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Medicaid Software information

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$33

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$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 is the highest paying job in health information technology?

In health information technology, roles such as Health Information Managers, Chief Medical Information Officers, and IT Directors typically have the highest salaries. These positions often require advanced degrees, extensive experience, and expertise in health data systems, cybersecurity, and compliance standards like HIPAA.

What healthcare jobs pay over $100k per year?

Healthcare jobs that typically pay over $100,000 annually include physicians, surgeons, anesthesiologists, and certain specialized nurse practitioners. Roles such as healthcare administrators and medical directors can also reach this salary level, often requiring advanced degrees, extensive experience, and leadership skills.

What of Medicaid recipients have jobs?

Medicaid recipients can have jobs; many work while receiving benefits, especially if they meet income and eligibility requirements. Employment status varies, and some recipients may work part-time or full-time in various industries. Employment can impact Medicaid eligibility, so recipients often report income and employment changes to maintain coverage.

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.

Which healthcare tech jobs pay the most?

In healthcare technology, roles such as Health IT Director, Healthcare Software Architect, and Data Scientist typically offer the highest salaries, often exceeding six figures. These positions require advanced technical skills, experience with electronic health records (EHR) systems, and sometimes certifications like Certified Professional in Healthcare Information and Management Systems (CPHIMS).
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.

Regional Medicaid Specialist

Nhc Healthcare Columbia

Mc Minnville, TN • On-site

Other

Posted 9 days ago

Job description

Regional Medicaid Specialist

The Regional Medicaid Specialist is a key leadership role within our skilled nursing facility region, responsible for managing all business office operations. This position ensures the efficient financial and administrative functioning of the facility, including overseeing business office staff, managing revenue cycles, and ensuring compliance with all applicable regulations.

Responsible To: Administrator, Regional VP or Regional Accountant

Qualifications:

  • The ideal candidate will demonstrate exceptional organizational, analytical, and leadership skills, with a strong understanding of healthcare financial operations and commitment to providing outstanding service to residents and their families.
  • Bachelor's degree in Business Administration, Accounting, or related field preferred; equivalent experience may be considered.
  • Minimum of three (3) years experience in a healthcare setting or business officer preferred.

Skills and Competencies:

  • Strong knowledge of healthcare billing systems, accounts receivable, and accounts payable processes.
  • Proficiency in payroll systems and bank reconciliation procedures.
  • Familiarity with patient trust account management and related regulatory requirements.
  • Excellent leadership, organizational, and problem-solving skills.
  • Effective communication and interpersonal skills.
  • Proficiency in Microsoft Office Suite and financial software systems.

Duties and Responsibilities:

  • Leadership and Management: Supervise and provide direction to business officer partners, ensuring productivity and adherence to facility policies. Conduct regular partner coaching and feedback to maintain a high-performing team.
  • Financial Operations: Oversee revenue cycle processes, including timely and accurate billing and revenue recognition. Perform daily reconciliation of census and accurate pay source maintenance and billing set up within the electronic health record. Ensure prompt collection of accounts receivable, including private pay, Medicare, Medicaid, and insurance payments. Manage accounts payable, ensuring timely and accurate processing of invoices and payments.
  • Payroll Administration: Oversee the updated and processing of payroll, ensuring compliance with facility policies and regulatory requirements. Address payroll discrepancies and employee inquiries promptly and professionally.
  • Bank Reconciliations: Perform monthly reconciliation of bank balances and accounts, ensuring accuracy and resolving discrepancies.
  • Patient Trust Accounts: Manage patient trust bank accounts in accordance with regulatory guidelines, ensuring proper documentation and security funds. Provide regular account updates to residents and families as needed.
  • Collaboration: Work closely with the Administrator, clinical staff, and other departments to support the overall mission and goals of the facility. Serve as a liaison with external stakeholders, including auditors, and regulatory agencies.

Why NHC? At NHC, we "Put our Heart in Everything We Do!" We take pride in working together as a team in our family-oriented work environment. We provide a culture of excellence, recognition, empowerment, and fun. We offer professional growth opportunities along with competitive compensation wage increases based on performance. If you want this experience in your career, apply today!

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