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Medicaid Software Jobs (NOW HIRING)

Legacy Health Service

Mobile Medicaid Liaison

Parma, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Legacy Health Services

Mobile Medicaid Liaison

Parma, OH · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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

Alvis, Inc.

Medicaid Billing Specialist

Columbus, OH · On-site

$20 - $24/hr

We are seeking a passionate Medicaid Billing Specialist with at least two years of experience in ... software ADVISOR . Must possess a valid Ohio driver's license. Skills and Abilities: Computer ...

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All JobsMedicaid Software Jobs

Medicaid Software information

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$33

$61

$92

How much do medicaid software jobs pay per hour?

As of Aug 15, 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 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 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 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.
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 1% Internship, 87% Full Time, 8% Part Time, and 4% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $128,367 per year, or $61.7 per hour.

Mobile Medicaid Liaison

Legacy Health Service

Parma, OH • On-site

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 9 days ago

Job description

The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful completion of pending Medicaid applications for prospective admissions and current residents across assigned facilities. This role ensures eligibility accuracy, timely processing, regulatory compliance, and strong collaboration between facilities, residents/families, county agencies, and business office teams to support the overall financial health of each facility.
Essential Duties & Responsibilities
Medicaid Eligibility & Application Oversight

  • Oversee the end-to-end Medicaid application process, ensuring timely submission, follow-up, and resolution of pending cases.
  • Evaluate income and asset levels for potential admissions and residents already admitted to determine Medicaid eligibility.
  • Provide guidance and direction when applicants are ineligible, including recommending corrective actions or alternative pathways to resolve eligibility concerns.
  • Ensure standardized and effective processes are in place for:
    • Initial Medicaid applications
    • Re-certification and renewal documentation
    • Tracking and monitoring open and pending Medicaid applications
  • Proactively monitor application status and follow up with appropriate parties to avoid denials or payment delays.
Resident, Family & Agency Collaboration
  • Work directly with residents and/or families to obtain required documentation needed to assess Medicaid eligibility.
  • Communicate clearly and compassionately regarding application requirements, timelines, and outstanding items.
  • Collaborate closely with county caseworkers, Area Agency on Aging, and other external partners to ensure cases are processed efficiently and timely.
  • Serve as a liaison between external agencies and facility teams to resolve application or eligibility issues.
Business Office Support
  • Assist and support the Business Office Manager (BOM) as needed to ensure financial stability and compliance.
  • Provide assistance with:
    • Claims processing
    • Cash posting
    • Insurance verification and review
    • Research and account follow-up
    • Resident Trust accounts
    • Customer service and collections
    • PointClickCare (PCC) documentation and workflows
  • Contribute to audits, compliance reviews, and internal reporting related to Medicaid and reimbursement.
Education & Experience
Required / Preferred Qualifications
  • Associate's degree in Healthcare Administration, Business Administration, Social Work, or related field preferred
    OR 2-5 years of Medicaid eligibility processing experience.
  • 2-5 years of Medicaid and/or compliance experience preferred; experience in Social Services or Admissions is a plus.
  • Strong subject matter expertise in Medicaid regulations, contractual requirements, industry standards, and best practices.
  • Skilled Nursing Facility (SNF) Medicaid billing and eligibility screening experience preferred.
  • Demonstrated experience in Skilled Nursing Medicaid eligibility processing preferred.
  • Proficiency in Excel and Microsoft Office programs.
  • Knowledge of and experience with billing and electronic medical record software, including PointClickCare.
  • Working knowledge of the Area Agency on Aging.
  • Excellent organizational, time management, and customer service skills.
  • Ability to manage responsibilities in a fast-paced, multi-facility environment.
  • Willingness and ability to travel as required.
We Are Proud to Offer
  • Comprehensive benefits package including:
    • Medical, dental, and vision insurance
    • Disability and life insurance
  • 401(k) retirement plan with company match through Fidelity
  • Career growth and advancement opportunities
  • Supportive leadership and collaborative work environment

We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, sexual orientation, marital or veteran status, or non-job-related handicap or disability.

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