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Customer Service representative-Medicaid

Remote

•

Today

Position : Medicaid CSR Location: 100% Remote Domain: Healthcare insurance domain Duration: Fulltime Permanent role Responsibilities: Respond to inbound calls and emails from Medicaid members and providers regarding benefits, coverage, and claims.Explain Medicaid plan features, policies, and procedures clearly and accurately.Assist members with eligibility checks, enrollment, renewals, and ID card requests.Research and resolve claim issues, billing concerns, and service requests.Document all in

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Full-time

50,000 - 55,000

Medicaid Operational SME

Moss Point, Mississippi

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18d ago

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 Policy Program Consultant

Almont, Colorado

•

Yesterday

Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sectors IT environment. Our team is on the forefront of helping to solve the government''s most complex IT challenges. If you are seeking a role that offers the opportunity to work on rewarding projects, consider a career with Cloud and Things. *This is an exempt position. Salary commensurate with experience* Location: Remote with periodictravel required Salary: $1

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Full-time

Depends on Experience

Medicaid Business Analyst - Remote

Remote

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7d ago

Title: Medicaid Business Analyst - Remote Mandatory skills: Medicaid, healthcare payer, Medicaid programs, managed care operations, business requirements, IT teams, system vendors, claims platforms, encounter processing, care management systems, data analysis, SQL, data warehouse, CMS reporting, state encounter submissions, quality programs, Agile, SAFe, SDLC methodologies, Medicaid business operations, technical delivery, Medicaid requirements, system configuration, data integration, care mana

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Contract

43 - 48

Texas Medicaid and CHIP systems Business Analyst-Local to Austin TX

Austin, Texas

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14d ago

Texas Medicaid and CHIP systems Business Analyst-Local to Austin TX The primary work location will be, Austin, TX 78751. Position is ONSITE at the location listed above (NO REMOTE WORK). Program will only accept LOCAL ONLY candidates for this position. The primary work location(s) will be at Austin, TX 78751. The working position is Hybrid - On Site and Telework. 8 or more years of experience, relies on experience and judgment to plan and accomplish goals, independently performs a variety of co

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Contract, Third Party

Depends on Experience

Senior Business Analyst with Medicaid/MMIS SME

Remote

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5d ago

Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, userstories) Translate complex business needs into clear functional and technical requirements Collaborate with stakeholders, product owners, and development teams Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations Support defect management, and production support Identify process improvements and

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Contract, Third Party

Depends on Experience

Data Scientist (Medicaid)

Jackson, Mississippi

•

Yesterday

Key Responsibilities: Provide technical expertise to further the development of reports as well as evaluate and recommend tools for data reporting and analysis. Assist in the development of scalable, organization-wide dashboards and reporting. Utilize Client claim and clinical data to perform advanced analysis to identify patterns, trends and insights using advanced analytical tools and methods. Collaborate with DOM technical and non-technical teams to develop and document production of report

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Contract, Third Party

$Depends on Experience

Project Manager - Medicaid and Medicare experience

Remote

•

18d ago

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

Medicaid Business Analyst

Austin, Texas

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4d ago

8 or more years of experience, relies on experience and judgment to plan and accomplish goals, independently performs a variety of complicated tasks, a wide degree of creativity and latitude is expected. Min 5 years of experience, served as a liaison between the Business community and Customer IT Teams (i.e., Architecture, Project Delivery, Application Sustain, etc.). Strong experience as a Data Analyst in analyzing raw data, and as a Business Analyst in requirements gathering, understanding tec

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Contract

Depends on Experience

Java Full Stack Lead with Medicaid/MMIS - Remote

Remote

•

5d ago

812 years of IT experience with technical leadership backgroundStrong Medicaid/MMIS domain experience (MMIS preferred)Hands-on Java full stack development experienceExperience with REST APIs, cloud platforms (AWS/Azure), and databasesExcellent communication and leadership skills

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Third Party, Contract

$50

Medicaid Business Analyst

Montgomery, Alabama

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6d ago

AgreeYa is a global Systems Integrator and is seeking an experienced Medicaid Business Analyst to join our growing team. The Business Analyst will be responsible for reviewing and approving artifacts related to the program, project, or software. Experience Required: Minimum 10 years of experience as a Medicaid Business Analyst with 3 years working on business process modelling and management. Atleast 5 years of experience in MMIS or domain knowledge of Medicare, Medicaid or with a major healthc

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Contract

Depends on Experience

Medicaid - Business Analyst

Montgomery, Alabama

•

Today

Business Analyst with Medicaid/ MMIS experience Location: Montgomery AL Required Skills Required Skills 7 years of experience as a Senior Business Analyst with 3 years working on requirement development and management.5 years of experience in MMIS or domain knowledge of Medicare, Medicaid or with a major health care payer2 years of experience with contract monitoring or Request for Proposal (RFP) developmentExpert/Advance experience in using SharePoint, Office 365, Video conferencing software s

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Contract, Third Party

$60 - $70

Business Analyst with Medicaid experience

Jefferson City, Missouri

•

Today

Only Local candidate Jefferson City, MO Required Skills & Qualifications Minimum 4+ years of experience in Medicaid, SNAP, or human services IT environments Minimum 2+ years of experience developing requirements for large system procurements Strong experience in requirements gathering, analysis, and documentation Proven ability to translate federal or regulatory requirements into business/system requirements Experience conducting gap analysis, impact analysis, and business process modeling

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Contract, Third Party

Depends on Experience

Director of Medicaid Member Experience (CX) Operations

Little Rock, Arkansas

•

Today

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. Our Mission At Optum

Full-time

USD 134,600.00 - 230,800.00 per year

Business Systems Analyst (Medicaid) - $51 CTC - REMOTE (CURRENT WI RESIDENT)

Remote

•

Yesterday

Job Description: Crop to Crop resumes are accepted Location Requirement: Remote of Onsite? Candidates must be CURRENT WI residents. No relocation is allowed. The selected hire can work mostly remote from within the state of Wisconsin, but will be required to be onsite in Madison once a month. This role will act as a senior-level systems analyst to conduct comprehensive analysis and documentation of the Medicaid Eligibility System. Services to be performed include acting as a senior-level system

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Contract

Depends on Experience

Medicaid Subject Matter Expert (SME)

Jackson, Mississippi

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12d ago

Title: Medicaid SME Location: 100% OnsiteDuration: 12 Months (Possible Extension)Client: Medicaid We are seeking an experienced Medicaid Subject Matter Expert (SME) to support the implementation of a Program Integrity (PI) solution focused on detecting fraud, waste, and abuse (FWA). Required Experience: Strong knowledge of Medicaid data domains (Member, Provider, Claims) Experience with Program Integrity / FWA detection Understanding of MMIS / Medicaid systems Knowledge of CPT, HCPCS, ICD coding

Easy Apply

Contract, Third Party

Depends on Experience

Business Analyst - Medicaid Claims Processing

Springfield, Illinois

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26d ago

Business Analyst Medicaid Claims Processing Location: Springfield, IL 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

Easy Apply

Full-time

Depends on Experience

Burgess Source Configurator - Medicaid (Remote)

Remote

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18d ago

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-

Easy Apply

Full-time

Depends on Experience

Oracle PL/SQL/Curam Reports Developer (Medicaid) - HYBRID (Locals Only)

Hybrid in Durham, North Carolina

•

Yesterday

Job Description: Crop to Crop resumes are accepted Location Requirement: Must be a local candidate and be able to come to office on a need basis North Carolina Families Accessing Services through Technology (NCFAST) is seeking a highly skilled Oracle PL/SQL and Microsoft Azure Synapse developer to provide business and system analysis, modeling, design, developing and maintaining Medicaid reporting solutions and semantic models. This role will work closely with NC FAST internal business team and

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Contract

Depends on Experience

Curam Solution Architect - Medicaid / Eligibility Systems (Remote)

Remote

•

Today

Curam Solution Architect Medicaid / Eligibility Systems 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 repu

Easy Apply

Full-time

Depends on Experience

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