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Medicaid Software Jobs (NOW HIRING)

Allure HCS

IL

$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 ...

Apply Early

Allure HCS

IL

$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 ...

Apply Early

Allure HCS

IL

$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 ...

Apply Early

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 Jul 1, 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 June 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $128,367 per year, or $61.7 per hour.

Medicaid specialist assistant Ogle County

Allure HCS

IL

$40K - $50K/yr

Part-time

Posted 9 days ago

Be an early applicant

Job description

Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week)

Verified Medicaid Case Experience Required – Illinois Experience Strongly Preferred

We are seeking a highly experienced Medicaid professional with direct, verifiable, hands-on experience managing Long-Term Care Medicaid cases from application through approval, appeals, and reopening denied cases.

This is NOT an entry-level position.
General Medicaid knowledge alone is NOT sufficient.

Out-of-state Medicaid experience will be reviewed; however, Illinois Medicaid experience is strongly preferred, as each state operates independently with different systems, policies, and procedural requirements.

MANDATORY QUALIFICATIONS – DO NOT APPLY UNLESS YOU MEET THESE REQUIREMENTS

The candidate must have verifiable, direct experience with:

  • Filing Long-Term Care Medicaid applications

  • Managing cases from initial filing through approval

  • Working directly with Medicaid caseworkers to resolve pending issues

  • Handling OIG-related matters

  • Preparing and managing appeals, including participation in administrative hearings

  • Reopening denied cases and understanding procedural requirements

  • Managing strict filing deadlines and timely submission requirements

  • Tracking deadlines related to:

    • Backdating coverage

    • Appeals filings

    • Reconsiderations and reopening denied cases

Strong Preference Given To Candidates With Illinois Experience Including:

  • Filing applications through the ABE (Application for Benefits Eligibility) system

  • Using the MEDI system to verify eligibility and monitor case status

  • Working knowledge of the Illinois Medicaid Policy Manual

  • Experience with Illinois Long-Term Care billing practices and reimbursement timelines

Illinois experience must be clearly reflected on your resume and will be verified.

Preferred Additional Experience

  • Experience using PointClickCare (PCC) software

  • Experience working within a long-term care facility environment

  • Understanding how Medicaid eligibility impacts facility billing cycles

Key Responsibilities

  • File and manage LTC Medicaid applications

  • Monitor eligibility and case progress

  • Track and comply with all deadlines for appeals, backdating, and reopened cases

  • Communicate directly with Medicaid caseworkers to secure timely approvals

  • Communicate directly with Business Office Managers and Regional Business Office Managers to ensure smooth processing and follow-through of all pending cases

  • Prepare documentation for OIG cases and appeals

  • Ensure approvals are obtained timely to protect reimbursement

Excellent written and verbal communication skills are required.

Work Environment & Candidate Profile

This role offers excellent guidance and strong team support from management and coworkers. Collaboration is valued, and you will be part of a supportive team environment.

However, the ideal candidate must:

  • Be self-motivated and able to work independently

  • Be highly detail-oriented and deadline-driven

  • Think critically and act quickly

  • Work well with others

  • Be adaptable and able to accept and tolerate procedural or policy changes

  • Maintain professionalism in a fast-paced, evolving regulatory environment

Position Details

  • Part-Time: 24-28 hours per week

  • Compensation based on verified experience

  • Independent role within a collaborative team

  • Salary $40,000-$50,000 a year pending experience