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Columbia, South Carolina

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Today

Please Let me know your Interest and rate for this position. Phone/Skype Hire. Onsite from day 1 Location: Columbia, SC Duration: 12+ months Responsibilities Assists with developing business requirements; Building a project plan and executing to that plan; Managing project risks and issues; Ensuring that all deliverables and activities are completed with high quality and in a timely fashion; Reporting on project status and strategies orally and in writing; Other related duties as assigned

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Contract

Depends on Experience

ONLY W2 Candidates Apply: Enterprise PM with Healthcare Insurance/Medicaid IT Exp: 1+ Yr hybrid Project Columbia SC: Candidate MUST Relocate to SC: $ 90-93/hr W2

Hybrid in Columbia, South Carolina

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Today

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): - 3+ years of Project management - Strong background in project management in a healthcare insurance information technology environment. - Project planning experience, including effort estimation on technical tasks and resource allocation. PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): - Medicaid or Healthcare Delivery Systems - Project Management Professional Certification (PMP or PMI) Additional Skills/Duties: - People skills - Ability to lear

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Contract

90 - 93

Medicaid QA

Columbia, South Carolina

•

Today

We are seeking an Medicaid QA to serve as a system testing specialist on complex, change-oriented enrollment, eligibility, and claims processing systems. If you have a strong background in QA methodologies, automation, and healthcare data, we want to hear from you! Location: Columbia, SC (Candidate must be a South Carolina resident or willing to relocate prior to starting at their own expense) Work Arrangement: Fully Onsite (5 days/week) Interview Process: 1 Round, Virtual/Online Dress Code: Bus

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Contract

Senior QA Automation Engineer (Selenium, Sahi Pro, Medicaid) - ONSITE (W2 ONLY)

Columbia, South Carolina

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6d ago

Job Description: Only W2 resumes are accepted Work Location: Fully Onsite - 5 days/week Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense SCDHHS is seeking a Quality Assurance Analyst to assist with implement small to large projects. DAILY DUTIES / RESPONSIBILITIES: Objectives to Be Fulfilled by Candidate: This position is for a Quality Assurance resource on the Systems Applications Integration and Development team

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Contract

Depends on Experience

QA Automation Test Lead with Medicaid/MMIS - 100% Remote

Remote

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22d ago

Key ResponsibilitiesLead end-to-end testing strategy, planning, and execution for Medicaid/MMIS applicationsDesign and review test plans, test cases, test data, and test scenarios across modules (claims, eligibility, enrollment, provider)Coordinate Product QA,MO, SIT, UAT, Regression, and Integration testing activitiesWork closely with business analysts, developers, and stakeholders Lead defect tracking, triage, and resolutionEnsure compliance with CMS guidelines, HIPAA, and state Medicaid regul

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Third Party, Contract

$50

QA Test Engineer with Medicaid and Claims - Remote

Remote

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Yesterday

Provide MMIS and QA SME knowledge. Prepare and maintain comprehensivetest plans, test strategies, test estimates, and test schedulesfor multiple project phases and functional areas. Define and tailortest conditions and approachesto suit specific system/application requirements. Track testing progress and preparetesting metrics, status updates, and reports. Establish and maintaintest environmentsand appropriatetest datafor successful execution. Participate inroot cause analysisin collaboration wi

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Contract, Third Party

Depends on Experience

Java Lead with Medicaid experience- Remote

Remote

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8d ago

12+ year of overall IT experience Experience in Medicaid Domain 10+ years of working experience as a Java developer 2 years of working experience as a Java Lead Experience with user interface design. Knowledge of performance testing frameworks including Mocha and Jest.

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Contract, Third Party

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

Remote

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30+d 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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Third Party, Contract

$60 - $70

Business Analyst with Medicaid/ Medicare/ MMIS Expertise - 100% Remote

Remote

•

Today

1. Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare. 2. Candidate should have hands-on experience on claims processing and Adjudication processes. 3. Must have good experience in Reference code/data sets required in Claims adjudication. 4. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems. 5. Should be able to run queries and perform basic system analysis, R

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Third Party, Contract

Depends on Experience

Technical Business Analyst with Medicaid & Finance Experience - 100% Remote

Remote

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2d ago

Configure accounts receivable processing tasks including setting up accounts receivable, developing reports specifications to on accounts receivables. Assess client AR business operations and configure or develop new processes for configuring the financial system. Knowledge in the following business processes Experience in Provider Recoupment in a Payer setup Manage Recoveries Manage AR funds Configure accounts payable processing tasks including set up accounts payable, developing reports specif

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Contract, Third Party

Depends on Experience

Technical Business Analyst with Medicaid & Claims Module experience - Remote

Remote

•

Today

10-12 years of experience as a Business Analyst with Minimum of 8+ years of experience in health care experience especially in MMIS domain. In depth understanding of Claims and Claims lifecycle: Claim submission Paper and EDI X12 Adjudication Payment Cycle (Finance) Reporting Encounters and Capitation EDI X12 formats like837P/I/D X12 formats 835,834,270/271,276/277 Familiarity with systems like CMdS, GHS, Facets and etc Ability to validate Test scenarios and test plans, test data. SQL: To vali

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Contract, Third Party

Depends on Experience

Business Analyst (Medicaid/Medicare)

Remote

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12d ago

On of our clients is looking for the position of IT Healthcare Consultant - Business Analyst based on following Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Required Skills (rank in order of Importance): 5+ years in healthcare insurance; medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payor environment. 5+ years Medical Coding in payer environment. 3+ years clinical experience in a

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Contract

Depends on Experience

Medicaid BI/DW Developer

Remote

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Today

Job ID: OR-11132-26 Remote/Local Medicaid BI/DW Developer with data analysis, SQL Server, Python/Java/R, SAS, ETL migration, AWS, MMIS, Azure DevOps, GIT. Jupyter Notebooks, Hadoop Spark/Hive/Pig and agile experience Location: Salem, OR (DHS / OHA)Duration: 17 Months Skills:Database Data Analysis Proficient (4-6 Years) Yes Database Data Warehousing Proficient (4-6 Years) No Database Microsoft SQL Server Advanced (7-9 Years) Yes Languages SQL Advanced (7-9 Years) Yes Others Python Advanced (7-9 Y

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Contract, Third Party

Depends on Experience

Medicaid BI Developer

Remote

•

Today

Job ID: OR-11132-26 Remote/Local Medicaid BI/DW Developer with data analysis, SQL Server, Python/Java/R, SAS, ETL migration, AWS, MMIS, Azure DevOps, GIT. Jupyter Notebooks, Hadoop Spark/Hive/Pig and agile experience Location: Salem, OR (DHS / OHA) Duration: 17 Months Skills: Database Data Analysis Proficient (4-6 Years) Yes Database Data Warehousing Proficient (4-6 Years) No Database Microsoft SQL Server Advanced (7-9 Years) Yes Languages SQL Advanced (7-9 Years) Yes Others Python Advanced

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Third Party, Contract

Depends on Experience

Senior Medicaid BI / Reporting Business Analyst (Remote)

Remote

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Today

Senior Medicaid BI / Reporting Business Analyst Location: Remote U.S. About Us: Known for Delighting the Client through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Why S2Tech?: Stable, privately-owned company with a strong reputation for

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Full-time

Depends on Experience

RN with Medicaid SME experience Columbia, SC

Columbia, South Carolina

•

Today

Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Phone/Skype Hire. Onsite from day 1 / REMOTE Location: Columbia, SC / upto 80% remote Duration: 12+ months Rate: Open The current position's focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. A long-term pla

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Contract, Third Party

Technical Consultant- Medicaid/MMIS

Remote

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30+d ago

CSG Government Solutions is a national leader in planning, managing and supporting complex projects that modernize the information technology and business processes of large government programs. Since 1997, we have applied our expertise, innovation, and results-oriented mindset to the most complex program modernization projects of over 200 government and other organizations including 48 state and territory governments, the U.S. Department of Health and Human Services, the U.S. Department of Labo

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Full-time

Depends on Experience

RN with Medicaid SME experience

Columbia, South Carolina

•

Today

Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Phone/Skype Hire. Onsite from day 1 / REMOTE Location: Columbia, SC / upto 80% remote Duration: 12+ months The current position's focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. A long-term plan includes p

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Contract

$$90/hr

Business Analyst- Medicaid

Remote

•

30+d ago

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Full-time

Depends on Experience

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