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Healthcare Project Manager (with MMIS and Medicaid)

Remote

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2d ago

Job Description: Job Title: Project Manager (MMIS) Location: Remote/Hybrid (any Infinite or Client's office Location at least once in a week or a minimum of 3 days per month) Type: Full Time/W2 with Infinite Computer Solutions Job Description: Position Summary: We are looking for a client-facing Project Manager to lead healthcare and benefits implementation projects. The Project Manager will be responsible for coordinating project activities, managing client relationships, engaging stakeholders,

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Full-time

$120,000 - $130,000

Senior Business Analyst - Medicaid

Washington, District of Columbia

•

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 As a Senior Business Analyst - Medicaid at Gainwell, you will apply your analytical expertise to help harness the power of data

Full-time

USD 69,400.00 - 99,200.00 per year

Expert Technical Solution Architect (Medicaid) - HYBRID

Hybrid in Raleigh, North Carolina

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3d ago

Job Description: Crop to Crop resumes are accepted Division of Health Benefits (DHB) is seeking an Expert Technical Solution Architect to provide data warehouse and Cognos analytical solution services. The candidate will deliver strategic insight to DHB management by leveraging predictive data analysis techniques, sophisticated technology tools, and information management principles to help our stakeholders make well-informed decisions. The candidate is expected to work without assistance; provi

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Third Party, Contract

Depends on Experience

Medicaid Enterprise Systems // MES // MMIS // CMS Certification // Remote

Remote

•

10d ago

Job Title: Reporting Analyst Medicaid Enterprise Systems (MES/MMIS) Location: Remote (NC) Duration: Long-Term Contract We are looking for an experienced Reporting Analyst with strong Medicaid Enterprise Systems (MES/MMIS) and CMS Certification experience for a long-term Remote contract Strong experience in data analysis, reporting, stakeholder collaboration, and data visualization is required. If you have experience supporting Medicaid programs and CMS reporting, we''d love to connect! Requi

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Contract

Depends on Experience

PA - Project Management (Medicaid Section 1115 demonstration/waiver) -

Harrisburg, Pennsylvania

•

10d ago

Job Title: Project Management (Human Service,Medicaid Section 1115 demonstration/waiver) Job ID: 806533 Client: Commonwealth of PA2- DHS Closing Date:07/08/2026 at 4.00 PM Position is hybrid, both on-site and remote (The selected candidate will be required to report to the Harrisburgh office up to '2' days per month) Senior Project Manager Pennsylvania Department of Human Services (DHS) | Secretarys Office / Cross-Program Initiatives Background The Pennsylvania Department of Human Se

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Contract

Depends on Experience

Medicaid Data Architect in TX

Austin, Texas

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13d ago

Title : Enterprise Architect 3- 529701741 Location : Austin, TX Duration : 12 + Months Job Type : C Description : OverviewThe Medicaid Data Architect position is an Information Technology (IT) position and will be a part of the PMAS Medicaid sprint team working in collaboration with the Office of Data Analytics & Performance (DAP) within the Health and Human Services Systems business domain. This architect designs and implements integrated data solutions for a multi-terabyte data integration hu

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Contract

Depends on Experience

Medicaid IT Systems Mainframe- Remote 100%

Remote

•

3d ago

Job Title : Medicaid IT Systems Mainframe Location: Remote 100% Duration: Long term Job Type : Contract (We can consider - W2) REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 10+ years of experience with Mainframe10+ years of experience with MVS COBOL10+ years of experience with IDMS10+ years of experience with CA- ADS5+ years of experience with JCLSoft skills Required: EffectiveCommunication Skills (written and oral), Adaptability, Flexibility, Self-motivation,Problem Solving, Analytical Thinkin

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Contract

Depends on Experience

Sr Business Analyst With Medicaid Experience -Hybrid

Hybrid in Atlanta, Georgia

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3d ago

Required Qualifications 15+ years of experience in Medicaid eligibility and enrollment systems and operations. Strong understanding of Medicaid eligibility rules, enrollment lifecycle, renewals,Stacking, notices, and case management processes. Mandatory experience working with large system integrators, healthcare vendors, or state Medicaid programs. Experience working on large state Medicaid programs and integrated eligibility systems. Experience supporting Medicaid modernization or eligibility

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Third Party, Contract

Depends on Experience

Java developer with Medicare Medicaid Integrated eligibility system state experience

Remote

•

2d ago

Urgent Role: Java developer with Medicare Medicaid Integrated eligibility system state experience Location: Mechanicsburg, PA Remote (Need Locals) Rate : Monthly on C2C -Keep it Low Duration: Long term Visa: Any visa can submit Exp: After bachelor 6 years of experience required. Client: Deloitte/State client Important: Medicare Medicaid Integrated eligibility system state experience required. Role Description: Have experience and domain knowledge of the Integrated Eligibility application. Shoul

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Contract

Depends on Experience

Healthcare Data Analyst

Tallahassee, Florida

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3d ago

Subject: Data Analyst with Medicaid or Claims Location: Tallahassee (On-Site) Scope of Work/Job Characteristics 1) Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends, anomalies, and opportunities for improvement. 2) Support program evaluation, policy analysis, and operational decision-making through data insights. 3) Design and maintain dashboards and reports using tools like Power BI or Tableau. Present findings to stakeholders in a clear, actionable format. 4

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Contract

Depends on Experience

Data Analyst (Healthcare / Medicaid) - Need Florida Health Department Exp is Must

Tallahassee, Florida

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5d ago

Job Title: Data Analyst (Healthcare / Medicaid) - Need Florida Health Department Exp is Must Location: Florida (100% Onsite 5 Days/Week) Client: Florida Health Department Interview: Face-to-Face (In-Person) Duration: Long Term.Job DescriptionThe Florida Health Department is seeking an experiencedData Analystwith a strong background inU.S. Healthcare and Medicaid. The ideal candidate will have extensive experience analyzing healthcare data, developing interactive dashboards, writing complex SQL

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Contract, Third Party

60 - 80

Senior Java Developer with Medicare/Medicaid experience - Remote

Remote

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2d ago

10+ years of working experience as a Java developerCandidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare.Candidate should have hands-on experience on claims processing and Adjudication processes.Experience with user interface design.Knowledge of performance testing frameworks including Mocha and Jest.Excellent troubleshooting skills.

Easy Apply

Third Party, Contract

$55

Manager, AI Solutions, Medicaid RFP

Remote or Ohio

•

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 The Manager, AI Solutions plays a crit

Full-time

USD 75,400.00 - 165,954.00 per year

Data Analyst Supervisor, Medicaid Fraud Control Unit

Richmond, Virginia

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Today

Title: Data Analyst Supervisor, Medicaid Fraud Control Unit State Role Title: Data Analyst Supervisor Hiring Range: $95,000-$120,000 Pay Band: UG Agency: Attorney General & Dept of Law Location: Office of the Attorney General Agency Website: ;br> Recruitment Type: General Public - G Job Duties The position will lead and manage a team of Data Analysts, overseeing their activities in accessing, analyzing, and presenting data crucial for criminal and civil investigations into Medicaid fraud

Full-time

USD 95,000.00 - 120,000.00 per year

Senior Data Analyst - Fraud, Waste, and Abuse - Remote

Remote or Eden Prairie, Minnesota

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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. The Fraud, Waste, and

Full-time

USD 91,700.00 - 163,700.00 per year

Rural Health Program Data Scientist (REMOTE)

Remote or Albuquerque, New Mexico

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Today

DATA SCIENTIST - RURAL HEALTH PROGRAM Leads advanced analytics, modeling, and data strategy activities supporting statewide rural health transformation initiatives. Develops predictive and prescriptive analytics to inform program strategy, provider performance improvement, and decision-making. Designs and implements statistical models, machine learning approaches, and advanced analytical frameworks to assess provider performance, identify trends, and generate actionable insights. Supports deve

Full-time

USD 108,476.00 - 184,409.00 per year

Rural Health Program Data Scientist (REMOTE)

Remote or Albuquerque, New Mexico

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15d ago

Full-time

USD 108,476.00 - 184,409.00 per year

Medicaid Subject Matter Expert/Data Specialist

Springfield, Illinois

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Today

This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation for both DDI and maintenance & operations. Based on State requirements, the selected SME will provide the required decisions for the business and t

Full-time

Sr Data Analyst, Enrollment Research and Data Analytics (Remote)

Remote or Long Beach, California

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Today

Job Description Molina Healthcare is hiring for a Sr Data Analyst, Enrollment Research and Data Analytics. This role is a Senior Data Analyst on our Research & Analytics team that supports enrollment operations. We work with member and enrollment data across lines of business like Medicaid, Medicare, Marketplace, and Duals. Our main job is to analyze data issues, fix data when needed, and build reporting and dashboards that help our operations teams run smoothly. Ultimately, our work ensures m

Full-time

USD 54,373.27 - 117,808.76 per year

Rural Health Program Data Analyst (REMOTE)

Remote or Albuquerque, New Mexico

•

Today

DATA ANALYST - RURAL HEALTH PROGRAM You are required to live in New Mexico to be considered for this role. Supports data management, reporting, and performance monitoring activities for statewide rural health transformation initiatives. Assists in development and maintenance of dashboards, reports, and structured data products used to track program implementation and provider performance. Performs data extraction, cleaning, validation, and analysis to support recurring reporting requirements

Full-time

USD 74,090.00 - 125,954.00 per year

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