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Medicaid Claims Processing Remote Jobs in Raleigh, NC

McKesson

Reimbursement Specialist

Cary, NC · On-site +1

$21 - $22/hr

... process for patients and healthcare providers. A general understanding of Medicare and Medicaid ... Medical claims experience. * Experience in the healthcare industry including, but not limited to ...

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Medicaid Claims Processing Remote information

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$11

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

As of Sep 5, 2026, the average hourly pay for medicaid claims processing remote in Raleigh, NC is $18.63, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $20.10 per hour, depending on experience, location, and employer.

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 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 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.

What are the most commonly searched types of Medicaid Claims Processing jobs in Raleigh, NC?

The most popular types of Medicaid Claims Processing jobs in Raleigh, NC are:

What are popular job titles related to Medicaid Claims Processing Remote jobs in Raleigh, NC?

For Medicaid Claims Processing Remote jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Medicaid Claims Processing Remote jobs in Raleigh, NC look for?

The top searched job categories for Medicaid Claims Processing Remote jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medicaid Claims Processing Remote jobs?

Cities near Raleigh, NC with the most Medicaid Claims Processing Remote job openings:

Medicaid Claims Processing Remote jobs near you
Infographic showing various Medicaid Claims Processing Remote job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $38,750 per year, or $18.6 per hour.

Implementation Specialist-I&S (Full-time Remote, North Carolina Based)

Alliance Health

Morrisville, NC • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Job description

The Implementation Specialist – Innovation and Strategy supports the planning, coordination, and implementation of strategic initiatives within the Innovation and Strategy Division. This position is primarily responsible but not limited to supporting the Rural Health Transformation Project through stakeholder coordination, implementation planning, operational readiness activities, project tracking, and execution support.

The Implementation Specialist leads assigned implementation efforts and project workstreams while partnering with project managers, operational leaders, providers, and other stakeholders to ensure project objectives are achieved.

This is a grant-funded or time-limited position established for a one-year period with no guarantee of extension, renewal, or continued employment beyond the approved funding period.

This position is fulltime remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office (Morrisville, NC) may be required. 

Responsibilities & Duties

Implementation Planning and Execution

  • Coordinate implementation activities for assigned projects and initiatives
  • Develop and maintain implementation plans, milestones, action logs, and project documentation
  • Track deliverables and follow up with stakeholders to ensure timely completion of assigned tasks
  • Support project launches, transitions, pilots, and operational deployments

Project Support

  • Serve as a key implementation resource and become subject matter expert for the Rural Health Transformation initiative 
  • Coordinate project activities, stakeholder meetings, workgroups, and implementation workstreams
  • Assist in tracking project outcomes, deliverables, and reporting requirements
  • Support collaboration with community partners, providers, state agencies, and internal departments
  • Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development
  • Cultivate and encourage efforts to expand cross-team collaboration and partnership

Stakeholder Engagement and Communication

  • Coordinate communications among project teams, subject matter experts, providers, and external partners. Prepare meeting materials, status updates, presentations, and implementation reports
  • Facilitate meetings and document action items, decisions, and follow-up activities

Operational Readiness and Change Support

  • Coordinate readiness activities including training schedules, communication plans, workflow development, and implementation checklists
  • Assist operational teams in preparing for new processes, services, programs, and system changes
  • Track and document lessons learned and implementation outcomes

Project Monitoring and Reporting

  • Maintain project schedules, action logs, risk trackers, and implementation dashboards
  • Monitor progress toward milestones and escalate concerns, barriers, or risks to project leadership
  • Assist with data collection, reporting, and performance monitoring activities

Collaboration

  • Maintain collaborative relationships across departments and stakeholders
  • Support special projects and other duties as assigned related to implementation and organizational priorities

Minimum Requirements

Education & Experience

Required:

Bachelor's degree from an accredited college or university in public health, healthcare administration, business administration, human services, organizational development, information systems, project management, or a related field and three (3) years of experience coordinating, implementing, or leading projects, programs, operational initiatives, or organizational improvement efforts.

Additional Experience Required:

  • Project coordination and implementation activities
  • Leading workgroups, meetings, or project workstreams
  • Managing project schedules, action plans, or deliverables
  • Stakeholder communication and coordination

Preferred:

  • Experience implementing healthcare, behavioral health, Medicaid, public health, or rural health programs.
  • Experience supporting cross-functional initiatives involving multiple stakeholders.
  • Experience using Smartsheet, Microsoft Project, or similar project management tools.
  • Experience working with providers, community-based organizations, or healthcare delivery systems.
  • Project management certification.

Knowledge, Skills, & Abilities

  • Proficient in Microsoft Office Word, Excel, and PowerPoint
  • Project coordination and implementation planning
  • Ability to lead project workstreams and implementation activities
  • Strong organizational and follow-up skills
  • Excellent written and verbal communication skills
  • Stakeholder engagement and facilitation skills
  • Ability to coordinate multiple priorities simultaneously
  • Experience utilizing project management software and reporting tools
  • Knowledge of healthcare, Medicaid, behavioral health, or rural health systems
  • Change management and operational readiness principles

Salary Range

$69,592 - $88,729/Annually

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:  

 
  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

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