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Medicaid Software Jobs (NOW HIRING)

Proficient using pdf editing software, such as Adobe Acrobat Preferred Qualifications • Professional background in the Medicaid long term care industry • Hands on case management experience • ...

Medicaid & Medicare Fraud Detection SME

WV · On-site +1

$148K - $201K/yr

Identify opportunities for leveraging Medicare and Medicaid data to drive insightful FWA solutions ... cyber and software development. Join our Talent Community to stay up to date on our career ...

New

Configuration Manager - Medicaid Systems

WV · On-site +1

$111K - $150K/yr

Manage configuration identification to establish relationship between software, hardware, and ... Working knowledge of Medicaid Transformation Initiative, Medicaid Information Technology ...

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Medicaid Software information

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$33

$61

$92

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:

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.

Quality Assurance (Medicaid)

Ask IT consulting

Greenville, SC • On-site

Full-time

Re-posted 4 days ago


Job description

Company Description

Ask IT Consulting Inc. visualizes itself as a leader in IT services and staffing in coming years. With strong dedication and commitment of our employees, we would surpass all our competitors establishing the wider channel of media marketing building a better connection with clients.

Job Description

Description:
This position will provide testing and Quality Assurance support of a larger technology modernization and transformation project. This position may be asked to perform leadership tasks for a team of qualified QA analysts. The team is a combination of Clemson information technology professionals and experienced consultants, and we are seeking individuals who are highly productive, very flexible, and can work effectively in an environment where ambiguity is common. Team members are expected to contribute with minimal supervision and be self-motivated. The project demands individuals who are strong collaborators, who want to make a positive contribution to the State of South Carolina, and can understand top-level goals and objectives and drive toward them.
The QA team is one part of a larger project that will use modern technologies and modern strategies, and the team cultivates "thought leadership" for Medicaid eligibility systems and general health information technology. Candidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive.
SCOPE OF THE PROJECT:
The Medicaid Member Management project is one of the most complex technology development projects undertaken by Clemson University on behalf of the State of South Carolina's Department of Health and Human Services (SCDHHS). This project is a multi-year effort to replace the State's Medicaid Eligibility Determination System (MEDS) with a multi-tier application environment that requires modern technologies, technical practices and substantial collaboration with a variety of stakeholders.
DAILY DUTIES / RESPONSIBILITIES:
The primary area of responsibility in this position is to test new and existing software functionality through the use of manual and automated testing methods. This position requires an experienced Quality Assurance Analyst to assess the implementation of software development to support federally mandated changes for the SC Medicaid system. The QA Analyst will develop, create, modify, and execute test cases based upon defined acceptance criteria and business requirements. The candidate must be experienced in the process of and tools used in defect identification, tracking and resolution. Must possess demonstrated skill in coordinating testing efforts and resolutions among all project team members. Strong written and verbal communication skills are a must, as well as documentation skills.
All aspects of the system, including, but not limited to user experience, interfaces and database will be tested. The candidate should be familiar with all phases of testing within the SDLC and the various testing methodologies (ie, functional, load, stress and performance, regression, negative/positive, black and glass box, etc). Web-base application experience.
The QA Analyst will help ensure the highest quality of the product before it reaches the customer.
JOB DUTIES:
1. Participate in analysis and design of features and enhancements (5%)
2. Participate in an Agile SDLC (5%)
3. Establish estimates for quality assurance tasks (5%)
4. Create and execute manual test cases for the Medicaid project according to standards and best practices (25%)
5. Develop and execute automated testing scripts to efficiently test new functionality and continually retest existing functionality (25%)
6. Review, verify, and track software defects from any and all sources (10%)
7. Participate in the development, maintenance, and execution of regression testing via an automated testing tool (10%)
8. Assist in maintenance of defect-tracking system (5%)
9. Actively contribute to process refinement and documentation. (5%)
10. Actively contribute to enhancing the efficiency and effectiveness of the QA organization. (5%)

Qualifications

DESIRED CHARACTERISTICS/QUALITIES:
1. Background in healthcare (preferably a South Carolina)
2. Programming experience in scripting language a plus
3. Knowledge of SQL
4. Knowledge and experience with enterprise workflow solutions
5. Assisting with organizational transformation
6. Expertise implementing automated testing
7. Knowledge and experience with Atlassian Suite Tools / JIRA / Confluence
8. Management/team leadership experience
9. Stable employment history
10. Local candidates preferred or a desire to live/work in the Upstate South Carolina
11. Candidates must embrace collaboration and have a can do attitude
REQUIRED SKILLS:
The primary area of responsibility in this position is to test new and existing software both functionally and via an automated testing tool; position requires an experienced Quality Assurance Analyst to work on federally mandated changes for Medicaid. Position will develop, create, modify, and execute test cases. The QA Analyst will analyze business requirements and use cases in order to create test plans, then create both automated test scripts as well as manual test plans to verify software development against the application requirements. Test cases will focus on the verification of both the user interface as well as the database.
The QA Analyst will help ensure the highest quality of our product before it reaches our customers. He or she will be responsible for creating and executing system test plans for application development efforts according to defined application requirements. The QA Analyst finds and tracks software defects, coordinates re-testing with the project team and documents the conditions and results of testing.
Understanding of IT development and implementation projects
Superb written and oral communications skills, including the ability to elicit requirements, document system as built, and develop business process models. Strong proficiency in English is required.
Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary.
Willingness and ability to effectively engage with people and organizations on a continuous basis.
PREFERRED SKILLS:
Medicaid eligibility system/business operations experience.
Candidates that embrace "other duties as assigned"
Candidates that can thrive in a dynamic constantly evolving environment
Medicaid Management Information System (MMIS) experience
Medicaid operations experience.
Agile software development methodology
Agility to work as an independent contributor and team player
Demonstrated leadership experience
REQUIRED EDUCATION:
A bachelor's degree in computer science or related technical field or equivalent experience in Quality Assurance.
REQUIRED CERTIFICATIONS:
None required. Certification and/or training CSQA or BABOK or automated testing tool are beneficial.

Additional Information

Unfeigned regards,

Jane Morgan

Contact No- 6316491313 Ext-4417


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About Ask IT Consulting

Sourced by ZipRecruiter

Ask IT Consulting, based in Holtsville, NY, US, is a dynamic player in the IT and business solutions industry. Their services portfolio, as outlined on their official website (askitc.com), spans across a broad spectrum which includes IT consulting, talent management, digital and technology solutions. Founded with the goal to provide clients with the highest quality IT services, the company has steadily evolved and expanded as a leading resource, maintaining a powerful presence in the fields of information technology and business solutions alike. Ask IT Consulting believes firmly in its core values, which pivots upon integrity, excellence, respect, commitment, and diversity. As part of its mission, the company strives to deliver innovative and effective solutions for their clients that are tailored to meet their unique needs and objectives.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Holtsville, NY, US

Year founded

2008

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