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Columbia, South Carolina

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Today

We are seeking an Medicaid Business analyst to bridge the gap between business programs and IT organizations for a major healthcare technology initiative in South Carolina. Quick Overview Position: Business Analyst Advanced Location: Columbia, SC (Zip: 29201) Work Arrangement: Hybrid (3 days in office, 2 days remote) Interview Process: 1 Round, Virtual/Online Relocation: Must be a South Carolina resident or completely willing to relocate prior to starting at your own expense. Core Skills We Ar

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Medicaid Business analyst

Columbia, South Carolina

•

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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Medicaid Business Analyst

Hybrid in Columbia, South Carolina

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Today

Requirements 5 or more years of experience in government IT business analysis and systems consulting. Proficiency in Medicaid Management Information Systems (MMIS) and healthcare data standards. Experience with eliciting and mining business rules from legislation and policy documentation. Experience in business process modeling using graphical flow software and Visio. Experience with requirements management lifecycles, change control, and traceability matrices. Experience in Microsoft Project an

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Contract, Third Party

Depends on Experience

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

Hybrid in Columbia, South Carolina

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5d ago

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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Depends on Experience

Medicaid (MMIS) CPT/HCPCS and ICD-10 translation Business Analyst

Hybrid in Columbia, South Carolina

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Today

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 healthcare environment (strong clinical assessment and critical thinking skills.) 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies. 5+ years knowledge of anatomy, physiology, pharmacology, and med

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Depends on Experience

Business Analyst with State Medicaid Experience

Hybrid in Columbia, South Carolina

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5d 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

Mainframe COBOL Developer Medicaid Systems

Columbia, South Carolina

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Today

Job Title Senior Mainframe COBOL Developer Medicaid Systems Overview / Summary We are seeking an experienced Mainframe COBOL Developer to support Medicaid IT systems for our client in a fast-paced, team-oriented environment. This role involves maintaining and enhancing claims adjudication and payment processing systems, supporting ongoing production work, and contributing to upcoming FY26 projects. Key Responsibilities Work collaboratively with Medicaid Services MMIS and MEDS teams to implemen

Full-time

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

Remote

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8d 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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Contract, Third Party

$50

Healthcare/Medicaid Project Manager

Remote

•

Yesterday

Title:Healthcare/Medicaid Project Manager Location:RemoteLength:Long termRestriction:w2 or c2cDescription:Webcam Interview Only Very long term project; initial PO for 1 year, expect to go for 4+ years Remote Job Description:Expected SkillsAble to manage highly complex work efforts; may have advanced education; may have extensive industry experience. Description (including, but not limited to)Responsibility for the successful completion of end-to-end project work, including all work productsOver

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Depends on Experience

Java Lead with Medicaid experience- Remote

Remote

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9d 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

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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16d 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

Java Developer with Medicaid- Remote

Remote

•

Yesterday

8+ years of working experience as a Java developer Experience with user interface design. Experience with Medicaid is must Knowledge of performance testing frameworks including Mocha and Jest. Excellent troubleshooting skills.

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Contract, Third Party

Depends on Experience

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

Remote

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5d ago

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

Senior IT Project Manager (Medicaid/Healthcare) - REMOTE

Remote

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Yesterday

Job Description: Crop to Crop resumes are accepted This role will provide project management services to both the N.C. Health Information Authority (NCHIEA) and the Government Data Analytics Center (GDAC) and will support the oversight of the technical implementation vendor, all in close collaboration with NC Medicaid. With out this role, project scope, schedule, and budget risks will materialize due to the lack of strong project management and coordination across multiple stakeholders, all to m

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Contract, Third Party

Depends on Experience

QA Test Engineer with Medicaid and Claims - Remote

Remote

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Yesterday

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 Tes

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Third Party, Contract

Depends on Experience

Medicaid Community Outreach Coordinator

Remote

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12d 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

Need - Mainframe Developer With COBOL/IDMS & Healthcare Exp - Medicaid/MMIS) - Remote @W2

Remote

•

Yesterday

Hi, Role: Programmer Advanced (Mainframe Developer With COBOL/IDMS & Healthcare Exp - Medicaid/MMIS) Location:Clemson, SC (RemoteJob) Client: State of South Carolina Department:ClemsonUniversity Duration: 6-12 Months Experience: 12+ 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,

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Contract

Depends on Experience

IBM DataStage Developer - Remote (Medicaid/MMIS required )

Remote

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Today

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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Contract, Third Party

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

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