Medicaid jobs in South Carolina

Medicaid Business Analyst in Columbia, SC

Columbia, South Carolina

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Today

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 7+ years of experience in commercial healthcare 3+ years' experience in State Medicaid payer system integration and delivery 3+ years familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles 6+ years familiarity with standard data structures, electronic data interchange, processes and related file formats 6+ years of knowledge of business processes, methods/procedures, and technology 6 + years' experien

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Contract

Mainframe COBOL Developer Medicaid Systems

Columbia, South Carolina

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Today

Job Title Senior Mainframe COBOL Developer Medicaid Systems Overview / Summary We are seeking an experienced Mainframe COBOL Developer to support Medicaid IT systems for our client in a fast-paced, team-oriented environment. This role involves maintaining and enhancing claims adjudication and payment processing systems, supporting ongoing production work, and contributing to upcoming FY26 projects. Key Responsibilities Work collaboratively with Medicaid Services MMIS and MEDS teams to implemen

Full-time

Senior Java Developer with Medicaid/ Medicare Claims Experience - 100% Remote

Remote

•

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

Mainframe Programmer (Healthcare / Medicaid)

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

Business Analyst with Medicaid/Medicare

Remote

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3d 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, Contract, Third Party

Medicaid Business analyst

Columbia, South Carolina

•

Today

We are seeking a high-level Medicaid Business analyst to drive a major multi-year modernization effort. This role is critical in bridging the gap between business operations and technical IT delivery to transform healthcare infrastructure. Logistics & Work Arrangement Location: Columbia, SC (Must be a current SC Resident) Work Arrangement: Hybrid (4 days onsite, 1 day remote) Interview Process: 1 Round (Virtual/Online) Mandatory Requirements Commercial Healthcare: 7+ years of experience. State

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Contract

Senior Mainframe COBOL Programmer - IDMS (Medicaid) - REMOTE (W2 ONLY)

Remote

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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

Business Analyst with State Medicaid Experience

Hybrid in Columbia, South Carolina

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3d ago

Business Analyst with State Medicaid ExperienceInterview Process: 1 round, Virtual/OnlineDuration of the Contract: 12 monthsWork Location: Hybrid (4 days in office, 1 days remote).Candidate Location: Candidate MUST be a SC resident. No relocation allowed.Required Skills Bachelors degree in a technical, business, or healthcare field or equivalent experience. 7+ years of experience in commercial healthcare 3+ years experience in State Medicaid payer system integration and delivery 3+ years familia

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Contract

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

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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Third Party, Contract

$60 - $70

Integrated Eligibility & Batch Operations Engineer_Remote

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

Medicaid Community Outreach Coordinator

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

IBM DataStage Developer - Remote (Medicaid/MMIS required )

Remote

•

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

Programmer Mainframe or Cobol Developer at Remote

Columbia, South Carolina

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4d ago

We are looking for Programmer Advanced (Mainframe/Cobol Developer) at Remote. Please read the job description below and let me know if you are interested. Position: Programmer Advanced (Mainframe/Cobol Developer) Location: Fully Remote Duration: 9+Months Contract Interview Process: Virtual Req ID: 10984 Job Description We are seeking an experienced Programmer Advanced (Mainframe Developer) to support Medicaid IT systems and enterprise application initiatives. This role involves maintaining a

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Third Party, Contract

Depends on Experience

Healthcare/Medicaid IT Business Analyst - HYBRID (MUST be SC resident) - W2 ONLY

Hybrid in Columbia, South Carolina

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3d ago

Job Description: Only W2 resumes are accepted Work Location: Hybrid (4 days in office, 1 days remote). Candidate Location: Candidate MUST be a SC resident. No relocation allowed. SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the States aging MMIS and related applications with more modern capabilities along with corresponding business operations services. The MES Modernization effort will be incremental and modular in nature with a focus on c

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Contract

Depends on Experience

Product Manager with Medicaid - Remote

Remote

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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

IT Project Manager || Must have experience in Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1 || Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota||

Remote

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14d 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

Salesforce Developer

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

Third Party, Contract

Depends on Experience

Healthcare Business Analyst

Hybrid in Columbia, South Carolina

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3d ago

Requirements 7 or more years of experience in commercial healthcare information technology systems. Proficiency in State Medicaid payer system integration and modular software delivery. Experience with Medicaid Information Technology Architecture business architecture principles. Experience with electronic data interchange and standard healthcare data structures. Experience in business process redesign and translating requirements into functional specifications. Experience in Federal Certificati

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Contract, Third Party

Depends on Experience

Enterprise Data Warehouse (EDW) Medicaid Subject Matter Expert/Analyst - Remote

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

Java Lead with Medicaid experience- Remote

Remote

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7d 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

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Medicaid jobs in South Carolina, USA