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 Important Skills Technical NetworX Pricer Soft good communication 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 standpoint. Plus: - Done it with commercial side of business

QA/Test Architect Medicaid Information Technology Architecture [MITA] (Remote)

S2Tech

Remote

Full-time

QA/Test Architect Medicaid Information Technology Architecture (MITA) 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 privat

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

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

QNXT Benefits Configuration Analyst

Manage My Dream, LLC

Remote

Contract

Title: QNXT Benefits Configuration Analyst Location: Remote **Doesn t need to be in an approved state but if they are would keep them in pool of candidates they may convert in 1.5-2 yrs Duration: 13-18 months Important Skills Technical QNXT Benefit Configuration; Front End Notes: Must Haves: - MUST have FL Medicare/Medicaid experience - 3+ years of QNXT benefits configuration Needs to be front end - Super strong on QNXT Benefit Configuration, would consider just medicare/Medicaid side. - Need le

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 C

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 bui

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

GL 28 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

.Net Developer

4 Consulting Inc

Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He

Remote Work: Medicaid SME (Subject Matter Expert)

Spruce Technology Inc.

Remote

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

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

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

DCH Test Lead

Spark Tek Inc

Remote

Contract

Short Description: Under limited supervision, manages projects through the full life cycle from project definition and approval through implementation and evaluation of all project deliverables. Provides guidance to the project team. May also serve in a lead role. Complete Description: The Georgia Department of Community Health (DCH) is in the process of transforming existing legacy Medicaid Enterprise Systems (MES) into modern, loosely coupled, seamlessly integrated, modular systems where

Business Analyst- Medicaid

CSG

Remote

Full-time

CSG Government Solutions is a national leader in planning, managing and supporting complex projects that modernize the information technology and business processes of large government programs. Since 1997, we have applied our expertise, innovation, and results-oriented mindset to the most complex program modernization projects of over 200 government and other organizations including 48 state and territory governments, the U.S. Department of Health and Human Services, the U.S. Department of Labo

Lead Technology Product Manager - Commercial Drug Information

Wolters Kluwer

Remote

Full-time

Job Location: Remote within the United States As part of the Wolters Kluwer Health Clinical Effectiveness team, the Lead Technology Product Manager - Commercial Drug Information role for Medi-Span represents the voice of the customer and is responsible for researching, designing and introducing innovative embedded solutions into the healthcare market, benefiting our customers and partners and those who depend on them. This dual-facing role will be the bridge between market and engineering teams