Medicaid jobs in duluth, ga

Remote

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24d ago

Title: Rural Health Transformation Medicaid Chief of Policy Job Posting #:164006 Client: State of Rhode Island, Executive Office of Health & Human Services (EOHHS) Location: Providence, RI Mostly remote with some onsite meetings Work Week: 35 Hours Duration: 5-year contract Extensions possible Key Responsibilities As a part of the Medicaid policy team, lead Medicaid policy efforts supporting RHTP and other strategic initiatives.Develop strategies to sustain RHTP-funded programs through Medicaid

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Contract, Third Party

Depends on Experience

HRSN Medicaid Claims Analyst With QNXT

Remote

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6d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Third Party, Contract

Depends on Experience

Technical Business Analyst (Healthcare Claims Domain and Medicaid/MMIS, Overall 10+ years of experience)

Remote

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2d ago

Job Description: Job Title: Technical Business Analyst (Claims Domain, MMIS) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Play the role of Claims Domain lead for MMIS health care projects. Drive the claims module and process, domain knowledge, performs analysis of business requirements, designs and develops documentation, ensures quality process, coordinates with customers. Works in team environment and provides guidance throughout the entire life cycle.

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Full-time

$70,000 - $95,000

CMS Medicaid Certification & Compliance Project Specialist

Remote

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6d ago

CMS Medicaid Certification & Compliance Project Specialist The Specialist will work closely with Business Leads, Project Teams, matrix managers, vendors, CMS and MITRE teams, and other stakeholders to ensure certification activities are properly coordinated, documented, and completed on schedule. This is a new position created to provide direct support for sensitive state certification processes and high-visibility MES projects. ResponsibilitiesSupport project teams in executing CMS Medicaid cer

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Contract

$50 - $55

Technical Project/Delivery Manager With Medicaid Experience - Remote

Remote

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2d ago

Required:15+ years of overall IT experience5+ years of managerial experienceDeep functional knowledge of Healthcare processes specially Medicaid BusinessAware of the Cloud native architecture along with understanding of associated technologiesDemonstrated understanding of Project Management processes, strategies and methodsExperience mentoring, coaching and developing rising talent in the technology departmentExcellent time management and organizational skills and experience establishing guideli

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Contract, Third Party

$61

Scrum Master with Medicaid - Remote

Remote

•

Today

Atleast 8 -10 years of industry experience as a Scrum Master. Must have exp with Medicaid or MMIS Facilitate daily standups (or the daily scrum) as needed. Participate in the meeting and capture feedback. Note areas for improvement and action items for future sprints. Work as the administrator of the scrum board. Ensure that cards are up to date and the scrum tool, is working well. Meet individually with team members and stakeholders as needed. Iron out team disagreements about process and work

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Contract, Third Party

Depends on Experience

Healthcare QA Tester (8+ year experience in MMIS, Healthcare, Medicaid and Claims)

Remote

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2d ago

Job Description: Job Title: IT Testing Engineer II (MMIS/Claims) Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: (Min 3-8 Years of Exp) Key Responsibilities Gather requirements and scenarios from Development Team, Business Analyst and other stakeholders.Work closely with Project Management Team during design phase. Prepare detailed Test Scenario & Test casePerform hands-on functional and web UI testing Create and maintain test scripts, plans, and casesCondu

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Full-time

$70,000 - $80,000

Lead, Medicaid Technology

Remote or Oklahoma

•

Today

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving end-to-end technology delivery for Medicaid initiatives. This role ensures successful implementation of use cases across multiple horizontal platform owners, aligning with regulatory requirements and enterprise architecture standards. The leader will serve as the primary technology point of contact for Medicaid, orchestrating cross-functional collaboration to deliver compliant, scalable, and innovat

Full-time

USD 117,600.00 - 161,700.00 per year

MMIS (Medicaid Management Info Systems) Domain Lead

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid Management Information Systems) Domain Lead with expertise in Medicaid Pharmacy, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Pai

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Full-time

Depends on Experience

Senior Project Manager – Medicaid Technology & Operations

Remote or Hybrid in California City, California

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6d ago

Senior Project Manager Medicaid Technology & OperationsLocation: Hawaii Key Responsibilities Strategic Project LeadershipOversee planning and implementation of major projects, managing scope, timelines, and budget.Guide complex, large-scale initiatives that support strategic business objectives.Define project scopes and objectives with relevant stakeholders.Planning, Execution & MonitoringDevelop detailed project plans, including resource needs, schedules, and cost structures.Monitor project pe

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Full-time

Depends on Experience

MMIS (Medicaid) Data Conversion Manager

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid) Data Conversion Manager with expertise in MMIS and MES implementations, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federa

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Full-time

Depends on Experience

Sr Business Analyst / Trainer with Medicaid Pharmacy / PBM expertise

Remote

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3d ago

We are seeking to hire a Sr Business Analyst / Trainer with expertise in Medicare/Medicaid Pharmacy, including specific expertise in PBM (Pharmacy Benefits Management), to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, den

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Full-time

Depends on Experience

MMIS (Medicaid Provider) Integration & Analytics Delivery Manager

Remote

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3d ago

We are seeking to hire a MMIS (Medicaid) Provider Integration & Analytics Delivery Manager with expertise in Medicaid Provider+ implementations, to join our teams working on a new multi-year awards we have within several State Govt clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote. Being a US Cit is required for working on this program. This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insura

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Full-time

Depends on Experience

NCDIT - Project Manager/Medicaid Program Administrator

Remote

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13d ago

Project Manager/Medicaid Program Administrator (Remote) Primary Location: Remote V-Soft Consulting is currently hiring for a Project Manager/Medicaid Program Administrator (Remote) for our premier client. Education and Experience Contract development, administration, and monitoring: 3 years.Budget development, administration, and monitoring: 3 years.Implementing data governance and exchange and associated documentation according to state and federal regulations: 3 years.Coordinating staffing n

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Contract

Depends on Experience

Functional Business Analyst with SNAP, TANF, QHP, Medicaid/Medicare programs exp - 100% Remote - W2

Remote

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10d ago

WHO WE ARE: Founded in 2007, DTI (Diversified Technology, Inc.) is a successful African American owned IT Consulting/Staffing firm based in Chicago''s Loop. WHAT WE DO: We focus on providing delivery, staffing, and supported services such as enterprise integration/implementations including, but not limited to, CRM, EAM, ERP, PMO, and QA. We service clients in SLED (state/local gov''t & education), financial services, fortune, public utility, as well as regularly partnering with Big 4 SI partner

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Contract

40 - 40

Technical Architect/Lead Java, Spring Boot & Cloud

Hybrid in Atlanta, Georgia

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12d ago

Title: Technical Architect/Lead Java, Spring Boot & Cloud Location: Atlanta, GA Experience: 12 18+ Years Must have: MMIS/Medicare/Medicaid Experience Job Summary We are seeking an experienced Technical Architect to design and lead the implementation of scalable, secure, and high-performance enterprise applications. The ideal candidate should have strong expertise in Java, Spring Boot, Microservices, Cloud technologies, DevOps, and modern software architecture. The Technical Architect will collab

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Contract, Third Party

Depends on Experience

TFAL(Techno-Functional Analyst Lead) - BA Pega/E&E - Hybrid

Hybrid in Atlanta, Georgia

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Today

Required Qualifications & Experience Experience: 15+ years of progressive experience as a Business Systems Analyst, Technical Functional Analyst, or Product Owner in enterprise IT environments. Domain Expertise: Mandatory background in government programs, specifically managing Medicaid Eligibility & Enrollment lifecycles. Pega Experience: Deep functional knowledge of the Pega platform, including Case Management, Workflows, Decisioning, Routing, and Integration interfaces. Scale: Proven track r

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Contract, Third Party

Depends on Experience

Technical Business Functional Analyst

Hybrid in Atlanta, Georgia

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18d ago

What Working at Hexaware offers: Hexaware is a dynamic and innovative IT organization committed to delivering cutting-edge solutions to our clients worldwide. We pride ourselves on fostering a collaborative and inclusive work environment where every team member is valued and empowered to succeed. Hexaware provides access to a vast array of tools that enhance, revolutionize, and advance professional profile. We complete the circle with excellent growth opportunities, chances to collaborate with h

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Full-time

$100,000 - $120,000

Business Analyst

Atlanta, Georgia

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6d ago

MAKE STRATEGY A REALITY | ACCELERATE YOUR GROWTH | CHOOSE YOUR PATH As the world's leading change and transformation consultancy, we're helping businesses move from strategy to reality by taking a pragmatic and practical approach to build solutions that last. We're seeking a Business Analyst Consultant in our Health and Human Services Practiceto help us take vision to value and create lasting impact. SUMMARY North Highland is seeking to hire a Business Analyst Consultant to help our Public Se

Full-time

Business Analyst for Dynamics 365 CE

Alpharetta, Georgia

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Today

JOB TITLE: Business Analyst JOB LOCATION: Remote WAGE RANGE*: $48hr to $50hr JOB NUMBER: 26-01031 REQUIRED EXPERIENCE: 5+ years of Business Analyst experience with 3+ years in Dynamics 365 CE. Strong understanding of Customer Service, Case Management, Omnichannel, and CRM processes. Familiarity with Power Platform (Power Apps, Power Automate, Power BI). JOB DESCRIPTION Partner with business stakeholders to understand strategic objectives, business challenges, and operational needs. Lead re

Full-time

USD 48.00 per hour

Medicaid jobs in Duluth, GA, USA