Medicaid jobs in new york, ny

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

Medicaid Portfolio Project Manager

New York, New York

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Today

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 sectors 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. Salarycommensuratewith experience* Job Title: MedicaidPortfolioProject Manager Location: A

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Full-time

Depends on Experience

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

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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

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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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7d 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

AI/ML Engineer

New York, New York

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16d ago

We are hiring an AI/ML Engineer to design, build, and operate assistive AI/ML capabilities for a regulated provider enrollment and management platform. The product supports provider enrollment, screening assist, document processing, guided intake, conversational support (chat/FAQ), and triage signals for Medicaid-style programs. AI/ML on this program is assistive only. Authoritative enrollment and screening decisions remain with deterministic business rules + human review. You will focus on prod

Contract

$40 - $70

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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11d 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

Snowflake Tester

New York, New York

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3d ago

Role Title:SnowflakeTester with Integrated Eligibility Required Skills (MustHaves) 36+ years ofmanual and/or automated dataquality / ETL testing experience(Snowflake, Redshift, BigQuery, or similar cloud data warehouses).HandsonSQL expertiseto write complex queries, joins, aggregations, and window functions inSnowflake.Experience testingstate Medicaid / eligibility systems,Integrated Eligibility (IE) platforms,MMIS,MAGI, or similargovernmenthealth eligibility workloads.Familiarity withETL / ELT

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Third Party, Contract

Depends on Experience

Plant Utilities Engineer 1 (NY HELPS), New York City Children's Center, Queens Campus, P27448

Bellerose, New York

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Today

Duties Description Are you interested in starting a career with New York State? Do you have commercial/industrial operation and maintenance experience with HVAC or boiler equipment? New York City Children's Center is recruiting for a Plant Utilities Engineer 1 for their physical plant operations. Candidates from outside or within State Service can apply. As a Plant Utilities Engineer 1, you will be responsible for a variety of maintenance and repair tasks including: Operating, maintaining, and

Full-time

USD 56,506.00 - 68,630.00 per year

EPMO DATA ANALYST

New York, New York

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Today

Company Description Job Description The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of i

Full-time

USD 100,000.00 - 125,000.00 per year

Experienced Project Manager

New York, New York

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Today

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

Full-time

USD 86,800.00 - 124,000.00 per year

Medicaid jobs in New York, NY, USA