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Healthcare Business Analyst (Medicaid/MMSI) - Fully Onsite in Columbia, SC

RICEFW Technologies Inc

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Columbia, South Carolina, USA

Contract

Job Description: SCOPE OF THE PROJECT: SCDHHS is seeking a Business Analyst - Advanced to assist with implement small to large projects. Objectives to Be Fulfilled by Candidate: The principal duties of this position are to evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The BA will provide detailed analysis and document business processes and require
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Posted 4 hours ago

Medicaid Enterprise System (MES) Programer

Nanda Technologies

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Raleigh, North Carolina, USA

Contract, Third Party

Job Title: Medicaid Enterprise System (MES) Programer JPC: 5599 Location: Raleigh, NC Experience: 8+ years Required/Desired skills: Advanced Planning Document DevelopmentExpert working knowledge in Medicaid Eligibility, NC FAST and/or HHS.Expert experience executing against multiple priorities/projects.Proficient use of project collaboration and tracking tools (Microsoft Project Suite, MS Teams, Zoom, etc.)Ability to interpret Medicaid and NC FAST policies to ensure compliance with CMS regulati
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Posted 12 hours ago

Experienced Business Analyst - Medicaid Claims

Gainwell Technologies LLC

•

Little Rock, Arkansas, 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 As a Experienced Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of tech
Posted 7 days ago | Updated 1 hour ago

Business Analyst - Medicaid Claims

Gainwell Technologies LLC

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Milwaukee, Wisconsin, 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 As a Business Analyst - Medicaid Claims at Gainwell, you can contribute your skills as we harness the power of technology to he
Posted 39 days ago | Updated 1 hour ago

Healthcare Medicaid/Databricks/Tableau Specialist

Gainwell Technologies LLC

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Columbus, Ohio, USA

Full-time

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
Posted 25 days ago | Updated 1 hour ago

Advanced Planning Writer (Medicaid)

Serenity Info Tech, Inc.

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Remote

Contract, Third Party

The Technical Specialist (Advanced Planning Writer) develops Advanced Planning Documents, and other documentation required for the planning, implementation, and operations activities in support of the NC Medicaid, Medicaid Enterprise System (MES) Program. This role also leads APD kickoff, review, and closeout meetings, reviews and provides feedback on NC FAST APDs, drafts CMS submittal letters and ties together all associated areas including business engagement, stakeholder management, project m
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Posted 1 day ago | Updated 12 hours ago

Business Analyst- Medicaid

CSG

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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
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Posted 1 day ago

Advanced Planning Writer (5+ Exp on Medicaid/CMS/RFP/RFI/Contracts/Grants): 12+ Months 100% Remote Project: $ 70/hr C2C/1099: $ 65/hr W2.

Beechwood Computing Ltd

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Remote

Contract

This is a 100% Remote Project. NCDHHS 740666: NCDHHS is seeking a contractor to provide Advanced Planning development, support and other documentation required for the planning, implementation, and operations activities in support of the NC Medicaid, MES Program. The Technical Specialist (Advanced Planning Writer) develops Advanced Planning Documents, and other documentation required for the planning, implementation, and operations activities in support of the NC Medicaid, Medicaid Enterprise Sy
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Posted 1 day ago

Business Analyst - Medicaid Claims / Eligibility

Gainwell Technologies LLC

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Denver, Colorado, 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 As a Business Analyst - Medicaid Claims / Eligibility at Gainwell, you can contribute your skills as we harness the power of te
Posted 8 days ago | Updated 1 hour ago

Medicaid Business Analyst

RedSalsa Technologies, Inc.

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Austin, Texas, USA

Full-time

POSITION WILL BE 4 DAYS REMOTE WITH 1 DAY (TUESDAYS) REQUIRED TO BE ONSITE AT THE LOCATION LISTED ABOVE. PROGRAM WILL ONLY ACCEPT CANDIDATES WHO ARE LOCAL ONLY. PLEASE DO NOT SUBMIT CANDIDATES WHO ARE CURRENTLY OUT OF STATE AND ARE PLANNING TO MOVE TO TEXAS. CANDIDATES MUST ALREADY RESIDE IN TEXAS. The details of the position are as mentioned below: Title : Business Analyst 3(Medicaid) - 529501070 (HHSC) Location : Austin, TX, 78751 Duration : 12 Months contract job Level Description The Worker
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Posted 28 days ago | Updated 3 days ago

Senior Project Manager - EPMO (MMIS/Medicaid/AHS)

Trigyn Technologies, Inc.

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Vermont, USA

Contract, Third Party

Trigyn's direct government client has a long-term need for Senior Project Manager in Waterbury, VT. The particulars of the position are as follows. Description: As a part of the project management duties, the (Project Manager) will attend informational and status meetings and, when appropriate, call and lead such meetings. Such meetings may include the Project Management Team, the Contract Administrator, other consultants, elected officials, and other stakeholders as designated by the State. Th
Posted 60+ days ago | Updated 2 hours ago

Test Lead/Senior Test Analyst - Medicaid (Remote)

S2Tech

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Remote

Full-time

Test Lead/Senior Test Analyst - Medicaid 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 stro
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Posted 28 days ago | Updated 24 days ago

Sr. PBM Implementation Project Manager FFS Medicaid - Remote

UnitedHealth Group

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Remote or Des Moines, Iowa, USA

Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv
Posted 2 days ago | Updated 10 hours ago

Fraud Nurse Reviewer - Medicaid

Peraton

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No location provided

Full-time

About Peraton Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space,
Posted 2 hours ago

Lead Analyst, Reporting & Analytics (Medicaid and Medicare)

Molina Healthcare

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US

Full-time

Job Description Job Summary Collects, validates, analyzes, and organizes Mediciad, Medicare, and Marketplace data into meaningful reports for management decision making. Leads analytics by designing, developing, testing and deploying reports to leadership and other end users for operational, strategic, and goal tracking analysis. Job Duties Leads and provides indirect oversight of Healthcare Reporting Team activities and personnel. Provides technical expertise to the team and manages relatio
Posted 1 day ago | Updated 1 hour ago

BSWHP - Tx Medicaid Encounter Analyst

Baylor Health Care System

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Remote

Full-time

JOB SUMMARY The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst) is responsible for monitoring and oversight of the end-to-end encounter management workflow. Supports program management activities around risk adjustment data management and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS). ESSENTIAL FUNCTIONS OF THE ROLE Monitors and oversees the end-to-end claims encounter management workflow. Analyzes cla
Posted 6 days ago | Updated 12 hours ago

Network Advisor - Centene Medicare, Medicaid & Exchange - Express Scripts - Hybrid

GE Vernova

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St. Louis, Missouri, USA

Full-time

POSITION SUMMARY: The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the planning, internal coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key client relationships. Utilizes technology, tools, processes and resources to anticipate and exceed client needs and expectations. Collaborates with internal business partners on
Posted 10 days ago | Updated 12 hours ago

MOU Consultant IV - Medicaid Care Delivery and Operations

Kaiser Permanente

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Pasadena, California, USA

Full-time

Description: Note: Work location is on-site with flexibility and the primary location will be in-office for meetings. Residence required in the primary location state. 393 E. Walnut St., Pasadena, California 91188 Job Summary: Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems
Posted 49 days ago | Updated 1 hour ago

Provider Network Regulatory Consultant IV - Medicaid Care Delivery & Operations

Kaiser Permanente

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Pasadena, California, USA

Full-time

Description: Note: Work location is on-site with flexibility and the primary location will be in-office for meetings. Residence required in the primary location state. 393 E. Walnut St., Pasadena, California 91188 As of January 1, 2024, Kaiser Foundation Health Plan, Inc. contracts directly with the DHCS under a new direct contract to provide Medi-Cal services to enrollees in 32 counties in California. We are seeking a Medicaid Provider Network Regulatory Consultant to join our team. The succes
Posted 60+ days ago | Updated moments ago

Documentation Management & Reporting Business Analyst - Louisiana Medicaid

Prime Therapeutics, LLC

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Washington, District of Columbia, USA

Full-time

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Documentation Management & Reporting Business Analyst - Louisiana Medicaid Job Description Summary Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management
Posted 31 days ago | Updated 2 hours ago