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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 analyst

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Third Party, Contract

Depends on Experience

Direct client - Project Manager - Medicaid Management Information Systems

Sioux Falls, South Dakota

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Today

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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

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Contract

Depends on Experience

Medicaid Tester

Remote

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20d ago

Job ID: SD-RFP19317-Testing Lea Remote/Local Medicaid Tester (15+) with MMIS (must), dynamics experience Location: Pierre, SD (DSS)Duration: 12 Months Scope of WorkDSS is seeking a qualified individual to create test case scenarios and conduct testing on the business side and with key stakeholders with respect to enhanced or developed Medicaid Management Information Systems (MMIS). Experience with MMIS is required. Activities include but are not limited to:Coordinate testing efforts with system

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Contract, Third Party

Depends on Experience

Business Analyst

Remote

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Today

Job ID: SC-10851 Remote/Local Healthcare BA with ICD/CPT/HCPCS, Optum Encoder/Medical Coding/Claim processing system, remediation, SME, MMIS experience Location: Columbia, SC (SCDHHS)Duration: 12 MonthsWork Location: Fully RemoteCandidate Location: Candidate MUST be a SC resident. No relocation allowed. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 5 years experience in healthcare insurance; medical review, program integrity, or appeals. 5 years experience working with IT developers/programme

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Contract

Depends on Experience

Technical Delivery Manager (MMIS Medicaid Business)

Remote

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Today

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

Clinical Business Analyst in Healthcare environment - REMOTE (MUST be a SC Resident) - W2 ONLY

Remote

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Today

Job Description: Only W2 resumes are accepted Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. This project is an immediate support need that will primarily focus on providing consulting services to operations and policy staff for the current medical coding federal requirements, quarterly and intermittently, and all coding changes associated with agency initiatives to ensure compliance policy and code change alignment. Note - Medicaid Manage

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Contract

Depends on Experience

MMIS Reference Administrator

Remote

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Today

Requirements5 or more years of experience in medical coding and claims adjudication within a payor environment.Proficiency in MMIS and CPT, HCPCS, and ICD-10 coding methodologies.Experience in translating clinical policies into technical business and functional requirements.Experience with Optum Encoder and specialized medical coding software programs.Experience in collaborating with software developers on technical claims processing system updates.Experience with supervising staff responsible f

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Contract, Third Party

Depends on Experience

QA Manager - Healthcare EDI Claims 837, 835

Remote

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7d ago

Skill Matrix: Skill Rating 1-5 Exp QA Manager EDI transactions (e.g., 837, 835, 270/271, 276/277) MMIS ( Medicaid Management information system ) SQL ALM, JIRA Job Description: Lead end-to-end testing activities for healthcare projects, including requirement analysis, test planning, test estimation, and risk assessment.Develop test plans and test schedules.Resource must understand how claims work(EDI 837), how claims get priced and paid. How does the member benefit works after the claim submiss

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Full-time

Up to $120,000

Medical Coder with ICD- W2 Only -- Remote

Remote

•

Today

Title:Business Analyst - Remote; Locals to SC candidates;W2 onlyLocation:RemoteLength:Long term Restriction:w2 onlyDescription: no c2c * W2 only;WebCam InterviewRemote Job Description:Scope of the ProjectThis project is an immediate support need that will primarily focus on providing consulting services to operations and policy staff for the current medical coding federal requirements, quarterly and intermittently, and all coding changes associated with agency initiatives to ensure compliance p

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Contract

Depends on Experience

Business Analyst with Healthcare

Remote

•

Today

Note : It is Fully Remote Role and looking local to South Carolina Only !! Position : Business Analyst with HealthCare Location : Columbia , SC Client : State of SC Position id : 10851 Required Skills Skill Type Skill Name Bachelor''s degree in Health Information, Healthcare Administration, or related field; equivalent experience may be considered with a minimum of 3+ years of direct supervisor experience. 5+ years'' experience in healthcare insurance; medical review, program integrity, or appe

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Contract

70 - 80

Medical Coding/Payer Analyst (Remote - Must be local to SC)

Remote

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Today

Client: State of SC Agency: SCDHHS Posting ID: 10851 Posting title: IT - SCDHHS - Business Analyst Consultant Title: Business Analyst Consultant Address: 1201 Main Street Suite 600, Columbia, SC 29201 Projected Start Date: 05/26/2026 Projected End Date/Duration: 12 Months from projected start Location: Remote Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Fully Remote Candidate Location: Candidate MUST

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Contract, Third Party

$65 - $75

Business Analyst

Remote

•

Today

DUTIES AND RESPONSIBILITES: Responsible for elicitation, analysis, and documentation of business requirements. Research and exploration of user requirements, costs, and benefits in support of documentation required for the demand management process. Responsible for analyzing the business needs to identify new processes and process improvements that will meet those needs. Documents current business processes and models to define requirements and/or gaps. Analyze detailed system factors inclu

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Contract

Depends on Experience

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