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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: IT Infrastructure and Operations 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 outcom

Full-time

USD 127,500.00 - 172,500.00 per year

Senior Healthcare Business/Data Analyst (Medicaid) - $53 CTC - REMOTE (WI residents only)

Remote

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Today

Job Description: Crop to Crop resumes are accepted Location Requirement: Remote or on-site? This position is remote, but work must be performed within the State of Wisconsin WI residency IS REQUIRED. No relocation allowed. Selected candidate will be required to be onsite in Madison, Wisconsin once a month. Under the general supervision of the Section Manager, Program Participation Oversight (PPO) in the Bureau of Quality & Oversight (BQO), this position is primarily responsible for the operati

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Contract

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

Remote

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3d 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

Reporting Manager - Medicaid Analytics SME- Remote

Schaumburg, Illinois

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Today

At Optum, we deliver care, aided by technology, to help millions of people live healthier lives. Our work is driven by a culture of Caring. Connecting. Growing together. We value collaboration, innovation, inclusion, and accountability as we solve complex challenges across health care and public service. Optum is part of UnitedHealth Group, a global organization committed to improving health outcomes, advancing health equity, and building a modern, high performing health system. You'll enjoy the

Full-time

Compensation information provided in the description

Advisor Test Engineer - Medicaid Test Manager

Indianapolis, Indiana

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 90,900.00 - 129,900.00 per year

Data Engineer MMIS (Medicaid Management Information System)

Remote

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3d ago

Genzeon, an AI and automation company with deep engineering and data expertise, dedicated to serving the healthcare and retail industries. Our platform solutions including HIP One, CompliancePro Solutions, and Patient Engagement Solutions empower organizations to scale innovation and transform outcomes. Genzeon is a global community of innovators and problem-solvers, with a culture built on inclusion, flexibility, and purpose-driven work. With four global delivery centers, we support providers

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Contract

Depends on Experience

Healthcare Business Analyst - Medicaid

Remote or Hybrid in Madison, Wisconsin

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Today

The State of Wisconsin is looking for a Business Analyst/Consultant . Will close to submissions on 5/13 at 4:00PM CST. Top Skills & Years of Experience: 3 to 5 years of experience performing a business analyst role supporting State Medicaid and MMIS, or similar health care business o System Project Management and Oversight o Data Analysis and Policy Support o Coordination and Collaboration Nice to have skills: o Certified Business Analysis Professional (CABP) preferred o Excellent interpersonal

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Full-time, Third Party

Depends on Experience

Actuary or Associate Actuary - Medicaid - Remote

Chicago, Illinois

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Today

Looking for a step up? This is a perfect opportunity to move up to the next level. Well-known Health client has a great opportunity for an ASA of FSA with a background in Value Based Payments (VBP) and government programs (Medicaid, Medicare). This individual will performhealthcare data analysis, interpret regulations, and help build financial models. The ideal candidate will have 7+ years of actuarial experience with at least 4 years experience with VBP, Medicaid, and Medicare. Must have strong

Full-time

Compensation information provided in the description

Medicaid Project Manager

Albany, New York

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8d ago

Job Title:Project Manager Need Government Experience Work Location:Albany, NY - Hybrid Duration: 18+ Months Postition Type: C2C / W2 Must have experience in Healthcare and Medicaid systems Must have experience working with Government entity as Project Manager Requested Qualifications: 84 months of experience in managing multiple complex IT projects where regular interactions with Executive level stakeholders were required. 84 months of experience in managing an IT project with a minimum of

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Contract, Third Party

Depends on Experience

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

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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3d 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

Medicaid / MMIS QA Lead

Pierre, South Dakota

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Today

Role: Testing Lead (MMIS) Location: Pierre, SD - Onsite Overview: Hiring a Testing Lead to support the Medical Services Division. This role focuses on testing and validation of Medicaid Management Information Systems (MMIS). Key Responsibilities Develop and execute test cases and test scenariosCoordinate testing activities with IT teams and project leadsTrack test results, defects, and remediation effortsSupport projects driven by federal regulations, state mandates, and policy updatesAnalyze sy

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Contract, Third Party

$60 - $70

Direct client - Project Manager - Medicaid Management Information Systems

Sioux Falls, South Dakota

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Today

Unisoft Technology seeking a qualified individual(s) to provide project management support for client program areas working on technology implementations. Active implementations requiring support include Provider Enrollment and Credentialling, and Medicaid Management Information Systems Modernization. Location: Successful candidate will be on site with staff in Pierre and/or Sioux Falls, SD Duration: 24 Months Activities include but are not limited to: Lead a team of business and data analysts

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Contract

Depends on Experience

Testing Lead || Onsite role in Pierre, South Dakota || Medicaid Management Information Systems (MMIS) experience is required ||.

Pierre, South Dakota

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10d ago

Job Title: Testing Lead Location: On-site from Day 1 /Pierre, South Dakota Duration: 12 Months Medicaid Management Information Systems (MMIS) experience is highly required. Activities include but are not limited to: Coordinate testing efforts with system project leads and the Department s IT team.Create and document comprehensive test scenarios while understanding system impacts to all relational systems and programs. Conduct testing scenarios within various systems, review and track results, a

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Contract

$50 - $55

Acquisition Support Specialist Exp with Medicaid Enterprise Systems (MES) - REMOTE

Remote

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Yesterday

Job Description: Crop to Crop resumes are accepted The Acquisition Support Specialist will play a critical role in supporting all phases of the acquisition lifecycle. Working within the North Carolina Department of Health and Human Services, Division of Health Benefits, this role focuses on procurement and contract management for Medicaid Enterprise Systems (MES) projects. This role requires close collaboration with leadership, business leads, project managers, and other team members within the

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Contract

Depends on Experience

Project Manager with PMP and must have Medicaid Management Information Systems (MMIS) experience

Sioux Falls, South Dakota

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Today

Easy Apply

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

Redshift SME with Medicaid Compliance - Remote

Remote or McLean, Virginia

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Today

RESPONSIBILITIES: Kforce has a client that is seeking an Amazon Redshift SME/Data Platform Engineer (Medicaid Provider Analytics). This role is fully Remote (U.S.). About the role: Join a mission-driven environmental health organization building a cloud analytics platform to identify and address Medicaid provider compliance risks. You will be the hands-on Amazon Redshift expert responsible for performance, reliability, security, and cost optimization, partnering with data engineering and analyt

Contract

$90 - $115 hourly

IT Project Manager - MMIS/Medicaid HR-1

Pierre, South Dakota

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Today

Information Technology Project Manager Industry: Public Sector / Government Health & Human Services Project Overview This role supports large-scale technology initiatives within a state government health and human services environment. The Information Technology Project Manager will provide leadership and oversight for enterprise-level system implementations that directly support Medicaid and medical services operations. Active initiatives include Provider Enrollment and Credentialing, MMIS S

Full-time

USD 65.00 - 85.00 per hour

Business Analyst - Medicaid

Minneapolis, Minnesota

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS , a Gainwell Company carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistanc

Full-time

USD 55,600.00 - 79,400.00 per year

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