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Medicaid Policy Consultant (Onsite - Guam)

Cloud and Things

Hagåtña, Guam

Full-time, Contract

Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sector's IT environment. Our team is on the forefront of helping to solve the government's most complex IT challenges. If you are seeking a role that offers the opportunity to work on rewarding projects, consider a career with Cloud and Things. *This is an exempt position. Salary commensurate with experience* Overview: We are seeking a Medicaid Policy Consultant wh

Medicaid Data Warehouse Architect

Serenity Info Tech, Inc.

Remote

Contract

Title: Medicaid Data Warehouse Architect Location: Lincoln, NE Duration: 24 months Client: State of Nebraska State Experience Required Job Description: Job Description Summary: The Medicaid Data Warehouse and Encounter Claim Processing Transition Lead will be responsible for leading the successful transition of the state's Medicaid data warehouse and encounter processing solution to a state-run and managed model. This role will coordinate transition activities, including the development of key

Medicaid Data Warehouse and Encounter Claim Processing Transition Lead

Apex Systems

Omaha, Nebraska, USA

Full-time

Job#: 2076668 Job Description: Job Description Summary: The Medicaid Data Warehouse and Encounter Claim Processing Transition Lead will be responsible for leading the successful transition of the our clients Medicaid data warehouse and encounter processing solution to an internally-managed solution. This role will coordinate transition activities, including the development of key deliverables required for transition and sustainable ongoing operations. The Transition Lead will coordinate activit

Medicaid Pharmacy Analyst- Hybrid

MSYS Inc.

Raleigh, North Carolina, USA

Third Party, Contract

Title: Medicaid Pharmacy Analyst- Hybrid Location: Raleigh, NC, United States Duration : Long term Job Description :- Interview Type: Skype Very long term project; initial PO for 1 year, expect to go for 4+ years Hybrid seeks a Pharmacy Benefits Administrator (PBA) Product Integration Specialist to join the Medicaid Enterprise System (MES) project. The PBA Business Quality Assurance Analyst will serve as a member of the DHHS Medicaid Enterprise System(MES) Program within the PBA Business space

QA - Medicaid Eligibility System Tester/Quality Control Specialist - MS Medicaid

Value Technology Inc

Jackson, Mississippi, USA

Full-time

Job Title: Medicaid Eligibility System Tester/Quality Control Specialist Location: Jackson, Mississippi, New Jersey Employment Type: W2 Only (No C2C / No Agencies) Experience Level: 5 10+ Years Job Description: Value Technology seeking a Tester / Quality Control Specialist with experience in system testing for Medicaid or healthcare-related projects. You will be responsible for testing system enhancements, upgrades, and maintenance related to MEDS and HHSTP. This includes creating test pla

Medicaid Data Warehouse and Encounter Claim Processing Transition Lead

3i People, Inc.

Remote

Third Party, Contract

We have a position for a Medicaid Data Warehouse and Encounter Claim Processing Transition Lead with one of our clients in Remote for an initial contract duration of 1 year 11 months. s and all those authorized to work in the US are encouraged to apply. The Medicaid Data Warehouse and Encounter Claim Processing Transition Lead will be responsible for leading the successful transition of the state's Medicaid data warehouse and encounter processing solution to a state-run and managed model. This r

Mainframe Programmer - Advanced (MVS, COBOL, Medicaid)

Apex Systems

Clemson, South Carolina, USA

Full-time

Job#: 2075984 Job Description: Apex Systems is hiring for a Mainframe/MVS COBOL Programmer (hybrid, Clemson, SC area) Desired Start Date: 6/13/2025 Duration: 12 Months You will be working on small projects and the production system and working with customers, development staff, operational staff and QA staff. DAILY DUTIES / RESPONSIBILITIES: Work with the Medicaid Services MMIS and Meds Teams to make code changes to COBOL and ADS programs using IDMS network database or IDMS relational datab

MES Business Quality Assurance Analyst

Atash Enterprises, LLC

Raleigh, North Carolina, USA

Contract

The quality assurance analyst will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within the PBA business space. This position is responsible for a series of activities to implement the PBA application for DHB Pharmacy Business. MES PBA Business Quality Assurance Analyst The NC Department of Health and Human Services (DHHS) seeks a Pharmacy Benefits Administrator (PBA) Product Integration Specialist to join the Medicaid Enterprise System (MES) project. The PBA Business Qu

Medicaid Eligibility Business Analyst

Nanda Technologies

Jackson, Mississippi, USA

Contract

Position Title: Medicaid Eligibility Business Analyst Location Jackson, MS (Onsite) Experience 8+ Years Work Authorization H1b, USC Pay Rate DOE Tax Terms C2C/W2 Job Status Active Required Skills: The Eligibility Business Analyst should be comfortable with the below skills: Great analytical, critical thinking and creative problem-solving skills Superior presentation and negotiation skills Strong management and organizational skills to handle multiple projects and deadlines Strong working knowl

Medicaid PBA Tester

Innosoul inc

Raleigh, North Carolina, USA

Third Party, Contract

Job ID: NC-763381 Hybrid/Local Medicaid PBA Tester (12+) with Pharmacy Benefits Administrator, MS Project/Access, Defect Management, JIRA MF ALM, agile, Cloud, HIPPA, PII, Managed Care, MITA, MES, CMS Seven Standards experience Location: Raleigh, NC (NCDHHS-HB) Duration: 12Months Position: 2(1) Skills: Expert knowledge of the Medicaid Pharmacy (PBA) processes, roles, and intended outcomes Required 3 Years Knowledge of the Enterprise IT Systems integration principle and associated change manageme

Medicaid Eligibility Business Analyst

Sage Group

Jackson, Mississippi, USA

Contract

Medicaid Eligibility Business Analyst Jackson, MS - Onsite Position Description and Job Skill Set The Eligibility Business Analyst evaluates current business processes and identifies potential areas for improvement. They facilitate meetings among internal/external teams, develop business requirements, refine user stories, assist with project planning, execute testing, and communicate with the development teams to ensure products meet business/customer needs. The following is a high-level over

RN with Medicaid SME experience

Software People, Inc.

Columbia, South Carolina, USA

Contract

Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Phone/Skype Hire. Onsite from day 1 / REMOTE Location: Columbia, SC / upto 80% remote Duration: 12+ months The current position's focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. A long-term plan includes p

Medicaid Data Warehouse Developer

Serenity Info Tech, Inc.

Remote

Contract

Title: Medicaid Data Warehouse Developer Location: Lincoln, NE Duration: 24 months Client: State of Nebraska State Experience Required Job Description: Job Description Summary: Seeking a highly skilled Analyst to facilitate the transition and takeover of a Medicaid Data Warehouse (MDW). The resource will support ongoing operations and enhancements to the MDW. Responsibilities include conducting impact analyses, gathering requirements, and collaborating with technical teams for smooth operations

RN with Medicaid SME experience Columbia, SC

Software People, Inc.

Columbia, South Carolina, USA

Contract, Third Party

Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Phone/Skype Hire. Onsite from day 1 / REMOTE Location: Columbia, SC / upto 80% remote Duration: 12+ months Rate: Open The current position's focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. A long-term pla

Medicaid Data Specialist - (Remote Role) - C2C

Pioneer Corporate Services Inc

Remote

Contract

More than ten (10) years of experience in information technology with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems.Understanding of claims, recipient/eligibility, and provider/enrollment data processes.Able to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets.Knowledge of

Medicaid Eligibility Business Analyst (100% Onsite)

SR International Inc.

Jackson, Mississippi, USA

Contract

100% ONSITE Knowledge of Medicaid, SNAP, TANF and other such government programsKnowledge of a variety of hardware, software, programming languages and platforms, and operating systemsExperience writing SQL queriesKnowledge of current IT terminologies, technologies and software development methodologies State of Mississippi - Medicaid Eligibility Business Analyst - MS - Medicaid- 143106 (100% Onsite) Work Location: Jackson, MS 39201 Travel Required & Frequency: Yes, Frequent: In/Out of State P

?Medicaid IT PM

Accede Solutions Inc

Phoenix, Arizona, USA

Full-time, Contract

Medicaid IT PM Duration:12 Months Start: Immediate 75% Remote We are seeking a Project Manager responsible for working with client and vendor teams as they implement their Medicaid enterprise systems (MES). This position is planned to sit remotely servicing our Medicaid client in Arizona. You will bring a mix of demonstrated project management capabilities, exceptional organizational and self-management qualities, strong leadership capabilities, and effective written and verbal communication s

Medicaid IT Privacy and Security Analyst

Serenity Info Tech, Inc.

Remote

Contract

Title: Medicaid IT Privacy and Security Analyst Location: Lincoln, NE Duration: 24 months Client: State of Nebraska Job Description: Job Description Summary: The resource will be responsible for developing the State s Medicaid Data Warehouse system security plan, supporting audits, and third-party assessments. The resource will focus on ensuring the State s security posture meets compliance standards by actively participating in internal and external audits, reviewing third-party vendor securi

Medicaid Senior IT Privacy and Security Analyst

RedSalsa Technologies, Inc.

Remote

Third Party, Contract

Title: (SOC) Analyst Expert-64182 Location: Lincoln, NE Duration: 24 + Months Job Description Summary: The resource will be responsible for developing the State s Medicaid Data Warehouse system security plan, supporting audits, and third-party assessments. The resource will focus on ensuring the State s security posture meets compliance standards by actively participating in internal and external audits, reviewing third-party vendor security practices, and identifying potential risks to mitigate

Project Manager with Medicaid - Remote

MSYS Inc.

Remote

Contract

Title: Project Manager with Medicaid - Remote Location: Remote Length: Long term Restriction: W2 or C2C Description: Interview Type: Skype Very long term project initial PO for 1 year, expect to go for 4+ years Remote Description: The Medicaid APD IT Project Manager is responsible for proactively driving multiple IT projects and planning initiatives that are moderately to highly complex. This role will work with multiple project managers from external organizations to plan, coordinate, and ex