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Mobile, Alabama permanent
Customer ServiceCommunicationAssessmentCare PlanningDocumentationBilling AccuracyTime ManagementRedeterminationReport CompositionClerical Coordination

SUMMARY DESCRIPTION: The Medicaid Waiver Case Manager is responsible for implementation of the Medicaid Waiver Home and Community-based Services Program within the SARPC area following specific requi...

April 6, 2026 View Details
Austin, TX, United States contract
Business ArchitectureDigital TransformationBusiness Data AnalystEnterprise Product StrategyBusiness Process ModelingUMLArchiMateProblem SolvingCommunicationNegotiationConflict ResolutionMITA Framework

We provide Recruitment and Staffing services to many industries and domain through our innovative and customized solutions and passionate commitment to research. Ability to understand the hiring strat...

April 2, 2026 View Details

Medicaid Principal Researcher

Americaninstitutesforresearch

US-Remote | US-VA-Arlington | US-NC-Chapel Hill | US-IL-Chicago | US-CA-Sacramento | US-TX-Austin (Remote (United States)) Remote permanent
LeadershipOrganizational SkillsInterpersonal SkillsProposal DevelopmentProject ManagementMedicaid ProcessesData AnalysisGrant and ProjectsTechnical ExpertiseTeam Management

Join AIR as a Medicaid Principal Researcher with our Healthcare Innovations team. Our team works collaboratively to unravel the intertwined challenges of health care quality, costs, and access. Our te...

April 2, 2026 View Details
Overland Park, KS, United States permanent
Medicare RegulationsInternal AuditsComplianceReportingAudit RemediationRemediation PlanningProduct FormularyComplaints HandlingMedicaid ProcessesOTC Catalog

At Convey Health Solutions, we focus on building specific technologies and services that can uniquely meet the needs of government sponsored health plans. We provide member management solutions for th...

February 7, 2019 View Details

Registered Nurse/Medicaid Clinical Reviewer

Greenlife Healthcare Staffing

New York, New York, United States Remote permanent
Registered NurseClinical Protocol ReviewRemoteProcess ReviewsQuality ReviewsLegal AppealMedical RecordsBill FinalizationMicrosoft OutlookMicrosoft WordSpreadsheetsInterQual Criteria

Registered Nurse/Medicaid Clinical Reviewer - Remote (#25298A) • Location: Remote • Employment Type: Full-time • Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffi...

March 30, 2026 View Details
United States Remote permanent
Enterprise SalesEconomic ModellingContract ProcurementTeam LeadershipSales StrategyRegulatory EnvironmentDeal ProgressionMedicaid ReimbursementMedicaid SalesMCO Partnerships

About us Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, inf...

March 27, 2026 View Details
Sacramento, CA, United States contract
Project ManagementHIPAA ComplianceData StandardsProcess ImprovementEducation and TrainingIntranet UpdatesData DictionaryEnterprise ArchitectureMedicaid ArchitectureSS-A Updates

Contract Term: 18 months Location: Sacramento,CA Project Overview: The Contractor will provide advisory and analytical support regarding the alignment of HIPAA transaction data to standard informati...

September 23, 2013 View Details
Mandaluyong City, Metro Manila, Philippines permanent
Medical BillingMedicareMedicaidInsurance VerificationEligibility VerificationInsurance PortalsQualify OpportunitiesAutomated CoverageInternal SystemsCompany PoliciesPatient InsuranceInsurance Companies

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity ...

March 24, 2026 View Details
New York, NY, United States permanent
AnalyticalExcelInterpersonalProject ManagementCommunicationCapital StructuresMedicaidHealthcare PolicyData AnalysisFinancial Modeling

TASK FORCE: Health UNIT: Health and Hospitals / Medicaid JOB TITLE: One (1) Summer Intern CONTROL CODE: HTF Intern-26-02 SUMMARY: The Mayor’s Office of Management and Budget (OMB) is the City gov...

March 19, 2026 View Details
New York, NY, United States permanent
ExcelAnalyticalProject ManagementCommunicationInterpersonalHealth PolicyFinancial Analysis

TASK FORCE: Health UNIT: Health and Hospitals / Medicaid JOB TITLE: One (1) Summer Intern CONTROL CODE: HTF Intern-26-02 SUMMARY: The Mayor’s Office of Management and Budget (OMB) is the City gov...

March 19, 2026 View Details
Mobile, Alabama permanent
SupervisoryTeam ManagementCompliancePerformance ManagementTrainingClient AssessmentReporting

SUMMARY DESCRIPTION: Responsible for supervising a team of Case Managers, Personal Choices Counselors, or Initial Assessment Case Managers and overseeing the implementation of the Medicaid Waiver Hom...

March 18, 2026 View Details
Kansas City, MO (Kansas City, MO, MO-Remote) Remote permanent
Customer ServiceMedicaid RegulationsRegulationsAttention to DetailCommunicationDocumentation

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to ...

March 18, 2026 View Details
Mandaluyong City, Metro Manila, Philippines permanent
MedicaidMedicareCash PostingBilling AccuracyComplianceBilling DiscrepanciesProblem SolvingEnglish ProficiencyMedicaid Aging ReportsMedicare Aging Reports

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity ...

March 12, 2026 View Details
Rockville, MD, United States Hybrid permanent
Patient CareEMR SystemsHIPAATelehealthCare CoordinationInterdisciplinary CollaborationProblem SolvingCommunicationEducationReferral Coordination

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient ex...

March 11, 2026 View Details
Noida, Uttar Pradesh, India permanent
Product DesignDesign SystemsComponent LibraryAI ToolsAI-Assisted WorkflowsFigmaCollaborationDocumentationAccessibility

Product at Innovaccer Our product team is a dynamic group of skilled individuals who transform ideas into real-life solutions. They mastermind new product creation, development, and launch, ensuring ...

March 11, 2026 View Details

Senior Researcher, Medicaid Quality Measures

Americaninstitutesforresearch

US-Remote | US-VA-Arlington | US-NC-Chapel Hill | US-IL-Chicago | US-CA-Sacramento | US-TX-Austin Remote permanent
ResearchMedicaidlaboratory qualityData AnalysisProject ManagementBudget ManagementCollaborationStakeholder CommunicationTechnical AssistanceMeasure Strategy

Join AIR as a Senior Researcher, Medicaid Quality Measures with our Healthcare Innovations team. Our team works collaboratively to unravel the intertwined challenges of health care quality, costs, and...

March 9, 2026 View Details

Medicaid Researcher, Healthcare Innovations

Americaninstitutesforresearch

US-Remote | US-VA-Arlington | US-NC-Chapel Hill | US-IL-Chicago | US-CA-Sacramento | US-TX-Austin Remote permanent
Medicaid PolicyResearchData AnalysisQuantitative MethodsStatistical ModelingPolicy AnalysisProgram EvaluationStakeholder CommunicationMentorshipHealthcare Evaluation

Join AIR as a Researcher focused on Medicaid policy and programs with our Healthcare Innovations team. Our team works collaboratively to address complex challenges related to Medicaid coverage, care d...

March 9, 2026 View Details

Medicaid Programmer, Healthcare Innovations

Americaninstitutesforresearch

US-Remote | US-VA-Arlington | US-NC-Chapel Hill | US-IL-Chicago | US-CA-Sacramento | US-TX-Austin Remote permanent
Data EngineeringStatistical AnalysisData CleaningData ValidationDatabase ManagementDocumentationTechnical GuidanceRemote WorkMedicaid Data Expertise

AIR is currently seeking a Medicaid Data Programmer. This role is ideal for a programmer with deep experience working with Medicaid administrative data, including eligibility, enrollment, claims, and ...

March 9, 2026 View Details
South Africa Remote permanent
Medicaid ComplianceDocumentation ReviewFacility CoordinationDeadline ManagementRecord KeepingIndependent Issue ResolutionCommunication SkillsHealthcare KnowledgeAdministrative SupportRecertification Management

ISTA Personnel Solutions is a dynamic, fast-growing BPO company. We are not a recruitment agency — we operate as a dedicated extension of our clients’ teams, delivering high-quality service with preci...

March 5, 2026 View Details
Conway, Arkansas, United States (Conway Admin) permanent
CommunicationOrganizationAttention to DetailComputer SkillsProblem SolvingPattern RecognitionCustomer ServiceMultitasking

Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus, we work to empo...

March 4, 2026 View Details
Long Beach, CA, United States contract
Project ManagementHealthcareClaimsEnrollmentCapitationProvider Data ManagementClaims CertificationAuditingRecoveryEnd-to-End ProcessingMS Project

• Claims/Enrollment group • This position is in the Enterprise PMO, and would report to a Director of the PMO over the Claims and Enrollment Portfolio. • The Director is looking for a Sr PM who can ha...

October 11, 2016 View Details
Long Beach, CA, United States contract
Business AnalysisHealthcareMedicaidMedicareIVRCMUMDMCertificationsUtilization ManagementCare ManagementDisease Management

6+ years’ experience with increasing responsibilities as a business analyst 4+ years’ experience with health care payer organizations Experience as a lead BA or Sole BA on a team Preferred Experience...

October 11, 2016 View Details
Mobile, Alabama permanent
Medicaid ComplianceStaff SupervisionPerformance EvaluationComplaints ManagementCare Plan ImplementationBilling ProcessingHealth Insurance GuidelinesDocumentationReport PreparationMeeting Attendance

SUMMARY DESCRIPTION: The Assistant Medicaid Waiver Coordinator assumes responsibility for the daily operations of the Medicaid Waiver Team Leads, Case Managers, Initial Assessment Case Managers, and ...

March 3, 2026 View Details
Mobile, Alabama permanent
Customer ServiceCommunicationAssessmentMedicaidCase ManagementReferral ManagementDocumentationContractor Coordination

SUMMARY DESCRIPTION: The Case Manager - Initial Assessments is responsible for implementation of the Medicaid Waiver Home and Community-based Services Program within the SARPC area following specific...

March 3, 2026 View Details
Guadalajara, Jalisco, Mexico Hybrid permanent
Medicaid BillingClaim ManagementReconciliationAging ReportsDenial ManagementComplianceCommunicationExcelProblem-SolvingMedicaid Regulations

We are seeking a detail-oriented Accounts Receivable (AR) Specialist with hands-on experience handling Medicaid billing and collections. This role is responsible for managing outstanding receivables, ...

March 3, 2026 View Details
Edmond, Oklahoma permanent
Computer ProgramsTroubleshootingData EntryMedical CodingInsurance ClaimsInternal RelationshipsCommunicationHIPAA ComplianceTime ManagementTeamwork

Oklahoma Arthritis Center (OAC) is an Equal Employment Opportunity employer and considers all applicants without regard to race, religion, color, sex, national origin, age, disability, veteran status,...

February 23, 2026 View Details

Medicaid Research Associate

Americaninstitutesforresearch

US-Remote (Crystal City, VA) Remote permanent
Attention to detailAccuracyCommunicationOrganizationTime managementPythonData AnalysisQualitative AnalysisQuantitative Analysis

Join AIR as a Research Associate with our Healthcare Transformation team. Our team works collaboratively to unravel the intertwined challenges of health care quality, costs, and access. Our team of ex...

February 10, 2026 View Details
Mandaluyong City, Metro Manila, Philippines permanent
Medical BillingInsurance VerificationAvailability CheckPatient InsuranceInsurance Portalscoverage.pyEligibility DocumentationComplianceBPO ExperienceMedical Billing Systems

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity ...

February 9, 2026 View Details
New York, NY (New York) Hybrid permanent
RegulationsGap AnalysisCommunicationHealthcare ContractsProvider ForumsAudit ReadinessInternal AuditCorrective Action PlansHIPAABLS Certification

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. Fro...

February 6, 2026 View Details
Greenville, SC, United States permanent
Quality AssuranceTestingAutomationDefect TrackingCollaborationCommunicationDocumentationSDLCHealth Plan SystemsProject Management

Ask IT Consulting Inc. visualizes itself as a leader in IT services and staffing in coming years. With strong dedication and commitment of our employees, we would surpass all our competitors establish...

September 22, 2016 View Details

Mainframe Tester (MEDICAID)

AskITConsulting

Columbia, SC, United States permanent
MAINFRAMECOBOL batchJCLSOFTWARE TESTINGAutomatic Test DevelopmentWritten Communication SkillsADAPTABILITYFLEXIBILITYSELF-MOTIVATIONPROBLEM SOLVING

Ask ITC Inc. which is backed by a $500 million Microtek group company, provides an industry leading blend of technology, business consulting, and outsourcing services. Ask IT is a minority-owed enterp...

June 21, 2017 View Details
Baltimore, MD, United States permanent
Requirements ElicitationRequirements DefinitionRequirements EnrichmentGap AnalysisRequirement DocumentationInventory VerificationRequirement ValidationFeasibility StudiesBusiness Case ModelingSolution ProposalsUse Case DevelopmentTraceability Management

Infojini Consulting is a full service IT consulting, services, and staffing firm with offices in Linthicum Heights ,Maryland, Washington, DC and Mumbai, India. Infojini Consulting is recognized as on...

July 31, 2015 View Details
Baltimore, MD, United States permanent
Project ManagementTestingSDLCQuality ControlHR SolutionsMicrosoft Team Foundation ServerCare Management

Infojini Consulting is a full service IT consulting, services, and staffing firm with offices in Linthicum Heights ,Maryland, Washington, DC and Mumbai, India. Infojini Consulting is recognized as on...

July 31, 2015 View Details
Columbia, SC, United States contract
Project ManagementMedicaidHealth Plan SystemsBusiness AnalysisScrum MasterProduct Owner Certification

Infojini Consulting is a full service IT consulting, services, and staffing firm with offices in Secaucus, NJ. Infojini Consulting is recognized as one of the fastest growing IT services and software...

January 20, 2017 View Details
Springfield, MO (MO-Remote, Remote) Remote permanent
Customer ServiceEmpathyActive ListeningProblem SolvingTeam LeadershipPerformance ManagementCommunicationMedicaid KnowledgeCall Center ExperienceCompliance

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to ...

February 5, 2026 View Details
St. Louis, MO (MO-Remote, Remote) Remote permanent
Customer ServiceEmpathyActive ListeningCommunicationPerformance ManagementMedicaid ExperienceCall Center ExperienceProblem-SolvingTeam LeadershipCompliance

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to ...

February 5, 2026 View Details
Kansas City, MO (MO-Remote, Remote) Remote permanent
Customer ServiceEmpathyActive ListeningCommunicationPerformance ManagementConflict ResolutionMedicaid KnowledgeCase ManagementRemote Work Experience

Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to ...

February 5, 2026 View Details
Piscataway Township, NJ, United States contract
Data AnalysisMicrosoft OfficeData HandlingCustomer ServiceInterpersonal CommunicationAttention to DetailDeadline ManagementProblem SolvingMicrosoft ExcelMedicaid Knowledge

Mindlance is a national recruiting company which partners with many of the leading employers in the Life Sciences, IT, and Financial Services sectors, feel free to check us out at http://www.mindlance...

February 22, 2016 View Details
Piscataway Township, NJ, United States permanent
Data AnalysisMicrosoft OfficeCognosMicrosoft ExcelStandard Operating ProceduresWork InstructionsPrioritizationAttention to DetailCustomer Service

Mindlance is a national recruiting company which partners with many of the leading employers in the Life Sciences, IT, and Financial Services sectors, feel free to check us out at http://www.mindlance...

March 9, 2016 View Details
Thousand Oaks, CA, United States permanent
LeadershipQuality ManagementNCQAQuality Improvement CouncilHEDIS ReportingQuality StandardsCompliance

Healthcare Director, Statewide Quality California Medicaid Thousand oaks California Exp 10-15 yrs Deg Bachelors Relo Bonus Occasional Travel Job Description Director Clinical QM AGP Plan - LgP...

November 22, 2014 View Details
Los Angeles, CA, United States permanent
Quality ManagementLeadershipNCQAGQA QMSHEDIS ReportingExternal Quality ReviewQuality Improvement CouncilCompliance

Healthcare Director, Statewide Quality California Medicaid Exp 10-15 yrs Deg Bachelors Relo Bonus Occasional Travel   Job Description   Director Clinical QM AGP Plan - LgPln   This is a st...

November 22, 2014 View Details
Sacramento, CA, United States permanent
Quality ManagementLeadershipNCQAHEDISQuality ImprovementComplianceCertificationsBudget

Healthcare Director, Statewide Quality California Medicaid Exp 10-15 yrs Deg Bachelors Relo Bonus Occasional Travel Job Description Director Clinical QM AGP Plan - LgPln This is a statewide p...

November 22, 2014 View Details
New York City, NY, United States permanent
Health PolicyApplication ProcessingTransitional MedicaidRecertificationError ResolutionDemographic Data EntryCommunicationCollaborationCustomer ServiceResearch

THE SELECTED CANDIDATE WILL BE OFFERED A SALARY BETWEEN $61,656.00-$70,904.00 THIS POSITION IS ONLY OPEN TO CANDIDATES WHO ARE PERMANENT (NOT PROVISIONAL) IN THE CIVIL SERVICE TITLE OF PRINCIPAL ADMI...

January 27, 2026 View Details

Medicaid Analyst

IntegratedResourcesINC

Newark, NJ, United States permanent
Medicaid ComplianceCMS SystemsData ReconciliationDatabase ManagementPolicy AnalysisCustomer ServiceComplianceVerification planReporting AccuracyDelinquency Management

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integri...

September 21, 2016 View Details
Charlotte, NC, United States permanent
MarkLogicSalesforce Developer CertificationSoftware DevelopmentTechnical ExpertiseScrum FrameworksProject ManagementMedicaid ComplianceStakeholder CollaborationCulture Development

ProSidian is looking for “Great People Who Lead” at all levels in the organization.  Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment?  P...

May 5, 2020 View Details
Charlotte, NC, United States permanent
Automated TestingAssessment ToolsExperimentation MethodsExploratory TestingWeb Automation TestingReporting SkillsSprint DevelopmentQuality AssuranceProduct Revenue OwnershipQuality Center Administration

ProSidian is looking for “Great People Who Lead” at all levels in the organization.  Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment?  P...

May 5, 2020 View Details
Charlotte, NC, United States permanent
NoSQLAWSTerraformBitbucketBamboo CIJiraConfluenceMarkLogicData FlowsState Machines

ProSidian is looking for “Great People Who Lead” at all levels in the organization.  Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment?  P...

May 5, 2020 View Details
United States (Remote) Remote permanent
Medicaid ComplianceMCO ContractsLicense IssuanceRegulatory KnowledgeRegulatory EnvironmentContract NegotiationRelationship BuildingHealthcare IndustryAI IntegrationPatient-Centered Environment

Who We Are Babylist is the leading registry, e-commerce, and content platform for growing families. More than 9 million people shop with Babylist every year, making it the go-to destination for seaml...

February 5, 2026 View Details
Mechanicsville, Virginia permanent
MedicaidSocial SecurityRepresentative PayeeBenefits CoordinationMedicareSSISSDIFinancial StewardshipCase ManagementNonprofitHighly OrganizedDetail-Oriented

Do you have experience with Social Security, Medicaid, or Representative Payee services?   Are you looking for a role where that knowledge truly matters?   Cornerstone Support Services is hiring a...

February 5, 2026 View Details
Makati City, Metro Manila, Philippines permanent
Medical BillingMedicaidUS Healthcare ClaimsBPO experienceLegal Billing SystemsDocument ManagementCommunicationProblem SolvingComputer ProficiencyNight Shift

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Billing Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity ...

January 8, 2026 View Details