Medicaid jobs in washington

Remote

•

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

Easy Apply

Third Party, Contract

Depends on Experience

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

Remote

•

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.

Easy Apply

Full-time

$70,000 - $95,000

CMS Medicaid Certification & Compliance Project Specialist

Remote

•

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

Easy Apply

Contract

$50 - $55

Technical Project/Delivery Manager With Medicaid Experience - Remote

Remote

•

3d 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

Easy Apply

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

Easy Apply

Contract, Third Party

Depends on Experience

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

Remote

•

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

Easy Apply

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

•

4d 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

Easy Apply

Full-time

Depends on Experience

Senior Project Manager – Medicaid Technology & Operations

Remote or Hybrid in California City, California

•

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

Easy Apply

Full-time

Depends on Experience

MMIS (Medicaid) Data Conversion Manager

Remote

•

4d 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

Easy Apply

Full-time

Depends on Experience

Sr Business Analyst / Trainer with Medicaid Pharmacy / PBM expertise

Remote

•

4d 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

Easy Apply

Full-time

Depends on Experience

MMIS (Medicaid Provider) Integration & Analytics Delivery Manager

Remote

•

4d 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

Easy Apply

Full-time

Depends on Experience

NCDIT - Project Manager/Medicaid Program Administrator

Remote

•

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

Easy Apply

Contract

Depends on Experience

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

Remote

•

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

Easy Apply

Contract

40 - 40

Fraud, Waste, and Abuse (FWA) Medical Record Reviewer

Hybrid in Elkridge, Maryland

•

7d ago

Fraud, Waste, and Abuse (FWA) Medical Record ReviewerElite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are seeking an experienced healthcare fraud investigator and medical record reviewer with expertise in analyzing medical documentation, claims data, provider billing patterns, and regulatory compliance requirements. Skilled in identifying potential fraud, waste, and abuse indicators through detailed record review, coding validation, and investigative researc

Easy Apply

Contract

40 - 50

Project Manager with OCM

McLean, Virginia

•

Today

JOB TITLE: Project Manager with OCM JOB LOCATION: Remote WAGE RANGE*: 80 - 85/ hour JOB NUMBER: 000010 REQUIRED EXPERIENCE: Qualifications & Requirements Education: Bachelor's degree in Business Administration, Healthcare Management, or a related domain. PM Experience: 5 to 7+ years of rigorous project management experience utilizing formal project management structures (PMP certification heavily preferred). OCM Experience: Minimum 3 consecutive years of full-time dedication to managing o

Full-time

USD 80.00 - 85.00 per hour

Full Stack Engineer (Node/React) - Remote USA

Remote or Reston, Virginia

•

Today

The Team Our Health Engineering Solutions (HES) team works side by side with customers to articulate a vision for success, and then make it happen. We know success doesn't happen by accident. It takes the right team of people, working together on the right solutions for the customer. We are looking for a seasoned Full Stack Engineer who will be a key driver to make this happen. Our team supports the vision to improve patient quality care and consumer decision-making by hospital providers across

Full-time

USD 98,614.00 - 167,644.00 per year

Full Stack Engineer (Node/React) - Remote USA

Remote or Reston, Virginia

•

Today

Full-time

USD 98,614.00 - 167,644.00 per year

Senior Health Actuary

Remote

•

3d ago

Job Title:Senior Consulting Actuary Job Details: Client is dedicated to supporting decision-makers in state government healthcare agencies, mission-driven organizations, and other public and private sector organizations. Our team brings together deep expertise in actuarial science, health economics, data science, policy analysis, healthcare financing, and advanced analytics to help clients address complex questions involving healthcare financing and payment, cost and risk, program performance, a

Easy Apply

Full-time

200,000 - 230,000

Sr Health Data Analyst - Compliance & Privacy

Maryland

•

Today

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion. Make It Happen At Hopkins! Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 lives with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHP has become a leader in pr

Full-time

USD 41.00 per hour

Medicaid jobs in Washington, DC, USA