Medicaid Functional Mananger Jobs in Ogden, UT

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Deputy Functional Manager

GCOM Software LLC

Remote

Full-time

Outcomes. Delivered. GCOM develops technology that helps governments improve outcomes for the people they serve. For example, our technology: Ensures that mothers can buy healthy food for their children through the WIC program.Helps first responders decrease opioid overdoses in their neighborhoods.Tracks trends in human trafficking so local law enforcement can identify traffickers and better support victims.Gives teachers the insights they need to spot students who need extra support.Helps sta

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

Healthcare QA w/ Facets / Medicare / Medicaid

Dexian DISYS

Remote

Contract

Healthcare QA w/ Facets / Medicare / Medicaid 9 + Months CTH 100% Remote Required: TriZetto Suite (Elements - FRM/EAM/DLM Framework/TCS/Facets) Medicare, Medicaid, Marketplace Enrollment Experience with Agile methodologies, and test documentation tools (qTest, Jira, HP ALM, etc) Minimum 5 years healthcare & QA experience. Preferred: MMS; Automic; Control-M; Python Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one

Procurement and Contracts Specialist

TekAssembly

Remote

Contract

Working closely with the workstream manager to develop solicitation content, including RFP language, technical and financial evaluation criteria, as well as functional and non-functional requirements.Assisting in the development and creation of supplemental procurement/contracting materials to procure services addressing procurement scope ranging from information technology, healthcare service delivery, and administrative functions.Collaborating with multiple teams, particularly with IT teams, t

Functional Manager - Power Delivery Team

Quantum Talent Solutions

Remote

Full-time

Title: Functional Manager - Power Distribution Design Location: Remote, Travel 1-2x a quarter, Duration: Direct Hire / Full-time Description: Our client is looking for a Functional Manager to manage a Power Distribution Design team of 20-30 individuals. Candidate will be directly managing Design Supervisors and indirectly managing subordinate staff in the day-to-day performance of their jobs. Candidate will ensure that the team milestones are met and adhering to approved budgets. Candidate must

Business Analyst - Medicaid

DIBSYS Inc

Remote

Contract

Job Description: Business Analyst (BA) - Medicaid Duration - 2 Years Type: Contract Position Overview: The Business Analyst (BA) will play a pivotal role in our client s organization's IT project. The BA will assist in requirements analysis, system change request development, user acceptance testing, defect documentation, and project status reporting. This role demands a meticulous individual with a solid understanding of healthcare operations and IT systems, particularly in the Medicaid domain.

Information Security Analyst

TechNix LLC

Remote

Contract, Third Party

Position: Information Security Analyst Duration: 7 months possible extension Location: North Dakota (100% Remote) Top Skills & Years of Experience: 2-5 years' experience performing security control assessments Primary work will include performing enterprise system risk assessment for Health and Human Services systems containing ePHI (protected health information) Creating Security Assessment Plan (SAP), working with Information Security Officer to schedule for completing the risk assessment on

Healthcare Policy/Program Integrity Compliance Consultant/Advisor, Remote

ACI Group, Inc.

Remote

Contract

Healthcare Policy/Program Integrity Compliance Consultant/Advisor Contract 100% Remote Description Our client is seeking a Healthcare Policy/Program Integrity Compliance Consultant/Advisor who can help them develop a go to market strategy for building a compliance portfolio (policy and legislative) within the healthcare market, particularly Centers for Medicare & Medicaid Services (CMS). Responsibilities Expand organization's understanding of compliance efforts across CMS including centers and g

Business Consultant

iSpace, Inc

Remote

Contract

Title: Business Consultant Location: REMOTE Duration: 2 Years Position Overview: As part of a team, the Business Consultant is a client-facing role which guides the customers through their implementations of the software. Responsibilities include requirements gathering, definition, and hands-on configuration of the system and workflows for HRP (HealthRules Payor) customers. The Business Consulting team drives projects through billable business consulting and advises the customers on optimizati

Program Manager (CTCM/CTCD) in Austin, TX

Voluble Systems LLC

Remote

Third Party, Contract

Hi, Kindly find the JD mentioned below, Solicitation Reference #529400905 Role: Program Manager Location: Austin, TX Duration: 12+ Month Client: State of TX (HHSC) JOB DESCRIPTION: Under the direction of the Health and Human Services Commission (HHSC) chief of staff, the program manager is responsible for overseeing a large-scale, heavily information technology influenced master project that includes multiple subprojects, with a focus on successfully driving delivery of strategic and transforma

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

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

Business Analyst

Educology Solutions

Remote

Full-time

Job Summary Educology Solutions is seeking Business Analysts with experience supporting Medicaid system initiatives. In this the role, the Business Analyst will assist in the gathering and organization of business requirements for Medicaid provider data solutions (conversion from legacy systems, import/export interfaces, letters, reports, etc.). Serves as the liaison between technical personnel and business area (client and end users) during the design, development, testing and deployment of pr

EDI Tester (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 EDI Tester. NOTE: THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES (NO C2C/1099). ** Candidate must be authorized to work in USA without requiring sponsorship Position: EDI Tester (Job ID: WLPTJP00044382) Location: Baltimore MD 100% REMOTE) Duration: 6 Months + Contract to Hire Tests complex API, web-based applications that reference database back-end systems.Create

Remote Trainer

Educology Solutions

Remote

Full-time

Job Profile Summary In this role, the successful candidate will play a vital part in supporting the implementation of a Medicaid system. They will conduct intricate analyses of business goals, objectives, and the overall business environment to align information technology solutions with multiple, complex accounts. Serving as a subject matter expert, the individual will act as a liaison between technical and non-technical personnel. This is a full-time, remote position. Essential Job Functions

Senior Project Manager - Electronic Visit Verification [EVV] (Remote)

S2Tech

Remote

Full-time

Senior Project Manager Electronic Visit Verification (EVV) 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 co

.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

PBM Business Analyst (Atlanta, GA / Remote )

Spar Information Systems

Remote

Full-time

Role: PBM Business Analyst Location: Atlanta, GA / Remote (can be available for travel) Duration: Fulltime Job description: We are looking to onboard a Senior Business Analyst in Manager role or Individual contributor depending on experience level. This person will have deep PBM domain expertise and who will help guide the roadmap and feature enhancements for the Conduent PBM product suite. This person will serve as a bridge between the Business users and/or Clinical end users (Pharmacists) a