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Medicaid Claims Processing Remote Jobs (NOW HIRING)

Molina Healthcare

Examiner, Claims

Long Beach, CA · Remote

$14 - $26.42/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...

NTT DATA

Medical Claims Processor, Remote

$17.50 - $22/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this role, the candidate will be responsible for:

NTT DATA

Medical Claims Processor - Remote

$18/hr

Remote Claims Processing Associate NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. Medical Claims Processing Specialist Location: Remote ...

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Remote Reply at: Jobs@sourcedge.com FACETS SENIOR CLAIMS PROCESSOR * 5 Years Facets Claims ... Knowledge of HMO, PPO, Medicare and Medicaid plans * Knowledge of Medical terminology * Computer ...

Molina Healthcare

Senior Examiner, Claims

Long Beach, CA · Remote

$18.50 - $23.50/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role ...

GlobalHealth, Inc

Claims Processor (52219)

Oklahoma City, OK · On-site +1

$15.75 - $20/hr

... Medicare, Medicaid and Commercial practices). * Working knowledge of medical claims processing ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...

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Medicaid Claims Processing Remote information

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$26

How much do medicaid claims processing remote jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medicaid claims processing remote in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medicaid claims processing remote professional?

To thrive in a Medicaid Claims Processing Remote role, you need a solid understanding of medical billing, coding, and Medicaid regulations, typically supported by experience in healthcare administration or claims processing. Familiarity with claims management software, medical coding systems (such as ICD-10 or CPT), and electronic data interchange (EDI) platforms is essential. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for accuracy and collaboration. These skills ensure timely and accurate processing of claims, compliance with regulations, and effective resolution of claim issues in a remote environment.

What is Medicaid claims processing remote?

Medicaid Claims Processing Remote refers to the job of reviewing, analyzing, and processing Medicaid insurance claims from a location outside of a traditional office, often from home. Professionals in this role ensure that claims are accurate, complete, and comply with Medicaid regulations before approving or denying payment. Remote workers use specialized software to access claim information securely and may communicate with healthcare providers and patients to gather additional details. This job requires attention to detail, knowledge of Medicaid policies, and the ability to work independently. Remote claims processors play a crucial role in ensuring the timely and accurate reimbursement of healthcare services for Medicaid recipients.

What are some common challenges faced in a remote Medicaid claims processing position, and how can they be managed?

Working remotely as a Medicaid Claims Processor can present challenges such as staying up-to-date with changing regulations, maintaining attention to detail when reviewing large volumes of claims, and ensuring secure handling of sensitive patient data. To manage these challenges, it's important to regularly participate in team training sessions, utilize checklists or claim management software to minimize errors, and follow strict data security protocols. Open communication with supervisors and colleagues through virtual platforms also helps in resolving complex claims and staying connected with team goals.
More about Medicaid Claims Processing Remote jobs
What cities are hiring for Medicaid Claims Processing Remote jobs? Cities with the most Medicaid Claims Processing Remote job openings:
What are the most commonly searched types of Medicaid Claims Processing jobs? The most popular types of Medicaid Claims Processing jobs are:
What states have the most Medicaid Claims Processing Remote jobs? States with the most job openings for Medicaid Claims Processing Remote jobs include:
What job categories do people searching Medicaid Claims Processing Remote jobs look for? The top searched job categories for Medicaid Claims Processing Remote jobs are:
Medicaid Claims Processing Remote jobs near you
Infographic showing various Medicaid Claims Processing Remote job openings in the United States as of August 2026, with employment types broken down into 82% Full Time, 9% Part Time, and 9% Contract. Highlights an 3% Hybrid, and 97% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.

Senior Data Analyst - Medicaid Exp Must - W2

CLOUDSCOUTS SOFTWARE SOLUTIONS LLC

Frisco, TX • Remote

$88K - $111K/yr

Full-time

Re-posted 18 days ago

Job description

Job Title: Senior Data Analyst – Medicaid Exp Must
Experience : 10+ Years
Key Responsibilities:
 • Analyze large volumes of Medicaid healthcare data, including claims, enrollment, provider, eligibility, encounter, and pharmacy data. 
 • Gather, analyze, and document business and data requirements from Medicaid business stakeholders. 
 • Develop and maintain complex SQL queries, stored procedures, and data validation scripts for data extraction and analysis. 
 • Perform detailed analysis of Medicaid claims adjudication, member eligibility, provider networks, and reimbursement processes. 
 • Design, develop, and maintain dashboards, scorecards, and reports using BI tools such as Tableau, Power BI, or Cognos. 
 • Conduct data profiling, data quality assessments, and root cause analysis to ensure accuracy and completeness of Medicaid data. 
 • Collaborate with business teams to support Medicaid regulatory reporting, including CMS, state-specific mandates, and quality measures. 
 • Analyze healthcare KPIs, utilization trends, cost containment opportunities, and operational metrics. 
 • Support Medicaid programs such as Managed Care, Fee-for-Service (FFS), Dual Eligible, LTSS, and Value-Based Care initiatives. 
 • Work closely with ETL and data engineering teams to validate source-to-target mappings and data transformations. 
 • Perform impact analysis for system enhancements, regulatory changes, and Medicaid policy updates. 
 • Create functional specifications, business requirement documents (BRDs), and data mapping documents. 
 • Participate in Agile ceremonies including sprint planning, backlog grooming, daily stand-ups, and retrospectives. 
 • Ensure compliance with HIPAA regulations and healthcare data security standards. 
 • Provide mentorship and guidance to junior analysts and team members. 
Required Skills:
Healthcare/Medicaid Domain:
 • Strong experience in Medicaid programs and healthcare payer systems. 
 • Deep understanding of Medicaid claims processing lifecycle. 
 • Experience with: 
 ○ Member Eligibility and Enrollment 
 ○ Claims Adjudication 
 ○ Provider Management 
 ○ Encounters and Capitation 
 ○ Prior Authorization 
 ○ Care Management 
 ○ Pharmacy and PBM data 
 ○ ICD-10, CPT, HCPCS, DRG, NDC coding systems 
 ○ CMS and State Medicaid reporting

This is a remote position.