Senior Medicaid Analyst - Remote, MMIS & Compliance
Appworkshub
New York, NY
- Remote job
Appworkshub is seeking a Senior Medicaid Business Analyst to lead process analysis within Medicaid operations. You will analyze claims processing, eligibility, and provider workflows, and translate requirements into functional specifications for MMIS systems. The role is 100% remote in the United States, long-term contract, requiring 7+ years in Medicaid, strong analytical skills, and collaboration with state programs and cross-functional teams to ensure compliance and efficient operations. #J-18808-Ljbffr Appworkshub
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Medicaid Analyst - Remote, MMIS & Compliance in New York, NY vacancy
$69.4k - $99.2k
...development. Summary The Senior Medicaid Business Analyst (Configuration & Policy)... ...functional domains within MMIS Medicaid Management... ...operational impacts. Ensures compliance alignment by validating... ...this role ~ Fully remote options from most US...Remote workSeniorFull timeFlexible hours- Infinite Computer Solutions is seeking a Senior Business Analyst - Medicaid/MMIS SME in New Jersey to lead requirements gathering, analyze business... ...functional and technical requirements, ensure CMS/HIPAA compliance, and mentor #J-18808-Ljbffr Infinite Computer...Senior
$69.4k - $99.2k
...career development. Summary As a Senior Business Analyst (Medicaid Programs) at Gainwell, you will... ...operational efficiency, regulatory compliance, and client objectives. Verify... ...should expect in this role Remote options available from 48 contiguous...Remote workSeniorFull timeFlexible hours- ...8-10+ years of experience as a Business Analyst supporting data warehouse or large data... ...~5+ years of experience working with Medicaid or healthcare data systems . ~ Strong... ...with TMSIS and other federal reporting compliance to Center for Medicare and Medicaid Services...Remote jobSenior
The Dignify Solutions, LLC
Edison, NJ16 days ago $119.24k - $247.5k
...Health Practice is seeking a senior consultant with strong Medicaid managed-care experience... ...deadlines, and ensure compliance with quality procedures.... ...consultants, managers, and analysts coordinate their efforts... ...Chicago, or Harford office. Remote candidates will be...Remote workSeniorFull timeTemporary workWork experience placementWork at officeFlexible hours- ...development, cloud, cybersecurity, Health, Human Services and Medicaid/MMIS ecosystems. We deploy specialized professionals to... ...to drive digital transformation. Position: Business Analyst Location: Remote Location Preference: Candidates residing in West Virginia...Remote workFull timeImmediate start
My3Tech
Charleston, WV1 day ago - ...Job Description Senior Associate Consulting Actuary — Government Programs (Medicare, Medicaid & ACA) Location: New York City, NY / Hybrid / Remote Experience: 3–5 years Credentialing: ASA preferred; strong SOA exam progress required Summary: Seeking...Remote workSenior
Smith Hanley Associates
Mundelein, IL2 days ago - Job Title: Senior Medicaid Business Analyst Location: 100% Remote Duration: Long Term Contract Job Description: We are seeking... ..., Medicaid programs, and MMIS. The ideal candidate will support... ...member eligibility, and regulatory compliance. Responsibilities Analyze Medicaid...Remote workLong term contract
- JOB DESCRIPTION Job Summary Provides senior level analyst support for reimbursement activities.... ...reviews, and deciphers state specific Medicaid, Medicare, and Marketplace reimbursement... ...maintenance, quality assurance, and compliance with deployment activities. • Interprets...Remote workSeniorFull timeWork at office
$120k - $160k
...Details Job Location: Remote - Mountain View, CA Salary... ...net programs such as Medicaid, SNAP (food stamps), child... ...Summary The Business Analyst is responsible for the... ...Management Information System (MMIS). You will perform gap... ...protection policies. Compliance with access control,...Remote work- Intermountain Health seeks a Senior Financial Analyst focused on reimbursement for a multi-hospital system. The role covers Medicare/Medicaid methodologies, cost reporting, financial modeling, data analytics, and audit processes with potential on-site interviews. You will...Remote jobSenior
- Gainwell Technologies is seeking a Medicaid Fraud, Waste & Abuse (FWA) Senior Analyst to apply analytic models to Medicaid claims data and deliver defensible... ...policy or operational changes. The position offers fully remote work within the United States, with travel as needed...Remote jobSenior
- ...Job Description Job Description ~10 -12 years of BA experience, with experience in Medicaid/MMIS. ~ Experience with HIPAA X12 transactions (837, 835, 834, 270/271, 276/277). ~ Strong experience with non-X12 batch interfaces, flat files (fixed-width, CSV, pipe-...Remote jobSenior
- Job-ID28968281Reference26-21139Remote50% Remote Detailed list of Job Duties and Responsibilities... ...to impacted stakeholders Represent MMIS in business meetings as needed Support... ...concerns. Provide back up to other business analysts as needed. Data query and analysis ....Remote workSenior
Mindlance
Quincy, MA1 day ago $50 - $70 per hour
...Remote 5+ year contract This Jobot Consulting Job... ...support large-scale Medicaid and public-sector healthcare... ..., and work with senior stakeholders on meaningful... ...Senior Business Analyst / Business Architect -... ...readiness, governance, compliance, and ongoing program modernization...Remote workSeniorHourly payContract workLocal areaMonday to Friday$81.2k - $105.45k
...Senior Medicaid Technical Business Analysis Engineer Join Our Team:... ...solutions that improve efficiency, compliance, and member outcomes.... ...experience, preferably within the MMIS (Medicaid Management... ...following working conditions: Remote work : Enjoy the convenience...Remote workSeniorFull timeWork at officeWork from homeFlexible hours- ...Carrier Health Actuarial Specialist Senior Health actuarial role with WellSense's Actuarial... ...Services team, supporting Medicare, Medicaid, and Individual Health business across... ..., and healthcare analytics. You'll work remotely from the United States, using SQL, SAS,...Remote workSenior
Acturhire
United States1 day ago - ...Description Job Description Title: IT - Medicaid - Business Analyst - Senior Privacy Analyst– Contract... ...Onsite in Montgomery AL Main Office (No remote work allowed) Position Summary... ...reporting activities Privacy Compliance & Risk Assessment Apply HIPAA...Remote workSeniorContract workWork at office
TPI Global Solutions
Montgomery, AL16 days ago $94k - $160k
...Senior Actuarial Analyst - Remote At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability... ...all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial support in...Remote workSeniorWork experience placementLocal areaVisa sponsorshipWork visaPrime Therapeutics
United States3 days ago$87.7k - $157.8k
...translating Medicare Advantage and Medicaid Risk Adjustment business... ..., data quality, regulatory compliance, and reusable documentation experience... .... Partners with business analysts, Risk Adjustment stakeholders... ...approach to work with remote, hybrid, field or office work...Remote workSeniorFull timePart timeWork experience placementWork at officeFlexible hours$69.4k - $99.2k
...development. Summary The Senior Business Analyst - BPM/Trainer at Gainwell,... .... The position applies Medicaid pharmacy and care... ...MITA, Medicaid operations, compliance requirements, data management... ...in this role Fully remote options from most US locations...Remote workSeniorFull timeWork at officeFlexible hours$5,000 - $6,999 per month
...Title: Health Services Data Analyst Job Title: Data Analyst V Agency... ...to the Manager of the Medicaid CHIP Reporting unit in the Data... ...DA V performs highly complex (senior level) data analysis to inform... ...project deliverables to ensure compliance with customer needs and...Remote jobSeniorFull timeTemporary workPart timeWork at officeShift work$69.4k - $95k
...development. Summary As a Senior Business Analyst at Gainwell, you can contribute... ...business continuity and compliance with client expectations.... ...position, with 3 or more years of Medicaid and Medicare experience... ...expect in this role Fully remote options from Contiguous US...Remote workSeniorFull timeFlexible hours- ...application process. The Senior Business Operations Analyst in The Ohio Colleges of Medicine... ...staff as needed to ensure compliance with sponsor, university,... ..., behavioral health, Ohio Medicaid membership, management of... ...supports in-person and remote-hybrid work arrangements....Remote workSenior
- ...Senior Actuary, Health Plan Analytics Reveleer delivers a unified platform spanning... ...Drug (MAPD), Affordable Care Act (ACA), Medicaid, and provider value-based contracts. This... ...disability status or genetic information, in compliance with applicable federal, state and local...Remote workSeniorContract workLocal area
Reveleer
United States3 days ago $69.4k - $99.2k
...days) to receive an alert: Senior Business Analyst - BPM /Training - LMS Date:... ...traceability, accuracy, and compliance with documentation and... ...Working knowledge of healthcare, Medicaid, public-sector operations,... ...expect in this role Fully remote options from most US locations...Remote workSeniorFull timeFlexible hours$88.5k - $128.5k
...circumstances. Job Summary: The Senior Actuarial Analyst is a key member of the Finance /... ...Our Investment in You: • Full-time remote work • Competitive salaries • Excellent... ...adequacy of capitation rates from state Medicaid programs or other new program •...Remote workSeniorFull timeContract workFlexible hoursBMC HealthNet Plan
United States18 hours ago- Advocate Health is seeking a reimbursement analyst to support system-wide revenue analysis, budgeting, and regulatory compliance. The role involves preparing cost reports,... ...external auditors, and ensuring accurate Medicare/Medicaid accounting across the organization. The...Remote job
- Job Title: Senior Business Operations Analyst - Government Resource Center Department:... ...staff as needed to ensure compliance with sponsor, university,... ..., behavioral health, Ohio Medicaid membership, management of... ...that supports in-person and remote-hybrid work arrangements....Remote workSeniorShift workDay shift
- A leading food compliance company is seeking a Senior Analyst for Nutrition & Regulatory Affairs. This fully remote role involves overseeing product labeling and ensuring compliance with USDA and FDA regulations. The ideal candidate has 3-5 years of experience in a food...Remote workSenior
Top Stack
United States4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Medicaid Analyst - Remote, MMIS & Compliance. Be the first to apply!
Related searches
- hybrid analyst New York, NY
- review analyst New York, NY
- remote analyst New York, NY
- senior infrastructure analyst New York, NY
- incident response analyst New York, NY
- military analyst New York, NY
- behavior analyst bcba New York, NY
- student analyst New York, NY
- senior trade analyst New York, NY
- medicare analyst New York, NY