Remote MMIS & Medicaid Pharmacy Advisor
$86.8k - $124kGainwell Technologies
- Remote job
Gainwell Technologies in Washington, DC is seeking an Advisor Business Analyst specializing in MMIS and Medicaid Pharmacy. This role involves translating state and federal Medicaid policy into actionable product features while ensuring compliance and operational readiness. Candidates should have a Bachelor's degree in a related field, 5 to 8 years of experience in healthcare systems, particularly with Medicaid, and demonstrate strong SQL skills. The position offers a fully remote work option and a competitive salary range from $86,800 to $124,000 depending on location and experience. #J-18808-Ljbffr Gainwell Technologies
- ...Senior Technical Project Manager – MMIS Role: Senior Technical Project Manager – MMIS Domain: Medicaid / Medicare Environment: Cloud (AWS Preferred) Experience: 6+ Years in Project Management | 3+ Years in Medicaid/Medicare What You'll Do: Lead end-to-end MMIS delivery...Remote work
- ...experience and should have good knowledge of Medicaid and Medicare. Candidate should have... ...Dental Institutional Pharmacy Encounters and Capitation Claim Formats... ...in health care experience especially in MMIS domain. Capability to think out-of-the...Remote work
- ...Quality Assurance Manager Key Responsibilities # Lead end-to-end testing strategy, planning, and execution for Medicaid/MMIS applications # Design and review test plans, test cases, test data, and test scenarios across modules (claims, eligibility, enrollment...Remote work
- ...Medicaid Application Developer Lead design and development of Medicaid applications (claims, eligibility, enrollment) Provide technical... ...with technical leadership background Strong Medicaid/MMIS domain experience (MMIS preferred) Hands-on Java full stack development...Remote work
- ...Advisor Business Analyst - MMIS / Medicaid Pharmacy Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell... .... What you should expect in this role: Fully remote options from Contiguous US locations only. Video cameras...Remote work
$95.1k - $135k
...Advisor Technical Analyst - MMIS / Medicaid Pharmacy Be part of a team that unleashes the power of leading-edge technologies to help improve the health and... ...). What you should expect in this role Fully remote options from continental US locations only Video cameras...Remote workFull timeFlexible hours$108.5k - $155k
Gainwell Technologies is seeking a Principal Technical Analyst in the Medicaid Pharmacy domain. This fully remote role requires strong SQL skills, data analysis expertise, and a deep understanding of healthcare data systems. The successful candidate will lead technical...Remote jobFlexible hours$90k - $129.9k
...Prior Authorization Pharmacist - Texas Medicaid (Remote) It takes great medical minds to create powerful solutions that solve some of healthcare... ...to members and physicians; available for consultation on pharmacy-related questions and issues within the organization...Remote workFull timeWork at officeWork from homeFlexible hours- ...Job Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid SME Required ~ Candidates with... ...Qualifications Experience with Medicaid EDW or MMIS modernization projects. Familiarity with...Remote workContract work
$86.8k - $124k
...As an Experienced Business Analyst - MMIS / Medicaid Pharmacy at Gainwell, you can contribute your skills... ...the details on this position. The Advisor Business Analyst supports business,... ...you should expect in this role Fully remote options from Contiguous US locations only...Remote workFull timeFlexible hours$106.2k - $225k
...Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role open to candidates throughout the United States. This position requires managing Medicare-Medicaid coverage determinations and supporting clinical programs aimed at optimizing...Remote job- ...Enhancement is seeking a Clinical Pharmacist for a remote position. This role focuses on reviewing Medicare-Medicaid coverage determinations and involves... ...communication skills, clinical experience, and a Doctor of Pharmacy degree. The expected weekly hours are 40, and...Remote job
$106.2k - $225k
...seeking a Clinical Pharmacist to manage Medicare-Medicaid coverage determinations and support various clinical programs. This remote role is available to qualified candidates in... ...Required qualifications include a Doctor of Pharmacy degree and managed care pharmacy experience....Remote job$106.2k - $225k
...Enhancement is seeking a Clinical Pharmacist to handle Medicare-Medicaid coverage determinations and support clinical programs from a remote location. This role requires proficiency in Microsoft tools and clinical pharmacy experience. Candidates must possess a Doctor of...Remote job$94k - $160k
...Pharmacy Network Consultant Principal – Remote Job Description The Network Management Consultant is responsible for development, performance and management... ...Knowledge of and experience within PBM industry, Medicaid, and Medicare Experience negotiating pharmacy solicitation...Remote workContract workWork experience placementLocal areaVisa sponsorshipWork visa$106.2k - $225k
...Enhancement is looking for a Clinical Pharmacist - AMA Dual to manage clinical reviews and support programs for Medicare-Medicaid coverage. This remote position requires proficiency in Excel and requires an active Registered Pharmacist license. The role offers a...Remote jobMonday to Friday- ...Health and Human Services (EOHHS) is seeking an experienced Application Development & Support Supervisor to lead the Medicaid Management Information System (MMIS) Provider Reimbursement and Claims Business Analysis team, service as the MMIS Reimbursement Business Analyst...Full timePart timeFor contractorsWork experience placementWork from homeMonday to Friday
$150k - $179.3k
...primarily responsible for functional analysis supporting Medicaid programs. This fully remote position requires 25% travel and entails collaborating with... ...of experience, with strong understanding of Medicaid and MMIS. Competitive salary ranges from $150,000 to $179,300,...Remote job- HCA Healthcare is hiring a Medicaid Quality Assurance Specialist for a work-from-home role, specifically seeking candidates within 60 miles of an HCA Hospital in multiple states including NV. The Specialist will conduct auditing and analytical work to enhance Medicaid...Remote jobWork from home
- ...Lead the design, implementation, and maintenance of the Medicaid Enterprise Data Warehouse architecture (data models, ETL/ELT pipelines... ...of ETL/ELT processes to extract, transform, and load data from MMIS, MCOs, and other Medicaid source systems. Design and maintain logical...Remote work
- ...Business Analyst – MMIS We are seeking a Business Analyst with strong experience in Medicaid Management Information System (MMIS) and healthcare payer systems. The ideal candidate will have hands-on expertise in claims processing, adjudication, and financial claims...Remote work
- Health Advocates Network is looking for a full-time Physician Collection Specialist (AHCCCS/Government) to manage Medicaid collections. This work-from-home role requires adherence to Arizona time zone hours and offers a flexible schedule. Ideal candidates will have at...Remote jobFull timeWork from homeFlexible hours
- A leading legal services provider is seeking a motivated attorney to work remotely in Phoenix, Arizona. The ideal candidate will have at least two years of experience in Medicare/Medicaid fraud and FCA claims, along with strong writing, research, and analytical skills....Remote jobWork from home
$120k - $225k
Job Details 100% REMOTE Salary: $120,000 - $225,000 per year Why Join Us Comprehensive benefits package Multiple bonus opportunities... ...attorney with at least two years of experience with Medicare/Medicaid fraud/FCA claims. The attorney should be proactive, self‑driven...Remote workWork from home- ...start times between 6:00 am and 8:00 am, working from home within the Arizona time zone. The ideal candidate will have 2+ years of Medicaid/government collections experience, with the ability to manage multiple accounts effectively. Candidates must have a high school...Remote jobFull timeWork from homeFlexible hours
$2,000 per month
...Work remotely with a flexible schedule while supporting Nurse Practitioners serving Nevada's Medicaid and Medicare populations. Collaborating Physician - Nevada Medicaid Programs (Contractor) Location/Type: Nevada • Remote Pay: $2,000/month Schedule...Remote workPart timeFor contractorsWork from homeFlexible hours- ...Test Lead (Manual Test, US Healthcare & Medicaid/Pharmacy) Summary As an Test Lead (Manual Test... ...experience in Medicaid pharmacy operations, MMIS/MES systems, PBM functions, or pharmacy... .... What you should expect in this role Remote Environment Shift timimgs: 2PM to 11PM...Remote workShift work
- SUMMARY We are seeking a Strategic Planning Senior Advisor to join the Cigna Pharmacy Management Team. The Cigna Pharmacy team is accountable for 7M+... ...applied experience). Internet connection requirements for remote work: The internet connection must be obtained through a...Remote workLocal area
- **This is a 100% remote work-from-home position** TITLE: Sr. Reimbursement Analyst / Medicare Medicaid Cost Reports DEPT: Reimbursement SHIFT: Days-Remote ESSENTIAL DUTIES & FUNCTIONS: • Collects, analyzes all underlying data and prepares supporting...Remote workWork from homeShift work
$60 - $65 per hour
...JOB TITLE: Remote Project Manager with MMIS Experience JOB LOCATION: Remote WAGE RANGE*: $60hr to $65hr INDIVIDUAL CORPS ONLY JOB NUMBER: 26-00888... ...Manager to join our client delivery team supporting the Medicaid Management Information System (MMIS). While supporting operational...Remote workHourly payTemporary workLocal areaFlexible hours
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