

Depends on Experience

Project Manager

Hybrid in Boise, Idaho

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8d ago

Lead the implementation of the new Medicaid Management Information System modules and components from beginning to end, identifying schedule, scope, budget, implementation plan, and risk mitigation Coordinate with all vendors and project managers via a master schedule and project governance to monitor risks, schedule, and deliverables. Ensure end product meets requirements and deliverables for the EDW Coordinate resources across multiple vendors and state teams through planning, implementation,

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Contract

Depends on Experience

Senior QA Engineer Facets & Medicaid Regulatory Solutions

Remote

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Yesterday

Job title: Senior QA Engineer Facets & Medicaid Regulatory Solutions Location: Remote Job type; Full time Interview: Video Candidates should have strong knowledge of Medicaid managed-care operations and experience working with state-specific Medicaid requirements. They should understand how regulatory changes affect member enrollment/eligibility, coverage, claim processing, authorization, pricing/payment, data and downstream health-plan operations. They should also possess a good working unders

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Full-time

Depends on Experience

ETL Test Engineer-Healthcare (Medicaid Claims Processing)

Hybrid in East Hartford, Connecticut

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Today

Position : ETL Test Engineer-Healthcare (Medicaid Claims Processing) Location:Hartford, CT (Hybrid) Duration: 12+ Months Contract Job Description:We are seeking an experienced ETL Test Engineer with a strong background in Healthcare Payer systems, specifically supporting the Medicaid line of business and Claims Processing. The ideal candidate will possess deep expertise in ETL and Data Warehouse testing, data validation, and healthcare data flows, with the ability to ensure high-quality data int

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Third Party, Contract

Depends on Experience

Senior QA Tester with Healthcare Medicaid Medicare Claims domain

Remote

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Today

Hi Greetings from Infinite Computer Solutions ! Hope you are well today! I'd like to discuss a job opportunity with you. Hope you would be interested. Position: Senior QA Tester with Healthcare Medicaid Medicare Claims domain Location:Dallas, TX, St Louis, Mo, Las Vegas, NV, Hybrid/Remote Term : Fulltime About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,sca

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Full-time

70,000+

Data Governance Consultant

No location provided

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Today

DatamanUSA, LLC is a full-service IT Solutions Company that provides a variety of technical, IT, professional and administrative support services to both State and Federal government agencies. We also support commercial clients both large and small with staff augmentation and direct hire placement. If you are interested in this position and believe that this role is a great fit for your knowledge, skills, experience and career path. Job Title: Senior Data Management / Data Governance Consultant

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Full-time, Part-time, Contract, Third Party

USD 80-110

Java/J2EE Developer with Medicaid exp - Level II

Lake Mary, Florida

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Today

Greetings from Sligo Software Solutions, Inc. !! This is Anita from SLIGO. We have an urgent requirement for Java/J2EE Developer with Medicaid exp - Level II position with our client. Title : Java/J2EE Developer with Medicaid exp - Level II Location : Lake Mary, Florida Duration : 1 year(s) 1 month(s) 1 day(s) Client : Sligo Software Solutions - Deloitte - NYS - DOH Job ID: SLG - 26 - 12398 Respond by: 10/27/26 6:00 PM Job Summary: We are looking for a Integrated Eligibility Developer w

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Contract, Third Party

Senior QA Engineer Facets & Medicaid Regulatory Solutions

Remote

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Today

Job Description: We are looking for a Senior QA Engineer with strong healthcare payer and Medicaid managed-care experience. Key Skills: TriZetto Facets testing Medicaid regulatory and state-specific requirements End-to-end integration testing Mainframe and Java application testing ETL testing (DataStage, Talend/TalendWorks) SQL, data validation, and reconciliation Claims, enrollment, eligibility, benefits, and payment testing

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Contract

Depends on Experience

Technical writer (8+ Yrs exp/MOU/MOA/Vendor Contracts/Medicaid APD/HIE/Health IT/Sharepoint): 10+ Mnths 100% Remote Project

Remote

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Yesterday

NCDIT 808154: This position ensures that the NC Health Information Exchange Authoritys process to execute MOUs, MOAs, vendor contracts and other agreements is well organized and efficient. They will work closely with NC HIEA business leads and partners to draft MOUs, MOAs, vendor contracts, and other agreements. NC HIEAs contracts writer will proactively coordinate with NCDITs legal, privacy and security, finance, and procurement teams to ensure that all required information is provided, issues

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Contract

48 - 52