medicaid jobs in al

Senior Mainframe COBOL Programmer - IDMS (Medicaid) - REMOTE (W2 ONLY)

Remote

•

9d 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

Technical Delivery Manager (MMIS Medicaid Business)

Remote

•

21d ago

Job: Technical Delivery Manager (MMIS Medicaid Business) Location: Remote from anywhere in US Job Duties: Responsible for managing Healthcare Products, from design to deployment, and implementation support efforts.Directly oversee the MMIS Claims Adjudication lifecycle, ensuring all payment processing modules align with CMS standards and state-specific business rules.Should be able to contribute in building and maintaining modern applications with cloud native architectureManage top-down oversig

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Contract, Third Party

$60 - $70

Mainframe Developer

Remote

•

7d ago

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.REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): Experi

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Contract

Depends on Experience

IBM DataStage Developer - Remote (Medicaid/MMIS required )

Remote

•

3d ago

Title: IBM DataStage Developer - Remote (Medicaid/MMIS required ) Locations: Remote Client : State of NE Job Summary: We are seeking an experienced IBM DataStage Developer/Engineer to design, develop, and maintain IBM InfoSphere DataStage jobs supporting the Medicaid Data Management Platform.This role focuses on building robust, scalable data pipelines that enable accurate and high-performance reporting within a Medicaid/MMIS data environment.The ideal candidate will work closely with data arch

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Third Party, Contract

Depends on Experience

Need - Mainframe Developer With COBOL/IDMS & Healthcare Exp - Medicaid/MMIS) - Remote

Remote

•

4d ago

Hi, Role: Programmer Advanced (Mainframe Developer With COBOL/IDMS & Healthcare Exp - Medicaid/MMIS) Location:Clemson, SC (RemoteJob) Client: State of South Carolina Department:ClemsonUniversity Duration: 6-12 Months Experience: 12+ 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,

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Contract

Depends on Experience

AS/400 SYNON/Rxclaim Tech Lead

Remote

•

4d ago

We are seeking technical lead with 8+ years of experience to join our team. The ideal candidate will have expertise in SYNON, AS400 along with domain experience in Medicare & Medicaid Claims, Claims, and Payer. This role requires a proactive individual who can contribute to our Rxclaim development projects and help us achieve our goals. The position requires strong knowledge on SYNON and AS400 development. The selected candidate needs to work in offshore-onshore model. SYNON (8+years ) and Rx

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Contract

Depends on Experience

Agile Portfolio Manager — MMIS / Medicaid

Remote

•

2d ago

Summary: The Agile Portfolio Manager oversees the intake, prioritization, and delivery of a diverse portfolio of initiatives supporting 100+ team members within the Medicaid Management Information System (MMIS) domain. Key Responsibilities Manage portfolio intake, prioritization, and resource allocation through Agile demand management, specifically for MMIS Medicaid projects and enhancements. Implement and oversee Agile methodologies (Scrum, Kanban, SAFe) across multiple teams working on Medic

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Contract

Depends on Experience

Business Analyst (Medicaid/Medicare)

Remote

•

3d ago

On of our clients is looking for the position of IT Healthcare Consultant - Business Analyst based on following Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Required Skills (rank in order of Importance): 5+ years in healthcare insurance; medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payor environment. 5+ years Medical Coding in payer environment. 3+ years clinical experience in a

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Contract

Depends on Experience

Enterprise Quality Program Test Lead - 10860

Montgomery, Alabama

•

17d ago

Role Summary This position is responsible for leading and executing comprehensive User Acceptance Testing (UAT) and End-to-End (EE2E) testing activities within a Medicaid modernization initiative. The role involves developing test strategies, creating test cases, managing testing teams, and ensuring the seamless performance of complex integrated Medicaid systems. The successful candidate will serve as a key quality assurance partner, ensuring compliance with CMS regulations and supporting the de

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Contract, Third Party

Depends on Experience

Technical Business Analyst with Medicaid & Finance Experience - 100% Remote

Remote

•

3d ago

Configure accounts receivable processing tasks including setting up accounts receivable, developing reports specifications to on accounts receivables. Assess client AR business operations and configure or develop new processes for configuring the financial system. Knowledge in the following business processes Experience in Provider Recoupment in a Payer setup Manage Recoveries Manage AR funds Configure accounts payable processing tasks including set up accounts payable, developing reports specif

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Third Party, Contract

Depends on Experience

Salesforce Developer

Remote

•

3d ago

Salesforce Developer Need to be onsite 1 day in CALIFORNIA Required Qualifications: 3+ years of SFDC development experience SFDC development experience in a healthcare payer environment Experience creating SFDC Lightning Pages and flows Experience using Salesforce Object Manager to manage, create, and customize standard and custom objects. Apex programming experience Salesforce Health Cloud (SFHC) experience SFDC Certified developer certification Experience supporting Medi-Cal / Medicaid

Full-time, Third Party

Depends on Experience

Java Lead with Medicaid experience- Remote

Remote

•

13d ago

12+ year of overall IT experienceExperience in Medicaid Domain10+ years of working experience as a Java developer2 years of working experience as a Java LeadExperience with user interface design.Knowledge of performance testing frameworks including Mocha and Jest.Excellent troubleshooting skills.

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Third Party, Contract

$51

Java Developer with Medicaid- Remote

Remote

•

6d ago

8+ years of working experience as a Java developer Experience with user interface design. Experience with Medicaid is must Knowledge of performance testing frameworks including Mocha and Jest. Excellent troubleshooting skills.

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Contract, Third Party

Depends on Experience

Senior IT Project Manager (Medicaid/Healthcare) - REMOTE

Remote

•

6d ago

Job Description: Crop to Crop resumes are accepted This role will provide project management services to both the N.C. Health Information Authority (NCHIEA) and the Government Data Analytics Center (GDAC) and will support the oversight of the technical implementation vendor, all in close collaboration with NC Medicaid. With out this role, project scope, schedule, and budget risks will materialize due to the lack of strong project management and coordination across multiple stakeholders, all to m

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Third Party, Contract

Depends on Experience

QA Test Engineer with Medicaid and Claims - Remote

Remote

•

5d ago

Should have strong MMIS health care domain experience and should have good knowledge of Medicaid and Medicare. Should have hands-on experience on claims processing and Adjudication processes. Must have good experience in Reference code/data sets required in Claims adjudication. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems. In depth understanding of Claims and Claims lifecycleClaim System: Testing knowledge and E2E Tes

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Third Party, Contract

Depends on Experience

QA Automation Test Lead with Medicaid/MMIS - 100% Remote

Remote

•

13d ago

Key ResponsibilitiesLead end-to-end testing strategy, planning, and execution for Medicaid/MMIS applicationsDesign and review test plans, test cases, test data, and test scenarios across modules (claims, eligibility, enrollment, provider)Coordinate Product QA,MO, SIT, UAT, Regression, and Integration testing activitiesWork closely with business analysts, developers, and stakeholders Lead defect tracking, triage, and resolutionEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regul

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Contract, Third Party

$50

Technical Business Analyst with Claims Module experience- Remote

Remote

•

11d ago

Minimum of 8+ years of experience in health care experience especially in MMIS domain.In depth understanding of Claims and Claims lifecycle:Claim submission Paper and EDI X12Adjudication Payment Cycle (Finance)ReportingEncounters and CapitationEDI X12 formats like837P/I/DX12 formats 835,834,270/271,276/277Familiarity with systems like CMdS, GHS, Facets and etcAbility to validate Test scenarios and test plans, test data.SQL: To validate data in backend tables (e.g., claim status, payment details

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Contract, Third Party

$55

Medicaid Data Manager

Remote

•

Today

Type of Requisition: Pipeline Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: Other Job Family: Data Science and Data Engineering Job Qualifications: Skills: Claims Data, Data Management, Data Visualization, HL7 Standards, Structured Query Language (SQL) Development Certifications: None Experience: 8 + years of related experience ship Required: No Job Description: Make meaningful contributions that fuel critical outco

Full-time

USD 127,500.00 - 172,500.00 per year

IT - Medicaid - Enterprise Quality Program Test Lead

Montgomery, Alabama

•

Today

Job Description Resources Provided: Enterprise Quality Program Test Lead Services Description: The Alabama Medicaid Agency (AMA) has embarked on a major transition from a monolithic system with 14 different business functions to an interoperable, modern system based on a Service Oriented Architecture (SOA). This multi-year Medicaid Enterprise Modernization project will include working with multiple vendors and may include multiple project methodologies. The project must comply with the

Full-time

IT - Medicaid - SQL Developer

Montgomery, Alabama

•

Today

Job Description Position Title: IT - Medicaid - SQL Developer Duration: 06+ months contract Location: Montgomery AL (100% Onsite) Experience Required Must have experience in State Government, Medicaid, CHIP and DHR business area or healthcare industry 5 years of experience in software development experience using SQL Server. 5 years of experience in database development. 5 years of experience in ETL development. 5 years of experience in tools used for software development (e.G., Visual Studio

Full-time

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medicaid jobs in Alabama, USA