medicaid it product manager Jobs

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Remote - Product Manager [Health Tech & Pharmacy Benefits Management]

GRT Corporation

Remote

Contract

Job Title: Product Manager Healthcare Technology and Pharmacy Benefits Management (PBM) Location: Remote - United States Position Type: Contract (12+ months) on W2 Compensation: $50-$55/hour dependent on experience Overview: We are seeking a strategic Product Manager with a proven track record in healthcare technology, pharmacy benefits management (PBM), and Medicare/Medicaid systems. The ideal candidate will have extensive experience driving end-to-end product delivery, leading cross-functi

Business Analyst

Digitek Software, Inc.

Columbia, South Carolina, USA

Third Party, Contract

One of our clients is looking Business Analyst Consultant with following skills: Work Location: Hybrid (1 day remote per week) & Candidate must be a CURRENT SC resident. No relocation allowed. Daily Duties / Responsibilities: The Business Analyst will serve as a liaison between the business community and the IT organization to provide technical solutions to meet user needs. They will work with the Program Manager and the Lead Project Managers and will support the Project Management team to ensur

Business Analyst( HealthCare )

PMC

Columbia, South Carolina, USA

Contract, Third Party

Client is looking for Business Analyst - ConsultantThis is a new position needed to provide business integration expertise and support for the MMIS Modernization efforts. Role: Business Analyst( HealthCare )Duration: 12 Months Location: Columbia, SC Possibility for Extension: YesWork Location: Hybrid (1 day remote per week) . Required Skills7+ years of experience in commercial healthcare3+ years experience in State Medicaid payer system integration and delivery1+ year with Medicaid Information

529501452 - Business Analyst 2

Maisters Recruiting

Austin, Texas, USA

Contract

Reviews, analyzes, and evaluates business systems and user needs. Formulates systems to parallel overall business strategies. Experienced with business process reengineering and identifying new applications of technology to business problems to make business more effective. Familiar with industry standard business process mapping, and reengineering. Prepares solution options, risk identification, and financial analyses such as cost/benefit, ROI, buy/build, etc. Writes detailed description of use

Technical Writer

Application Management Services LLC

Remote

Full-time

Draft, edit, and finalize Advance Planning Documents (APDs) including Planning APDs, Implementation APDs, APD updates, and Operational APDs in accordance with CMS guidelines and guidance, including 45 Code of Federal Regulations (CFR) Part 95.Develop responses to requests for additional information for CMS.Provide recommendations for streamlining the APD process.Draft, edit, and finalize Operational Work Plans (OWPs) to support budget release requests to the Florida Legislature for the FX Progra

Contracts Manager

Talent Groups

Quincy, Massachusetts, USA

Contract

We are seeking an experienced Senior IT Contracts/Project Manager to lead and manage complex projects across operational and technical domains. This role will involve overseeing project planning, vendor management, procurement processes (RFPs/RFQs), contract development and negotiation, and securing financial approvals to support IT initiatives, particularly within the MMIS (Medicaid Management Information System) environment. Key Responsibilities: Manage end-to-end IT projects, ensuring alignme

Medicaid Business Analyst

InterBase Corporation

Columbia, South Carolina, USA

Contract

Hi, I am looking for Medicaid Business Analyst Consultant for my client at Columbia, SC. Work Location: Hybrid (1 day remote per week) & Candidate must be a CURRENT SC resident. No relocation allowed. Required Skills (rank in order of Importance): At least seven years of experience in commercial healthcareAt least three years experience in State Medicaid payer system integration and deliveryExperience with inner workings of cross functional projectsFamiliarity with Medicaid Information Technolo

Medicaid Lead, Technology Solutions

Humana Inc

Remote

Full-time

Become a part of our caring community and help us put health first The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships between IT and the aligned business group(s). The Lead facilitates guidance to business partners on information technology (IT) solutions, stays current on and leverages industry trends, and challenges business and IT to drive for best outcomes by leveraging the best technology solutions. This is achieved by having a clear understandin

Advanced Planning Document (APD) Writer - Remote

VIVA USA INC

Remote

Contract

Title: Advanced Planning Document (APD) Writer - Remote Mandatory skills: APD, Advanced Planning Documents, Microsoft Project Suite, MS Teams, Zoom, PowerPoint, Medicaid Enterprise System, MES, RFP, RFI, grant, contract, financial proposal, budget, writing, proofreading, editing, Medicaid Eligibility, Medicaid policies, CMS regulations, project management, project collaboration, stakeholder engagement, stakeholder collaboration, business engagement, technical liaising, standard operating proced

MMIS Analyst

S2Tech

Harrisburg, Pennsylvania, USA

Full-time

MMIS Analyst Location: Harrisburg, PA 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 s2tech.com Why S2Tech?: Stable privately-owned company with a strong reputation

Director, Provider Technology and Innovation Strategy

Gainwell Technologies LLC

Austin, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is seeking an experienced and results-driven, technically minded business leader to manage market, industry, & competi

Director, Provider Technology and Innovation Strategy

Gainwell Technologies LLC

Houston, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is seeking an experienced and results-driven, technically minded business leader to manage market, industry, & competi

Director, Provider Technology and Innovation Strategy

Gainwell Technologies LLC

Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is seeking an experienced and results-driven, technically minded business leader to manage market, industry, & competi

DHB APD Writer (773198) in Raleigh, NC (Remote)

SunTechPros, Inc.

Remote

Contract

Job Title: DHB APD Writer (773198) in Raleigh, NC (Remote)Duration: 12 MonthsInterview: Webcam Interview Only The last date: 01.08.2025Job Description: The Division of Health Benefits is seeking an Advanced Planning Writer to create Advanced Planning Documents in support of the NC Medicaid, Medicaid Enterprise System (MES) Program. The Division of Health Benefits, NC Medicaid, AP Office is seeking an APD Writer with experience in developing Advanced Planning Documents (APDs) and maintaining doc

Senior Project Manager - Medicaid Provider Management (Remote)

S2Tech

Remote

Full-time

Senior Project Manager Medicaid Provider Management 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. Why S2Tech?: Stable privately-owned company with a strong reputation for b

Quality Assurance Analyst - Project Lead

CCS Global Tech

Columbia, South Carolina, USA

Third Party, Contract

CCS Global Tech is a rapidly growing Information Technology company with a diverse portfolio of technology products and services and a large network of industry partnerships. With over 22 years of being a successful business with a global talent pool and presence, CCS is a certified Microsoft Gold Partner and specializes in delivering expert Microsoft based solutions for technical and business needs. We have been recognized by Inc. 500 Magazine as one of the fastest growing small companies in th

Sr. Curam Developer - Medicaid Management Information System (MMIS)

My3Tech

Columbia, South Carolina, USA

Third Party, Contract

Hello all, Job: IT - SCDHHS - IT Healthcare Consultant - Software Engineer - Consultant Job ID: 7566 Location: Columbia SC Client: State of SC The State of South Carolina is looking for an IT Healthcare Consultant - Software Engineer - Consultant. Interview Process: 2 rounds, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Hybrid (3 days in office, 2 days remote), First month onsite for training Candidate Location: Candidate MUST be a SC resident

PBM Program Director -- W2 ONLY

nTech Solutions

Remote

Contract

NO C2C NO C2C NO C2C NO C2C NO C2C NO C2C Title: PBM Program Director Location: 100% Remote (Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas.) Terms of Employment: W2 Contract-to-Hire, 12 Months This is a 100% remote position. Candidates must reside in Maryland, Washington, DC, Virginia, West Virginia, Pennsylvania, Delaware, New Jersey, New York, North Carolina, Florida, or Texas

Sr Project Manager

Horizontal Talent

US

Contract

We are seeking a dynamic and experienced Senior Project Manager to lead large-scale implementations in a hybrid work environment. This role offers the opportunity to manage cross-functional projects while collaborating with diverse teams to drive success. ResponsibilitiesOversee and manage projects from initiation to completion, ensuring timely delivery and adherence to quality standards.Anticipate potential issues and proactively address them to maintain project momentum.Gather and update proje

Business Analyst - Locals to Columbia, SC

PMC

Columbia, South Carolina, USA

Contract

At least seven years of experience in commercial healthcareAt least three years experience in State Medicaid payer system integration and deliveryExperience with inner workings of cross functional projectsFamiliarity with Medicaid Information Technology Architecture (MITA) business architecture principlesFamiliarity with standard data structures, electronic data interchange, processes and related file formatsInterest, skill and ability to innovate including business processes, methods/procedure