Medicaid jobs in raleigh, nc

Remote

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2d ago

Overview:Seeking an experienced Senior Medicaid Disproportionate Share Hospital (DSH) Consultant to support a state Medicaid program in the analysis, administration, and calculation of DSH supplemental payments.The consultant will provide subject matter expertise in Medicaid reimbursement methodologies, federal and state regulatory compliance, hospital data analysis, payment calculations, and audit support.The role involves working with healthcare providers and Medicaid stakeholders to ensure ac

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Contract

$80 - $90

Privacy & Security Consultant

Hybrid in Raleigh, North Carolina

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6d ago

We have an opening for a Privacy & Security Consultant in Raleigh, NC (Hybrid). This could be your dream job if you are available and looking for a great opportunity. I'd love to connect if you are interested in learning more. Please share your resume, let me know the best time to contact you, or share this JD with your friends or colleagues for better reach. Privacy & Security Consultant Location: Raleigh, NC 27607 Duration: 12 months++ Interview Type: Either Webcam Interview or In Person Desc

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Contract, Third Party

$40 - $60

Java Developer Medicaid Regulatory Solutions

Remote

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Today

Hi Our client is looking for a Java Developer Medicaid Regulatory Solutions project in Remote below is the detailed requirement. Job positing Title: Java Developer Medicaid Regulatory Solutions Location: Remote Required Skills : Facets,Java/J2EE Job description: Bachelors degree in related field Strong hands-on experience with Facets. Strong Java/J2EE engineering and programming skills. Experience with IBM DataStage and Talend/TalendWorks or comparable enterprise ETL technologies. S

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Full-time, Third Party

Depends on Experience

Senior QA / Reconciliation Analyst with Healthcare payer / Medicaid / MMIS testing experience : Remote

Remote

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Today

Senior QA / Reconciliation Analyst Job Description Role Summary Senior QA and data-validation role focused on ETL testing, large-scale data reconciliation, regulatory-output validation, and root-cause analysis for AWS Databricks data pipelines. Roles & Responsibilities Define and execute test strategies for complex ETL / ELT pipelines and regulatory data outputs. Perform record-count, control-total, field-level, segment-level, and file-level reconciliation. Validate source-to-target mappings,

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Contract, Third Party

Depends on Experience

Solution Architect - Facets & Medicaid Regulatory Transformation

Remote

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Yesterday

Hi, Role:Solution Architect Facets & Medicaid Regulatory Transformation Location: Remote Broad architecture expertise across Mainframe + Java + Facets + DataStage/Talend, because they need to determine where each regulatory change belongs. Role Summary Seeking a senior healthcare Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem. The architect should have deep knowledge of Facets, Mainframe,

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Full-time, Third Party

Depends on Experience

Solution Architect – Facets & Medicaid Regulatory Transformation

Remote

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Yesterday

We are seeking a senior Healthcare Solution Architect with strong TriZetto Facets architecture experience and expertise in Medicaid managed care and state-specific regulatory transformations. Key Responsibilities: Lead end-to-end architecture for Medicaid regulatory changes across healthcare payer platforms. Assess impacts across Facets, Mainframe, Java/J2EE, APIs, databases, batch systems, and ETL platforms. Design solutions for member enrollment, eligibility, benefits, claims adjudication, pri

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Contract

Depends on Experience

Senior Java Software Engineer - Medicaid/Healthcare EDI - REMOTE (CURRENT SC RESIDENT) - W2 ONLY

Remote

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Today

Job Description: Only W2 resumes are accepted This project team develops and supports the framework functionality of the States EDI Services & the Medicaid Web Portal application. Clemson Universitys Medicaid Information Technology Services (MITS) team develops and operates systems on behalf of the States Department of Health and Human Services (SCDHHS). Clemsons MITS team will be responsible for the project management and oversight of this project. DAILY DUTIES / RESPONSIBILITIES: The Software

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Contract

Depends on Experience

Sr Manager over MMIS / Medicaid and PMB Data & Analytics

Remote

•

Yesterday

We are seeking to hire a Senior Manager for Medicaid / MMIS and PBM Data & Analytics, 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 Federal Holidays, and a matching

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Full-time

Depends on Experience

Only w2 - Senior Data Architect ( T-MSIS / Medicaid is Must) Remote

Remote

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Yesterday

Senior Data Architect & T-MSIS SME - Only w2 or 1099 Remote Long Term Contract Role Summary Senior architecture role focused on modern healthcare data platforms, Medicaid/T-MSIS domain expertise, and large-scale modernization using AWS Databricks. Roles & Responsibilities Define scalable data architecture patterns using AWS Databricks, PySpark, Spark SQL, Delta Lake, and lakehouse / medallion architecture principles. Design canonical/conformed data models, metadata-driven transformation patte

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Contract

55 - 62

Senior QA Engineer Facets & Medicaid Regulatory Solutions

Remote

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Yesterday

Job title: Senior QA Engineer Facets & Medicaid Regulatory Solutions Location: Remote Job type; Full time Interview: Video Candidates should have strong knowledge of Medicaid managed-care operations and experience working with state-specific Medicaid requirements. They should understand how regulatory changes affect member enrollment/eligibility, coverage, claim processing, authorization, pricing/payment, data and downstream health-plan operations. They should also possess a good working unders

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Full-time

Depends on Experience

Senior QA Engineer Facets & Medicaid Regulatory Solutions

Remote

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Today

Job Description: We are looking for a Senior QA Engineer with strong healthcare payer and Medicaid managed-care experience. Key Skills: TriZetto Facets testing Medicaid regulatory and state-specific requirements End-to-end integration testing Mainframe and Java application testing ETL testing (DataStage, Talend/TalendWorks) SQL, data validation, and reconciliation Claims, enrollment, eligibility, benefits, and payment testing

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Contract

Depends on Experience

Senior SAS Business Analyst with Medicaid/Claims experience (Remote)

Remote

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9d ago

Job Title: Senior SAS Business Analyst with Medicaid/Claims experience Duration: 6 months 100% remote Citizenship requirement: live in the Continental US. DESCRIPTION and RESPONSIBILITIES SAS is seeking a full-time SAS Senior Business Analyst with strong Health Care domain experience to work with our Medicaid customers. The individual in this role will develop the Requirements Traceability Matrix, create technical documentation and assist with testing facilitation (QA and UAT) for healthca

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Third Party, Contract

$55 - $60

Medicaid Claims QA Analyst(Healthcare)

Remote

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25d ago

Job Description: Job Title: Senior QA Tester Location: Remote Type: Full Time/W2 with Infinite Computer Solutions Job Description: Role summary: Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire lif

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Full-time

$85,000 - $95,000

Senior Facets / Java Developer Medicaid Regulatory Solutions

Remote

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Today

Role Summary An experienced Facets / Java Developer or Engineer to support implementation of state-specific Medicaid regulatory changes across Facets and surrounding healthcare applications. The engineer will work with regulatory, business, architecture, and QA teams to translate Medicaid requirements into system configuration, application changes, integrations, and data-processing solutions. The ideal candidate combines strong Facets claims and membership knowledge with hands-on Java engineerin

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Contract

Lead Data Analyst with Medicaid / Pharmacy / PBM experience

Remote

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Yesterday

We are seeking to hire a Advisor (Lead) Data Analyst with expertise in Medicare / Pharmacy Benefits Management systems, 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

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Full-time

Depends on Experience

Manager, Medicaid Data (T-MSIS) and Payment Model Implementation - Remote

Remote or Washington, District of Columbia

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Today

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health op

Full-time

USD 112,700.00 - 193,200.00 per year

Sr. Healthcare Data Scientist (Medicare/Medicaid)

Remote

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Today

Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: NACI (T1) Job Family: Data Science and Data Engineering Job Qualifications: Skills: Agentic AI, Big Data, Generative AI, Machine Learning Methods, Python (Programming Language) Certifications: None Experience: 5 + years of related experience ship Required: No Job Description: We are GDIT. We take pride in providing our clients with the data t

Full-time

USD 97,968.00 - 132,250.00 per year

NCDIT - Technical Writer- Expert

Raleigh, North Carolina

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Today

This position ensures that the NC Health Information Exchange Authority's process to execute MOUs, MOAs, vendor contracts and other agreements is well organized and efficient. They will work closely with NC HIEA business leads and partners to draft MOUs, MOAs, vendor contracts, and other agreements. NC HIEA's contracts writer will proactively coordinate with NCDIT's legal, privacy and security, finance, and procurement teams to ensure that all required information is provided, issues are address

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Third Party, Contract

Technical Writer- Expert REMOTE

Raleigh, North Carolina

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Today

Requirement: Technical Writer- Expert Work location Raleigh, NC 27601 [REMOTE] Duration 12+ Months Agency Interview Type:Webcam Interview Only Work Arrangement: Remote Short Description: Typical Experience: 84+ months Complete Description: This position ensures that the Health Information Exchange Authoritys process to execute MOUs, MOAs, vendor contracts and other agreements is well organized and efficient. They will work closely with HIEA business leads and partners to draft MOUs, MOAs, vendo

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Third Party, Contract

Depends on Experience

Senior QA Tester with Healthcare Medicaid Medicare Claims domain

Remote

•

Yesterday

Hi Greetings from Infinite Computer Solutions ! Hope you are well today! I'd like to discuss a job opportunity with you. Hope you would be interested. Position: Senior QA Tester with Healthcare Medicaid Medicare Claims domain Location:Dallas, TX, St Louis, Mo, Las Vegas, NV, Hybrid/Remote Term : Fulltime About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,sca

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Full-time

70,000+

Medicaid jobs in Raleigh, NC, USA