medicaid jobs

Honolulu, Hawaii

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Today

Medicaid Project Manager Location: Hawaii (Hybrid) Work Schedule: Hybrid (2-3 days onsite; flexibility) Overview TEKsystems is supporting a leading healthcare payer seeking a Medicaid Project Manager to lead end-to-end operational and process transformation initiatives within its Medicaid line of business. This role is responsible for optimizing claims and operational workflows, improving vendor performance, and enhancing data visibility through effective reporting and dashboards. The ideal c

Full-time

USD 40.00 - 58.00 per hour

Central Management - N/A - Communications Liaison - Medicaid Graphic Designer

Cranston, Rhode Island

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Today

Medicaid Graphic Designer General Job Description The Graphic Designer will provide specialized communications and graphic design support for the Medicaid Program, with a primary focus on the implementation of federal policy changes under HR 1, including the rollout of Community Engagement Requirements and other program modifications. This role will support the development of clear, accessible, and compliant public facing materials to help Medicaid members, providers, and community partners unde

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Contract, Third Party

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

Advisor Technical Analyst - MMIS / Medicaid Pharmacy

Baltimore, Maryland

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 86,800.00 - 124,000.00 per year

Principal Technical Analyst - MMIS - Medicaid Pharmacy

Baltimore, Maryland

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Today

Full-time

USD 108,500.00 - 155,000.00 per year

Advisor Test Engineer - Medicaid Test Manager

Indianapolis, Indiana

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Today

Full-time

USD 90,900.00 - 129,900.00 per year

Testing Lead || Onsite role in Pierre, South Dakota || Medicaid Management Information Systems (MMIS) experience is required ||.

Pierre, South Dakota

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21d ago

Job Title: Testing Lead Location: On-site from Day 1 /Pierre, South Dakota Duration: 12 Months Medicaid Management Information Systems (MMIS) experience is highly required. Activities include but are not limited to: Coordinate testing efforts with system project leads and the Department s IT team.Create and document comprehensive test scenarios while understanding system impacts to all relational systems and programs. Conduct testing scenarios within various systems, review and track results, a

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Contract

$50 - $55

Project Manager with Medicaid Experience

Albany, New York

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Today

DutiesCreate and maintain project documentation.Create and maintain project workplans.Facilitate project meetings.Create necessary communications for project stakeholders including project status and associated risks.Maintain risk/issue logs.Provide PM support to project team leads and executive staff where necessary.Mandatory RequirementsExperience (15+ Years)RequirementsThis is an 100% Onsite.Bachelor s Degree in Healthcare, Public Health, Business or related discipline.A minimum of 12 years o

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Contract

Depends on Experience

Medicaid Business Analyst with Strong Medicaid, MMIS || BackfillAustin, TX (Hybrid - Locals only) || Must have linkedin and 14+ years of exp. ||

Hybrid in Austin, Texas

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Today

Medicaid BusinessAnalyst with Medicaid, MMIS || Backfill Austin, TX (Hybrid - Locals only) Must have linkedin and 14+ years of exp. Active Texas DL & LinkedIn Id Must for submissionPlease do not submit candidates who are currently out of state and are planning to move to Texas. Candidates must already reside in TexasRequired Skill:Required 10 years Experience with Medicaid programs within the state of Texas Required 7 years Experience with Medicaid Management Information Systems (MMIS) Job Descr

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Contract, Third Party

Up to $80

Advisor Business Analyst - MMIS / Medicaid Pharmacy

Washington, District of Columbia

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Today

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 As an Advisor Business Analyst - MMIS / Medicaid Pharmacy at Gainwell, you can contribute your skills as we harness the power o

Full-time

USD 86,800.00 - 124,000.00 per year

Reporting Manager - Medicaid Analytics SME- Remote

Schaumburg, Illinois

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Today

At Optum, we deliver care, aided by technology, to help millions of people live healthier lives. Our work is driven by a culture of Caring. Connecting. Growing together. We value collaboration, innovation, inclusion, and accountability as we solve complex challenges across health care and public service. Optum is part of UnitedHealth Group, a global organization committed to improving health outcomes, advancing health equity, and building a modern, high performing health system. You'll enjoy the

Full-time

Compensation information provided in the description

Actuary or Associate Actuary - Medicaid - Remote

Chicago, Illinois

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Today

Looking for a step up? This is a perfect opportunity to move up to the next level. Well-known Health client has a great opportunity for an ASA of FSA with a background in Value Based Payments (VBP) and government programs (Medicaid, Medicare). This individual will performhealthcare data analysis, interpret regulations, and help build financial models. The ideal candidate will have 7+ years of actuarial experience with at least 4 years experience with VBP, Medicaid, and Medicare. Must have strong

Full-time

Compensation information provided in the description

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

Remote

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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

Medicaid Business analyst

Columbia, South Carolina

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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

Business Analyst with Medicaid/Medicare

Remote

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2d 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, Third Party, 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

IT Project Manager (Medicaid/CMS APD)

Hybrid in Bear, Delaware

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6d ago

Contract Details - Work Mode: Hybrid (remote with on-site presence 23 times per month) - Location: Bear, DE (commutable within 60 miles required) - Schedule: Day shift; up to 37.5 hours/week; typical start around 8:00 AM ET - Start: June 1, 2026 - Duration: Long-term contract - Travel: No travel beyond scheduled on-site days; commute expenses not covered About the Opportunity This role leads a complex IT project from initiation through completion, ensuring delivery on time, within scope,

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Contract

$82 - $88

IT - Medicaid - Sr. Business Analyst

Montgomery, Alabama

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9d ago

IT - Medicaid - Sr. Business AnalystOnsite Montgomery, AL Position Description: Preparing for a major transition from a monolithic system with 14 different business functions to a modern system and platform. This multi-year "Modernization project will include working with multiple vendors and may include multiple project methodologies. The project must comply with the Federal standards and regulations such as: Medicaid Information Technology Architecture (MITA), CMS Seven Conditions and Standar

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Third Party, Contract

Depends on Experience

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