Medicaid Jobs in Raleigh
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Search Results - Medicaid Jobs in Raleigh
Gainwell-Raleigh-
Overview
As the Application Architect, you will define and drive the architecture strategy and modernization for a large Medicaid account. You’ll lead governance across applications, cloud, data, integration, and security, aligning tech choices...
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My3Tech-Raleigh-
Job: HMS Analyst
Location: Raleigh, NC 27601 - Remote
***This is a hybrid/remote position. The candidate will only need to come onsite a couple times a year. preference will be given to applicants residing in North Carolina.
****This is a...
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CSpring-Raleigh-
Overview
In this role you will own Medicaid reporting deliverables end-to-end, translating federal/state guidance into clear business requirements. You will collaborate with state users and technical teams, facilitate workshops, and guide testing...
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My3Tech-Raleigh-
to manage simple to medium complexity work efforts.
Position Overview:
This position supports the HIE Medicaid Services (HMS) program, a collaboration between NC HIEA and the NC Department of Health and Human Services (NCDHHS) Division of Health Benefits...
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Gainwell-Raleigh-
Overview
In this role you will drive Medicaid interoperability through FHIR-based solutions, translating state and CMS requirements into technical designs. You will partner with architects, engineers, and state clients to ensure scalable...
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DataStaff, Inc.-Raleigh-
with about 17,000 employees.
Our client is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. Our client manages and oversees North Carolina Medicaid and other programs...
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DataStaff, Inc.-Raleigh-
implementation, and monitoring of quality improvement initiatives aimed at enhancing healthcare outcomes for Medicaid beneficiaries. The Nurse Quality Manager will:
• Coordinate with key stakeholder teams inside and outside of DHB for enhancement of QI...
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EMPOWER IMPACT SOLUTIONS LLC-Raleigh-
regulations.
Minimum Qualifications
• High school diploma or GED required.
• At least 1–2 years of experience working with individuals with mental health, developmental, or behavioral health needs preferred.
• Must meet North Carolina Medicaid and service...
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Network Health-Raleigh-
Overview
In this role you will lead the identification and correction of encounter data errors within the Medicaid line, coordinating with vendors, clients, and internal teams. You will ensure compliance with DHS rules and support ongoing...
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Neodym Technologies-Raleigh-
and human services organizations.
• Direct experience supporting Medicaid, healthcare, public health, or human services programs.
• Experience with RHTP Initiative 6 or similar large-scale healthcare transformation initiatives.
• Experience...
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Robert Half-Raleigh-
on claims
• Interpret federal healthcare requirements (Medicare/Medicaid, fraud and abuse, program integrity) and advise on operational impact
• Support state-specific Medicaid requirements and waiver-related matters across jurisdictions
Key requirements...
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Headway-Raleigh-
support and ongoing resources.
/n
• Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
/n
• Increase your earnings: Secure higher rates with top insurance plans through access to our...
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Ventures Unlimited Inc-Raleigh-
years of experience working with state government health and human services organizations.
• 5+ years of direct experience supporting Medicaid, healthcare, public health, or human services programs.
• 1+ year of experience with RHTP Initiative 6...
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Autism Society of North Carolina-Raleigh-
for North Carolina licensure if relocating from another state, with full licensure required by the date of employment.
• At least three years of experience providing Medicaid care management, case management, or care coordination for the population served...
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StaffMed Health Partners-Raleigh-
gross profit when you started, weekly gross profit today, and admissions year to date.
• Referrals that come directly from hospitals.
• Working knowledge of NC Medicaid PDN, including prior approval, the 180 day authorization cycle, and caregiver...
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