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Medicaid Software Jobs in Indiana (NOW HIRING)

CBIZ

Staff Accountant

Indianapolis, IN · Hybrid

$52K - $69K/yr

... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ... Proficient use of applicable software programs and data querying tools, including Microsoft Office ...

CBIZ

Staff Accountant

Indianapolis, IN · Hybrid

$52K - $69K/yr

... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ... Proficient use of applicable software programs and data querying tools, including Microsoft Office ...

Myers and Stauffer

Staff Accountant

Indianapolis, IN · Hybrid

$52K - $69K/yr

... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ... Proficient use of applicable software programs and data querying tools, including Microsoft Office ...

Myers & Stauffer

Staff Accountant

Indianapolis, IN · On-site

$52K - $69K/yr

Conduct research in order to determine compliance with relevant Medicaid or other government ... Proficient use of applicable software programs and data querying tools, including Microsoft Office ...

Myers and Stauffer

Staff Accountant

Indianapolis, IN · Hybrid

$52K - $69K/yr

... state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 ... Proficient use of applicable software programs and data querying tools, including Microsoft Office ...

Humana

Manager, Care Management

East Chicago, IN · Remote

... Medicaid/Medicare, and long-term care guidelines, benefits and policies and procedures. * Demonstrated computer skills in Microsoft Windows, Outlook, Excel, Word as well as other MIS software ...

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Showing results 21-40

All JobsMedicaid Software JobsMedicaid Software Jobs in Indiana

Medicaid Software information

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.

What are popular job titles related to Medicaid Software jobs in Indiana?

For Medicaid Software jobs in Indiana, the most frequently searched job titles are:

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

The top searched job categories for Medicaid Software jobs in Indiana are:

What cities in Indiana are hiring for Medicaid Software jobs?

Cities in Indiana with the most Medicaid Software job openings:

Medicaid Software jobs near you

RN Clinical Auditor - Behavioral Health

RADcube

Indianapolis, IN • On-site

$70 - $95/hr

Other

Posted 4 days ago

Key responsibilities

  • Review medical records and documentation to evaluate provider compliance with IHCP, CMS, AMA, and behavioral health-specific standards

  • Conduct medical record and compliance reviews independently, providing preliminary findings to the Lead Reviewer

  • Identify documentation deficiencies and billing compliance issues within psychiatric/behavioral health claims

Job description

Founded in 2015, RADcube is a leading technology consulting and software development firm headquartered in Carmel, Indiana. The company specializes in transforming enterprise ideas into real-world innovations by leveraging emerging technologies such as Artificial Intelligence, Blockchain, and Cloud Computing.
With nearly a decade of industry experience, RADcube serves diverse sectors, including healthcare, finance, government, and manufacturing. Their core service portfolio includes:
Digital Transformation and strategy consulting.
Custom Software Development tailored to specific business needs.
Advanced Data Analytics and AI-driven platforms.
Cybersecurity and risk management.
Recognized for its innovation-led culture, RADcube operates RADlabs, an R&D hub focused on high-impact solutions like Responsible AI and Intelligent Automation. The firm is committed to a human-centric approach, ensuring cutting-edge technology delivers measurable business outcomes and long-term success for global clients.
The company’s commitment to innovation has earned significant industry honors:
2026 TechPoint Mira Awards Finalist: Named a finalist for Tech Company of the Year, recognizing high-growth pioneers that demonstrate extraordinary leadership.
Public Sector Excellence: Awarded the Utah NASPO Cloud & Software Solutions Contract, solidifying their role as a trusted partner for large-scale government digital initiatives and more.

Job Description

This is a remote position.

RN Clinical Auditor - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary

We are seeking a Registered Nurse Clinical Auditor with extensive Behavioral Health experience to support medical record reviews and billing compliance audits for the Indiana Health Coverage Programs (IHCP). This role evaluates quality of care, reviews medical records and program policies, identifies compliance issues, prepares audit documentation and reports, and supports appeals activities within behavioral health, psychiatric, and substance use disorder treatment settings.

Key Responsibilities
  • Review medical records and documentation to evaluate provider compliance with IHCP, CMS, AMA, and behavioral health-specific standards
  • Conduct medical record and compliance reviews independently, providing preliminary findings to the Lead Reviewer
  • Identify documentation deficiencies and billing compliance issues within psychiatric/BH claims
  • Maintain detailed workpapers documenting procedures, findings, and conclusions
  • Assist with audit responses and appeals as needed
  • Stay current on Indiana Medicaid behavioral health policy and regulatory updates
Required Qualifications
  • Active RN license, Indiana or compact
  • Extensive Behavioral Health experience (psychiatric units, behavioral health hospitals, substance use disorder treatment, BH utilization review/claims work)
  • Auditing experience: medical record audits, compliance audits, chart review, or clinical/quality audits.
  • 2+ year of Medicaid claims review, billing compliance, or healthcare reimbursement experience
  • Comfortable completing a timed Excel proficiency assessment (sorting, filtering, VLOOKUP, conditional formatting), required by the client prior to submission.
Preferred Qualifications
  • CCS or CPC coding certification
  • Knowledge of CPT and ICD-10 coding
  • Experience with ASAM criteria, InterQual, or MCG guidelines for behavioral health level-of-care determinations
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