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Business Analyst with State Medicaid Experience

Hybrid in Columbia, South Carolina

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2d ago

Business Analyst with State Medicaid ExperienceInterview Process: 1 round, Virtual/OnlineDuration of the Contract: 12 monthsWork Location: Hybrid (4 days in office, 1 days remote).Candidate Location: Candidate MUST be a SC resident. No relocation allowed.Required Skills Bachelors degree in a technical, business, or healthcare field or equivalent experience. 7+ years of experience in commercial healthcare 3+ years experience in State Medicaid payer system integration and delivery 3+ years familia

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Contract

Depends on Experience

Medicaid Business analyst

Columbia, South Carolina

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Today

We are seeking a high-level Medicaid Business analyst to drive a major multi-year modernization effort. This role is critical in bridging the gap between business operations and technical IT delivery to transform healthcare infrastructure. Logistics & Work Arrangement Location: Columbia, SC (Must be a current SC Resident) Work Arrangement: Hybrid (4 days onsite, 1 day remote) Interview Process: 1 Round (Virtual/Online) Mandatory Requirements Commercial Healthcare: 7+ years of experience. State

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Contract

Quality Assurance Lead with Medicaid or healthcare exp - ONSITE (W2 ONLY)

Columbia, South Carolina

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5d ago

Job Description: Only W2 resumes are accepted Work Location: Fully Onsite 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 (LEAD) to assist with implement small to large projects. DAILY DUTIES / RESPONSIBILITIES: This position is for a Quality Assurance resource on the Systems Applications Integration and Development team and serves as a system testing specialist on SC

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Contract

Depends on Experience

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

Remote

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5d 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

Enterprise Data Warehouse (EDW) Medicaid Subject Matter Expert/Analyst - Remote

Remote or Springfield, Illinois

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Today

Functional Description: This role requires significant expertise of Medicaid Enterprise System modules and data warehouse or decision support systems. This role provides input and direction supporting a large data warehouse implementation and operations. The selected SME will provide direction to business and technical team members related to claims, provider, and recipient data. Roles in this function could partner with stakeholders to understand data requirements and support development tool

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Contract, Third Party

Technical Delivery Manager (MMIS Medicaid Business)

Remote

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13d 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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Contract, Third Party

$60 - $70

IT Project Manager || Must have experience in Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1 || Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota||

Remote

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12d ago

Job Title: IT Project Manager Location: Remote and Travel to Pierre, South Dakota and/or Sioux Falls, South Dakota at least quarterly at candidates' expense Duration: 24 Months Scope of work: Client is seeking a qualified individual(s) to provide project management support for DSS program areas working on technology implementations. Active implementations requiring support include Provider Enrollment and Credentialling, and MMIS System Modernization, Medicaid HR-1. Project list is not exhaustive

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Contract

$65 - $69

Java Lead with Medicaid experience- Remote

Remote

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5d ago

12+ year of overall IT experienceExperience in Medicaid Domain10+ years of working experience as a Java developer2 years of working experience as a Java LeadExperience with user interface design.Knowledge of performance testing frameworks including Mocha and Jest.Excellent troubleshooting skills.

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Contract, Third Party

$51

Java Developer with Medicaid/MMIS - Remote

Remote

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8d ago

Job Responsibilities -The candidate will be responsible for designing, coding and documenting lava based programs in support of mission critical high-performance Point-of-sale applications as well as other microservices based Java applications in support of Pharmacy Benefit Manageme support of the PBM (Pharmacy Benefit Management) platform. BackgroundRequirements:10+ years of industry experienceStrong experience with Java, JEE, JDBC, Spring and Spring Boot framework, Webservices (SOAP/REST), ESB

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Third Party, Contract

$50

Product Manager with Medicaid - Remote

Remote

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2d ago

Title:Product Manager with Medicaid - RemoteLocation:RemoteLength:Long termRestriction:w2 or c2cDescription: Webcam interview; Long term project Linkedin Must Remote Position SummaryThe Senior Product Manager role is responsible for successfully executing products and initiatives while providing coaching, growth opportunities, and leadership within the Enterprise Product Management practice. This role provides guidance to product teams and direct reports on product planning and execution; techn

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Contract

Depends on Experience

Senior Mainframe COBOL Programmer - IDMS (Medicaid) - REMOTE (W2 ONLY)

Remote

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Yesterday

Job Description: Only W2 resumes are accepted Work Location: Role is 100% remote Candidate location: No SC residency required. Candidate must reside in lower 48 states (Continental US) and comfortable working EST time zone hours. This project includes backfill on production systems, potentially working on smaller short-term projects and includes working with customers, development staff, operational staff and QA staff. DAILY DUTIES / RESPONSIBILITIES: Work collaboratively with the Medicaid Serv

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Contract

Depends on Experience

QA Test Engineer with Medicaid and Claims - Remote

Remote

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3d ago

Should have strong MMIS health care domain experience and should have good knowledge of Medicaid and Medicare.Should have hands-on experience on claims processing and Adjudication processes.Must have good experience in Reference code/data sets required in Claims adjudication.Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.In depth understanding of Claims and Claims lifecycleClaim System:Testing knowledge and E2E Testing:

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Contract, Third Party

$50 - $55

Medicaid Community Outreach Coordinator

Remote

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8d ago

Duration:3+ Months Contract Schedule:35 hours/week | 8:30 AM 4:00 PM Seeking a community focused Outreach Coordinator to support statewide Medicaid engagement initiatives related to HR 1 policy implementation and Community Engagement (CE) requirements. The role involves coordinating outreach events, public education sessions, community partnerships, and communication efforts to help Medicaid members understand program changes and available support services. Requirements: Bachelors degree in Com

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Contract

Business Analyst with Medicaid/Medicare

Remote

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Yesterday

Responsibilities Must have very good understanding of the healthcare payer space with a minimum experience of 10 years in the domain. Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts. Must have good experience in Reference code/data sets required in Claims adjudication including not limited to

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Full-time, Part-time, Third Party, Contract

IBM DataStage Developer - Remote (Medicaid/MMIS required )

Remote

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2d ago

Title: IBM DataStage Developer - Remote (Medicaid/MMIS required ) Locations: Remote Client : State of NE Job Summary: We are seeking an experienced IBM DataStage Developer/Engineer to design, develop, and maintain IBM InfoSphere DataStage jobs supporting the Medicaid Data Management Platform.This role focuses on building robust, scalable data pipelines that enable accurate and high-performance reporting within a Medicaid/MMIS data environment.The ideal candidate will work closely with data arch

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Third Party, Contract

Depends on Experience

Medicaid Data Manager

Remote

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Today

Type of Requisition: Pipeline Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: Other Job Family: Data Science and Data Engineering Job Qualifications: Skills: Claims Data, Data Management, Data Visualization, HL7 Standards, Structured Query Language (SQL) Development Certifications: None Experience: 8 + years of related experience ship Required: No Job Description: Make meaningful contributions that fuel critical outco

Full-time

USD 127,500.00 - 172,500.00 per year

Healthcare/Medicaid IT Business Analyst - HYBRID (MUST be SC resident) - W2 ONLY

Hybrid in Columbia, South Carolina

•

Yesterday

Job Description: Only W2 resumes are accepted Work Location: Hybrid (4 days in office, 1 days remote). Candidate Location: Candidate MUST be a SC resident. No relocation allowed. SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the States aging MMIS and related applications with more modern capabilities along with corresponding business operations services. The MES Modernization effort will be incremental and modular in nature with a focus on c

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Contract

Depends on Experience

Mainframe Programmer (Healthcare / Medicaid)

Remote

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2d ago

DAILY DUTIES / RESPONSIBILITIES: Work collaboratively with the Medicaid Services MMIS and MEDS Teams to make coding changes to Cobol and Ads programs using an IDMS Network Database or IDMS Relational Database, Technical and design specifications. Debug, unit test, and integration test coding changes. Support Quality Assurance staff during QA, User Acceptance, and External Testing by making needed coding changes. Communicate effectively in both written and spoken communication. work collaborative

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Contract

$70 - $75

Business Analyst- Medicaid

Remote

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12d 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, SC

Columbia, South Carolina

•

Yesterday

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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Third Party, Contract

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