medicaid jobs in clemson, sc

Acquisition Support Specialist Exp with Medicaid Enterprise Systems (MES) - REMOTE

Remote

•

2d ago

Job Description: Crop to Crop resumes are accepted The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. Working within the North Carolina Department of Health and Human Services, Division of Health Benefits, this role focuses on procurement and contract management for Medicaid Enterprise Systems (MES) projects. This role requires close collaboration with leadership, business leads, project managers, and other team members within the

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Contract

Depends on Experience

Senior Healthcare Business/Data Analyst (Medicaid) - $53 CTC - REMOTE (WI residents only)

Remote

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Yesterday

Job Description: Crop to Crop resumes are accepted Location Requirement: Remote or on-site? This position is remote, but work must be performed within the State of Wisconsin WI residency IS REQUIRED. No relocation allowed. Selected candidate will be required to be onsite in Madison, Wisconsin once a month. Under the general supervision of the Section Manager, Program Participation Oversight (PPO) in the Bureau of Quality & Oversight (BQO), this position is primarily responsible for the operati

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Contract

Depends on Experience

Java Developer with Medicaid/MMIS - Remote

Remote

•

Today

Job Responsibilities -The candidate will be responsible for designing, coding and documenting lava based programs in support of mission critical high-performance Point-of-sale applications as well as other microservices based Java applications in support of Pharmacy Benefit Manageme support of the PBM (Pharmacy Benefit Management) platform. BackgroundRequirements:10+ years of industry experienceStrong experience with Java, JEE, JDBC, Spring and Spring Boot framework, Webservices (SOAP/REST), ESB

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Contract, Third Party

$50

Medicaid Community Outreach Coordinator

Remote

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Today

Duration:3+ Months Contract Schedule:35 hours/week | 8:30 AM 4:00 PM Seeking a community focused Outreach Coordinator to support statewide Medicaid engagement initiatives related to HR 1 policy implementation and Community Engagement (CE) requirements. The role involves coordinating outreach events, public education sessions, community partnerships, and communication efforts to help Medicaid members understand program changes and available support services. Requirements: Bachelors degree in Com

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Contract

Medicaid Graphic Designer

Remote

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Today

Seeking an experienced Graphic Designer to support Medicaid-related communications and public education initiatives. This role will focus on developing clear, accessible, and compliant print and digital materials that explain policy updates and program changes to members, providers, and community partners. < data-start="1251" data-end="1285">Required QualificationsBachelors degree in Graphic Design, Communications, Marketing, Public Health, Human Services, or related field35 years of graphic des

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Contract

Senior Acquisition & Contract Specialist (Medicaid Enterprise Systems)

Remote

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Today

Position Description: The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. Working within DHHS-HB, this role focuses on procurement and contract management for Medicaid Enterprise Systems (MES) projects. Job description: The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. Working within the North Carolina Department of Health and Human Services, Division of Health Benefi

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Contract

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

Remote

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5d 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

IT Project Manager || Must have experience in Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1 || Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota||

Remote

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4d ago

Job Title: IT Project Manager Location: Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota at least quarterly at candidates' expense Duration: 24 Months Scope of work: Client is seeking a qualified individual(s) to provide project management support for DSS program areas working on technology implementations. Active implementations requiring support include Provider Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1. Project list is not exhaustive

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Contract

$65 - $69

Redshift SME with Medicaid Compliance - Remote

Remote or McLean, Virginia

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Today

RESPONSIBILITIES: Kforce has a client that is seeking an Amazon Redshift SME/Data Platform Engineer (Medicaid Provider Analytics). This role is fully Remote (U.S.). About the role: Join a mission-driven environmental health organization building a cloud analytics platform to identify and address Medicaid provider compliance risks. You will be the hands-on Amazon Redshift expert responsible for performance, reliability, security, and cost optimization, partnering with data engineering and analyt

Contract

$90 - $115 hourly

Healthcare Business Analyst - Medicaid

Remote or Hybrid in Madison, Wisconsin

•

Yesterday

The State of Wisconsin is looking for a Business Analyst/Consultant . Will close to submissions on 5/13 at 4:00PM CST. Top Skills & Years of Experience: 3 to 5 years of experience performing a business analyst role supporting State Medicaid and MMIS, or similar health care business o System Project Management and Oversight o Data Analysis and Policy Support o Coordination and Collaboration Nice to have skills: o Certified Business Analysis Professional (CABP) preferred o Excellent interpersonal

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Full-time, Third Party

Depends on Experience

IBM DataStage Developer - Remote (Medicaid/MMIS required )

Remote

•

Yesterday

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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Contract, Third Party

Depends on Experience

Enterprise Data Warehouse (EDW) Medicaid Subject Matter Expert/Analyst - Remote

Remote or Springfield, Illinois

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Today

Functional Description: This role requires significant expertise of Medicaid Enterprise System modules and data warehouse or decision support systems. This role provides input and direction supporting a large data warehouse implementation and operations. The selected SME will provide direction to business and technical team members related to claims, provider, and recipient data. Roles in this function could partner with stakeholders to understand data requirements and support development tool

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Contract, Third Party

Project Manager - PBM - PMP - Claims / Medicare - Medicaid

Remote

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12d ago

PBM is a must. Pharmacy or Health PlansClient PortalsProvider Network Management and/or Clinical Programs. Claims Adjudication is always a plus.

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Contract

$60+

Data Engineer MMIS (Medicaid Management Information System)

Remote

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5d ago

Genzeon, an AI and automation company with deep engineering and data expertise, dedicated to serving the healthcare and retail industries. Our platform solutions including HIP One, CompliancePro Solutions, and Patient Engagement Solutions empower organizations to scale innovation and transform outcomes. Genzeon is a global community of innovators and problem-solvers, with a culture built on inclusion, flexibility, and purpose-driven work. With four global delivery centers, we support providers

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Contract

Depends on Experience

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: IT Infrastructure and Operations 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 outcom

Full-time

USD 127,500.00 - 172,500.00 per year

Acquisition Support Specialist

Remote

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2d ago

Role: Acquisition Support Specialist Location: Raleigh, NC (Remote) Duration: 12+ months Job Description: Skill Matrix: Skill Required / Desired Years Experience with public procurement processes and regulations. 7 years required Experience with technology-related contracting, preferably in Medicaid Enterprise Systems (MES). 7 years required Experience supporting or managing the full acquisition lifecycle, including solicitation development, contract management, and vendor evaluation. 7 years r

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Third Party, Contract

Depends on Experience

IT Project Manager

Remote

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2d ago

Job Details: Position: IT Project Manager Location: Remote Type: Contract - (W2,1099)/Full Time Job Overview: Qualified candidates should have the following skills and experience: Mandatory experience in Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1 Successful experience managing information technology solutions. PMP certification or equivalent working experience. Knowledge of various software development methodologies (agile, waterfall, DevOps, etc.) Experience in

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Contract

$60 - $65

Integrated Eligibility & Batch Operations Engineer_Remote

Remote

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21d ago

Position: Integrated Eligibility & Batch Operations Engineer Location: Remote Duration: Contract Job Description: Integrated Eligibility Functional Knowledge. Ability to manage high concurrent tasks/requests. Strong communication skills. Java/SQL language and ability to review/understand stack trace. Moderate understanding on Batch and Scheduling Desired Traits & Qualities: Requesting a dedicated resource for batch operation who could cater to requests from DEV, Testing, and Functional Teams to

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Contract

Depends on Experience

Technical Lead Developer with HIPAA Experience

Remote

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3d ago

Title: Technical Lead Developer with HIPAA Experience Location: Remote Duration:6+ Months Key Responsibilities / Accountabilities: Functions as an individual contributor and works independent of supervision Capable of working independently and in teams to design and implement complex software programs and framework components Serves as technical lead on development projects Provides development strategy for a client and develops multi-year development approach on programs Coordinates and p

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Contract

60 - 70

Acquisition Support Specialist

Remote

•

Yesterday

The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. This role focuses on procurement and contract management for Medicaid Enterprise Systems (MES) projects. Job description: The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. This role focuses on procurement and contract management for Medicaid Enterprise Systems (MES) projects. This role requires close collaboration w

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Contract

$45 - $50

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medicaid jobs in Clemson, SC, USA