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Medicaid Software Jobs in Minnesota (NOW HIRING)

360 IT Professionals

Drools Developer

Saint Paul, MN · On-site

Company Description 360 IT Professionals is a Software Development Company based in Fremont ... Medicaid/Medicare Provider Enrollment provisions 2+ years experience working with State Program ...

Infojini Inc

Drools Developer

Saint Paul, MN · On-site

$51.50 - $66.75/hr

Infojini Consulting is recognized as one of the fastest growing IT services and software ... Demonstrated experience in Medicaid/Medicare Provider Enrolment provisions * Direct experience ...

Catholic Eldercare

Billing Specialist

Minneapolis, MN · On-site

$20.25 - $27.25/hr

... Medicaid) revenue cycle, ensuring accurate monthly invoicing, tracking resident accounts receivable ... Proficiency in using billing software, electronic health record (EHR) systems, Microsoft Office ...

Cura Health

MDS Director - Cura of Le Sueur

Le Sueur, MN · On-site

$37.50 - $47.75/hr

The MDS Director drives appropriate reimbursement (Medicare, Medicaid, and managed care), supports ... Proficiency in EHR/MDS software systems and Microsoft Office. * Commitment to person-centered care ...

Cura Health

MDS Director - Cura of Le Sueur

Le Sueur, MN · On-site

$37.50 - $47.75/hr

The MDS Director drives appropriate reimbursement (Medicare, Medicaid, and managed care), supports ... Proficiency in EHR/MDS software systems and Microsoft Office. * Commitment to person-centered care ...

Infojini Inc

COBOL Developer/Programmer

Saint Paul, MN · On-site

... Software Development Life Cycle (SDLC) * Experience with analytical skills and creating program specifications /requirements * Experience in health insurance programs and/or a state Medicaid ...

Cassia

Accounts Receivable Specialist

Edina, MN · On-site

$45K - $60K/yr

... and Medicaid. Our ideal candidate will have prior experience in both healthcare and Medical Assistance billing. In addition to using Cassia's AR software, you will also need excel knowledge and ...

Douglas County School District (CO)

$16.50 - $21.50/hr

Document health-related services in the designated Medicaid documentation system for the DCSD ... personal computers, software applications, general office equipment and telephone systems ...

Cassia

Accounts Receivable Specialist

Minneapolis, MN · On-site +1

$45K - $60K/yr

... and Medicaid. Our ideal candidate will have prior experience in both healthcare and Medical Assistance billing. In addition to using Cassia's AR software, you will also need excel knowledge and ...

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All JobsMedicaid Software JobsMedicaid Software Jobs in Minnesota

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 Minnesota?

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

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

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

What cities in Minnesota are hiring for Medicaid Software jobs?

Cities in Minnesota with the most Medicaid Software job openings:

Medicaid Software jobs near you

IT Project Manager - Atlanta,GA - Hybrid

Software Technology, Inc.

Minneapolis, MN • On-site

$102K - $121K/yr

Other

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

Unified Preferred Drug List Project Manager

Work location: 75% telecommute and 25% on site at client location in Atlanta, GA. 2 MLK Jr Drive, Atlanta, GA.

Work hours: 8am - 5pm eastern

The Unified Preferred Drug List (PDL) Project Manager manages the implementation of a single PDL on behalf of the Georgia Department of Community Health (DCH) from the perspective of Optum as the Single PDL vendor, supporting DCHs efforts to align the PDL between the Fee-for-Service (FFS) program and the newly contracted Care Management Organizations (CMOs). The Unified PDL Project Manager reports to the Optum Account Director and works closely with the DCH Pharmacy team, Northstar Healthcare Consulting (NHC), Prime Therapeutics, CMO vendors, and other DCH resources to execute DCHs desired approach for aligning stakeholder notifications, Utilization Management (UM), system messaging, system editing, and pricing.

The Unified PDL Project Manager manages the overall unified PDL project plan including Project Schedule, Risk Management Plan, Communication Plan, Status Reporting, Project Roles, and Responsibilities.

The candidate will be working with a team of 12 people from Optum, the client, and other vendors. The team is made up of Pharmacists and business resources from Optum, the State and multiple supporting vendors.

The ideal candidate for Unified PDL Project Manager should demonstrate a 5+ year history of leading Medicaid implementations, managing Medicaid pharmacy initiatives or similar projects. The Unified PDL Project Manager should be familiar with the Georgia Medicaid program, Pharmacoeconomics, and the integration points between vendors.

The Unified PDL Project Manager must possess strong verbal and written communication skills with the ability to interface at multiple levels from front line team members to senior management. The Unified PDL Project Manager should demonstrate high proficiency in Microsoft Office desktop applications, Microsoft Project, Microsoft Teams, plus experience in facilitating in-person and virtual meetings. Project Management Professional (PMP) Certification is preferred but not required.

Fee for service and Managed medicaid program experience, Project Management, Medicaid rebates, medicaid pharmacy claims processing, pharmacy reporting and analytics, Georgia Medicaid will set a candidate apart.

Interview process: MS Teams on camera interview or in person if candidate lives in the Atlanta area.

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