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Software Engineer, Medicaid

Arlington, VA · On-site

$100 - $120/hr

We embed directly in government agencies to modernize software, systems, and platforms so that they better serve people. Your Impact Someone on Medicaid hands a prescription to a pharmacist and finds ...

Hougum Law Firm LLC

Medicaid Coordinator

Wausau, WI · On-site

Hougum Law Firm is seeking a Medicaid Coordinator who is detail-oriented, organized, and passionate ... Experience with legal case management software (e.g., Clio, MyCase, or similar). Personal ...

Allure HCS

Medicaid specialist assistant

Niles, IL · On-site

$40K - $50K/yr

Experience using PointClickCare (PCC) software * Experience working within a long-term care facility environment * Understanding how Medicaid eligibility impacts facility billing cycles Key ...

lhs

The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful ... Knowledge of and experience with billing and electronic medical record software, including ...

Communicarehealth

Medicaid Biller

Indianapolis, IN · On-site

Prior experience preferably with related software applications. KNOWLEDGE/SKILLS/ABILITIES ... This position will handle Traditional Medicaid and Pathways billing * Ensure all claims have been ...

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Medicaid Software information

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How much do medicaid software jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for medicaid software in the United States is $61.71, according to ZipRecruiter salary data. Most workers in this role earn between $49.76 and $69.71 per hour, depending on experience, location, and employer.

What is Medicaid software?

Medicaid software refers to specialized technology platforms and applications designed to support the administration, management, and delivery of Medicaid health programs. These software systems help state agencies, healthcare providers, and payers manage eligibility, claims processing, member enrollment, reporting, and compliance with federal and state regulations. Medicaid software plays a crucial role in improving efficiency, reducing errors, and ensuring that Medicaid beneficiaries receive appropriate coverage and services. It can include modules for case management, billing, analytics, and provider management. Modern Medicaid software often integrates with other health information systems to facilitate seamless data exchange.

What are some common challenges faced by professionals working with Medicaid software systems?

Professionals working with Medicaid software often encounter challenges such as navigating frequently changing federal and state regulations, integrating new modules with legacy systems, and ensuring data security and privacy in compliance with HIPAA. Additionally, collaborating with diverse stakeholders—including healthcare providers, government agencies, and IT teams—requires strong communication and project management skills. Staying updated with evolving technology standards and maintaining system interoperability are also key aspects of the role.

What are the key skills and qualifications needed to thrive as a Medicaid software specialist, and why are they important?

To thrive as a Medicaid Software Specialist, you need a solid background in healthcare IT, knowledge of Medicaid regulations, and experience with software development or implementation, typically supported by a degree in computer science or health informatics. Familiarity with Medicaid Management Information Systems (MMIS), claims processing tools, and compliance software is essential. Strong analytical skills, attention to detail, and effective communication help bridge the gap between technical teams and healthcare administrators. These skills ensure efficient, compliant, and user-friendly Medicaid systems that support both organizational goals and regulatory requirements.

What is the difference between Medicaid Software vs Medicaid Claims Specialist?

AspectMedicaid SoftwareMedicaid Claims Specialist
Primary RoleSoftware tools used to manage Medicaid data, billing, and complianceProcessing and reviewing Medicaid claims for accuracy and reimbursement
Required SkillsTechnical skills, software proficiency, data managementKnowledge of Medicaid policies, claims processing, attention to detail
Work EnvironmentHealthcare IT companies, software vendors, healthcare providersHealthcare facilities, insurance companies, Medicaid agencies
CertificationsNone typically required, but IT certifications helpfulMedical billing certifications, Medicaid-specific training

Medicaid Software refers to the tools and systems used to manage Medicaid data and billing processes, while Medicaid Claims Specialists focus on processing and verifying Medicaid claims. Both roles are essential in the Medicaid industry but serve different functions—one in software management and the other in claims processing.

More about Medicaid Software jobs

What cities are hiring for Medicaid Software jobs?

Cities with the most Medicaid Software job openings:

What states have the most Medicaid Software jobs?

States with the most job openings for Medicaid Software jobs include:

What job categories do people searching Medicaid Software jobs look for?

The top searched job categories for Medicaid Software jobs are:

Medicaid Software jobs near you
Infographic showing various Medicaid Software job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $128,367 per year, or $61.7 per hour.

Medicaid Facilitator

Isaac School District

Phoenix, AZ • On-site

Full-time

Re-posted 10 days ago

Job description

Position Type:
Student Support Services
Date Posted:
4/28/2026
Location:
All Sites
Date Available:
ASAP
Job Summary
The Medicaid Facilitator manages and coordinates all aspects of the Medicaid program for the elementary school district. Key objectives include ensuring compliance with state and federal regulations, processing claims, and maximizing reimbursement opportunities. The Facilitator collaborates with school administrators, teachers, and healthcare providers to ensure eligible students receive appropriate services.
Key Responsibilities
1. Medicaid/AHCCS Program Management
  • Oversee the district's Medicaid program for compliance with state and federal regulations.
  • Develop and implement policies/procedures for Medicaid services and billing.
  • Stay updated on changing Medicaid regulations and guidelines.

2. Claims Processing and Billing
  • Coordinate and process billing for eligible services provided to students.
  • Verify student eligibility and maintain accurate records.
  • Prepare and submit reimbursement claims in a timely manner.
  • Track and reconcile claims to ensure accuracy and completeness.

3. Compliance and Documentation
  • Ensure proper documentation of services from healthcare professionals (e.g., speech and occupational therapists).
  • Conduct regular audits for documentation compliance.
  • Maintain detailed records of claims, payments, and adjustments.

4. Training and Support
  • Train school staff and service providers on billing procedures and compliance.
  • Act as a resource for staff regarding Medicaid-related issues.

5. Collaboration and Communication
  • Collaborate with administrators and special education teams to coordinate student support.
  • Communicate with parents/guardians regarding Medicaid eligibility and services.
  • Liaise with state Medicaid offices and external agencies.

6. Reporting and Analysis
  • Generate and analyze billing and reimbursement reports.
  • Monitor trends in claims to identify improvement opportunities.
  • Provide regular program status updates to district leadership.

7. Program Development and Improvement
  • Implement strategies to maximize reimbursement opportunities.
  • Maintain relationships with external partners and state agencies.
  • Assist in developing grant applications or funding opportunities.

Preferred Qualifications
  • Education: Bachelor's degree in health administration, education, business administration, or a related field.
  • Experience: Previous Medicaid billing or healthcare administration experience, preferably in an educational setting.
  • Knowledge: Familiarity with Medicaid regulations, billing procedures, compliance, and special education programs.
  • Skills: Strong organizational, analytical, communication, and interpersonal skills.
  • Technical: Proficiency in data management and reporting software.
  • Certification: Certification in Medicaid administration or a related field.

Work Environment
Primary work is in an office environment within the district's administrative building. Occasional travel to schools within the district may be required.
Reports to: Executive Director of Student Services & Extended Learning
Salary: Classified Salary Schedule Range: 25

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