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Moss Point, Mississippi

•

Yesterday

The Medicaid SME will provide subject matter expertise related to Medicaid program data, policies, and operational workflows to support the successful implementation and operationalization of the Program Integrity (PI) tool. The SME will collaborate with technical teams, program staff, vendors, and project leadership to ensure the PI solution effectively leverages Medicaid data to detect, prevent, and investigate fraud, waste, and abuse. Key Responsibilities: Data Domain Expertise - Provide expe

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Contract, Third Party

Medicaid Data Operations SME

Moss Point, Mississippi

•

Yesterday

JOB DESCRIPTION: The Medicaid SME will provide subject matter expertise related to Medicaid program data, policies, and operational workflows to support the successful implementation and operationalization of the Program Integrity (PI) tool. The SME will collaborate with technical teams, program staff, vendors, and project leadership to ensure the PI solution effectively leverages Medicaid data to detect, prevent, and investigate fraud, waste, and abuse. Key Responsibilities: Data Domain Experti

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Contract, Third Party

Depends on Experience

Medicaid SME

Moss Point, Mississippi

•

Yesterday

Title : Medicaid SME - Location : Jackson, MS - Onsite Duration : 12 + Months Job Type : C Description : The Medicaid SME will provide subject matter expertise related to Medicaid program data, policies, and operational workflows to support the successful implementation and operationalization of the Program Integrity (PI) tool. The SME will collaborate with technical teams, program staff, vendors, and project leadership to ensure the PI solution effectively leverages Medicaid data to detect, p

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Contract, Third Party

Depends on Experience

Medicaid SME (Subject Matter Expert)

Moss Point, Mississippi

•

Yesterday

Role: Developer - Medicaid SMELocation: Jackson, MSWork Mode:OnsiteEmployment Type: ContractInterview Mode: Only Video We are seeking an experienced Medicaid SME with deep expertise in Medicaid program data, policies, and operational workflows to support the successful implementation and operationalization of a Program Integrity (PI) solution. The ideal candidate will work closely with technical teams, program leadership, and implementation partners to ensure the system effectively leverages Med

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Contract, Third Party

60 - 70

Project Manager - Medicaid and Medicare experience

Remote

•

Yesterday

Job Title : Project Manager Work Location: Remote Full Time/Part Time: Full-time Compensation Range: $55 - $60 Must-Have Skills Strong background concentrated in CMS. 6+ years of experience managing complex projects, programs, or initiatives through the full project lifecycle3+ years of Medicaid and Medicare experienceStrong knowledge of project management methodologies including Waterfall and Agile SDLCExperience managing project financials (P&L), forecasting, budgeting, and effort trackingPro

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Contract

$55 - $60

Mainframe MMIS (Medicaid Management Info Sys) QA/Tester:

Remote

•

17d ago

Hi Everyone, We have a contract opportunity for a: Mainframe MMIS (Medicaid Management Info Sys) QA/Tester: The project is in Columbia, SC for a long term. 100% REMOTE GOVERNMENT EXPERIENCE IS REQUIRED. Must be MMIS highly experienced. Duration: long term Interview: MS Teams, 1 round Location: 100% remote Statement of Work (SOW) for Contingent Labor Request PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): Experience with Medicaid Experience with Serena Changeman Experience with SQL Experience w

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Contract

$30 - $40

Medicaid Management Information Systems - (MMIS) - Remote- United States - Full Time Role

Remote or Hybrid

•

10d ago

Role: MMIS (Medicaid Management Information Systems) Key Responsibilities & Skills System Modernization: Transitioning legacy, monolithic MMIS to modern, modular Medicaid Enterprise Systems (MES). Functional Expertise: Deep knowledge of Medicaid claims, provider enrolment, third-party liability (TPL), pharmacy benefits, and member management. Regulatory Compliance: Ensuring system functionality meets federal and state Medicaid regulations. Project Leadership: Guiding IT teams, developers, and b

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Full-time

Parallel Testing Manager (MMIS / Medicare / Medicaid)

Remote

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3d ago

We are seeking to hire a Parallel Testing Manager to join our team working on a new multi-year award we have within a State Govt client, updating their Medicare/Medicaid systems. This role is 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 401k). An option for working on an hourly rate is a

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Full-time

Depends on Experience

Burgess Source Configurator - Medicaid (Remote)

Remote

•

Yesterday

Burgess Source Configurator - Medicaid Location: Remote 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 building long-

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Full-time

Depends on Experience

Defect Management Testing Manager (healthcare / Medicare / Medicaid systems)

Remote

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3d ago

We are seeking to hire a Defect Testing Manager to join our team working on a new multi-year award we have within a State Govt client, updating their Medicare/Medicaid systems. This role is 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 401k). An option for working on an hourly rate is als

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Full-time

Depends on Experience

Senior Manager, Medicaid Implementations - Provider Data

Remote or Florida

•

Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Role Summary The Senior Manager, Medicaid Implementatio

Full-time

USD 75,400.00 - 165,954.00 per year

Medicaid Instructional Designer and Trainer - Remote US

Remote or Milwaukee, Wisconsin

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Today

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell Technologies is seeking an Medicaid Instructional Designer and Trainer - Remote US to join our Training and Developmen

Full-time

USD 51,700.00 - 73,800.00 per year

Aetna Technology Medicaid Director Product Portfolio

Remote or Downers Grove, Illinois

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Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health is embarking on a bold digi

Full-time

USD 144,200.00 - 288,400.00 per year

Lead, Medicaid Technology

Remote or Kentucky

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Today

Become a part of our caring community and help us put health first 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 com

Full-time

USD 117,600.00 - 161,700.00 per year

Technical Consultant- Medicaid/MMIS

Remote

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3d 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

Business Analyst- Medicaid

Remote

•

3d ago

Easy Apply

Full-time

Depends on Experience

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