Medicaid Functional Mananger Jobs in 84102

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Senior Procurement Analyst - Medicaid Eligibility [Non-MAGI] (Remote)

S2Tech

Remote

Full-time

Senior Procurement Analyst - Medicaid Eligibility (Non-MAGI) Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Feel free to learn more at . Why S2Tech?: Stable privately-owned

NetworX Pricer Configuration Analyst

Manage My Dream, LLC

Remote

Contract, Third Party

Title: NetworX Pricer Configuration Analyst Location: Remote Why Open: Project Start: ASAP Duration: 12-18 months *Will try to convert a few top candidates Important Skills Technical NetworX Pricer Soft good communication Interview Process: 1 Panel Interview (Michael/MIchele) Background Check + Drug Test (if applicable): Y Notes: MUST have FL Medicare/Medicaid experience - NetworX Pricer - Experience building rate sheets in NetworX Pricer and setting all of that up from a pricing configuration s

QNXT Benefit Configuration Analyst

Manage My Dream, LLC

Remote

Contract, Third Party

Job position : QNXT Benefit Configuration Analyst REMOTE VISA: ead NEED STRONG HEALTH EXPERIENCE Must Haves: - STRONG 3+ yrs experience with QNXT benefit configuration **MUST SHOWCASE ON RESUME - Deep understanding of QNXT and experience with implementations - Actual exp designing benefits - Medicaid experience Plus: - FL Medicaid Expereince

Business Analyst(Mid Level),Hybrid Opportunity - State government/public sector experience with health and human services programs (such as Medicaid)

eSystems, Inc.

Remote

Contract

Role : Analyst(Mid Level)Relevant Experience : 3 - 5 YearsWork Type : HybridClient : Government of North CarolinaLocation :Raleigh,North CarolinaDuration : 1 Year(Extendable)Max Payrate : 35$ Per HourNote : The skill table for this requirement is in the mail trail below.eSystems Inc. is a fast-growing Systems Integrator based in Princeton, New Jersey. We provide strategic IT solutionsandservices with primary practice areas in JavaandMicrosoft centric e-Business solutions, ERP solutions, Enterpri

Engineering Manager (Techno-functional role)

World Wide Technology

Remote

Full-time

The Area Director will report to the Director of the Advanced Technical Solutions - Application Services team. This role will be responsible for developing a strategy and plan to handle future growth in the various technical verticals through capacity planning, training, and process improvement. This role will also provide leadership, mentorship, and guidance to technical staff as they execute their assigned engagements. Additionally, this role will be responsible for helping their leadership t

Senior Business Analyst - CMS Certification (Remote)

S2Tech

Remote

Full-time

Senior Business Analyst - CMS Certification Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Feel free to learn more at . Why S2Tech?: Stable privately-owned company with a s

Sr. Business Analyst

Overture Partners, LLC

Remote

Full-time

Overture Partners' client has an immediate need for a Sr. Business Analyst. To secure an interview for this role, candidates must meet the following criteria: Must Haves: Min 5 years of healthcare insurance experience Min 2-3 years of healthcare projects at the local state level. Not looking for a technical BA. Must have strong healthcare insurance experience and state government health experience (Medicaid, Medicare) Must have hands-on experience with healthcare insurance workflows What the Cl

Informatica ETL Developer - REMOTE

Dedicated Tech Services, Inc. (DTS)

Remote

Full-time

Company and Role: Dedicated Tech Services, Inc. (DTS) is an award-winning IT consulting firm based in Columbus, OH. We now have an opening for an Informatica ETL Developer - REMOTE. Highlights and Benefits: 100% RemoteW2 hourly pay rate up to $52.00/hr or salaried equivalentDirect W2 hourly or salaried applicants only (no corp-to-corp subcontractors, third parties, or agencies)Paid time off and holidays for salaried employees401K, billable bonus, and health, life, vision, dental and short-term

QNXT Benefits Configuration Analyst

KPG 99 Inc.

Remote

Contract, Third Party

Position : QNXT Benefits Configuration Analyst Remote, must be in the following States. Location Details: AL ,DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NH, ND, NV, OK, OH,PA, SC, NC, SD, TN, TX, WA, VA,WA, WV, WI Duration: 13-18 Months Interview Process: 1 Panel Interview For this project, looking for QNXT Benefits Configuration Analyst heavier on the Medicaid side. Must Haves: 3+ years of QNXT benefits configuration Needs to be front end but if they are super strong on QNXT Benefit Config

100% Remote - QNXT Benefits Configuration Analyst

Beacon Hill Staffing Group

Remote

Contract

NOTE: This is a 100% remote position. Candidates will have to work on EST hours. One of our clients in Norfolk, Virginia is looking for a QNXT Benefits Configuration Analyst with the following skills and experience: MUST HAVE : FL Medicaid experience. Required Skills and Experience: QNXT Benefit Configuration background and management exp specific to QNXT Benefit Configuration-(Front End ) Experience with QNXT migration or implementations Actual exp designing benefits. May have started as an

Senior Test Analyst - Medicaid Architecture/Technical Engineering (Remote)

S2Tech

Remote

Full-time

Senior Test Analyst - Medicaid Architecture/Technical Engineering Location: Remote About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Feel free to learn more at . Why S2Tech?: Stable privately-ow

Mainframe Developer (Remote)

S2Tech

Remote

Full-time

Mainframe Developer Location: Remote About Us: Known for Delighting the Client through performance, innovation and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services related projects. Feel free to learn more at . Why S2Tech?: Stable privately-owned company with a strong reputation for build

Information Systems Auditor

Pro Search, Inc.

Remote

Full-time

Information Systems Auditor Duration: Through 12/31/24, with the potential for contract extension based on available funding. Location: 100% remote. Are you experienced in performing security control assessments? Our client is seeking an Information Systems Auditor to join their team. If you have 2-5 years of experience in security control assessments, we want to hear from you! Key Responsibilities: Perform enterprise system risk assessments for systems containing ePHI.Create Security Assessment

Senior Project Manager in Clinical Operations

IDC Technologies

Remote

Contract

Role : Sr.PM position in Clinical Operations and Medicare and MedicaidLocation : RemoteDuration : Long termJob Description : 7-8 years of experience in managing medium-scale or low to medium to high complexity projects within programs and standalone projects in Clinical and Medicare and MedicaidResponsible for delivery of projectLead stakeholders in the refinement of the project charterDevelop & maintain project schedule & work breakdown structureDevelop and maintain project budgetAccurately tra

Data Analyst

Blu Omega LLC

Remote

Contract

We are looking for a dynamic, goal-oriented Data Analyst to work on health and human services projects requiring intermediate SAS, R, Python, STATA or SQL experience as well as knowledge of statistics and research methodology. Responsibilities: Independently perform a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid demonstration waivers Support the design complex evaluation analytic plans that leverage mixed-method approaches and

Remote Work: Medicaid SME (Subject Matter Expert)

Spruce Technology Inc.

Remote or

Contract

Title: Medicaid BA / SME (Subject Matter Expert) Location: Remote Work (Eastern Time Zone) New York City, NY Duration: 12+ months Responsibilities Provides operations and functional expertise in Medicaid in areas such as eligibility, provider data management, claims, third part liability, managed care, Program Integrity. Works with solution specialists and delivery teams to define functional and technical requirements. 10+ years' experience in Medicaid systems delivery/operations, requirement ma

Data Analyst

Blu Omega LLC

Remote

Contract

We are looking fora dynamic, goal-oriented Data Analyst to work on health and human services projects requiring basic SAS, R, Python, STATA or SQL experience as well as knowledge of statistics and research methodology. Responsibilities: Support a broad range of quantitative analysis to inform the design, implementation, and evaluation of Medicare and Medicaid demonstration waivers Work with complex large-scale data sets from multiple systems of origin including Medicare, Medicaid, and CHIP enrol

PostgreSQL DBA (100% REMOTE/NO C2C)

Amerit Consulting

Remote

Contract

Our client, a US Fortune 50 organization and a leading provider of Health care and Health Insurance services, seeks an accomplished PostgreSQL DBA. NOTE: THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES (NO C2C/1099). ** Candidate must be authorized to work in USA without requiring sponsorship Position: PostgreSQL DBA (Job ID: WLPTJP00044464) Location: Baltimore MD (100% REMOTE) Duration: 6 Months + Strong Possibility of Extension Responsibilities Responsible for the maintenance of production, t

Remote IT Project Manager with Healthcare Medicaid & Medicare

Infinite Computer Solutions (ICS)

Remote

Full-time

Job Descriptions Below: Project manager: 1) 8 to 12 years of experience 2) Project management experience (PMP or other required certifications) 3) Experience in ADO/Jira and ServiceNow 4) Healthcare Payer domain project experience 5) Good communication skills Regards, Deepak Kumar Infinite | Exciting timesinfinite possibilities Tel: +1- Email: Web site:

Senior Risk Adjustment Coding Specialist

Kforce Technology Staffing

Remote or Seattle, Washington, USA

Full-time

RESPONSIBILITIES: Kforce's Seattle, WA Healthcare Client is growing their Risk Adjustment team and are looking for a 100% remote Senior Risk Adjustment Coding Specialist. This role will be the lead/point person for the whole team. What's needed is ability to lead projects, and drive projects on their own. Not someone who needs to be given tasks or work each day. The role will be guiding other team members with the project work. Summary: Essentially, this is a coder/auditor role. The candidate w