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Medicaid Tester Jobs (NOW HIRING)

VIMO INC.

Medicaid Business Analyst

Mountain View, CA · On-site +1

$120K - $160K/yr

Integration Testing & Validation: * Support System Integration Testing (SIT) and User Acceptance ... Experience: 3-5+ years in Medicaid, Healthcare IT, or Insurance Exchange environments with a focus ...

VIMO INC.

Medicaid Business Analyst

Mountain View, CA

$140K - $170K/yr

Integration Testing & Validation: * Support System Integration Testing (SIT) and User Acceptance ... Experience: 3-5+ years in Medicaid, Healthcare IT, or Insurance Exchange environments with a focus ...

Carman Solutions Group

Claims Tester

Malvern, PA · On-site

... Medicaid and Medicare. * Candidate should have hands-on experience on claims processing and ... Interface testing - Test integration points between systems * Design test case based on business ...

Apexon

Functional Tester

Mechanicsburg, PA

Programs include TANF, Medicaid, SNAP, and Child Care * Proficiency in testing methodologies such as white-box, black-box, coverage, and regression * Experience testing interfaces, batches, reports ...

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Medicaid Tester information

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How much do medicaid tester jobs pay per hour?

As of Jun 13, 2026, the average hourly pay for medicaid tester in the United States is $38.36, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $50.72 per hour, depending on experience, location, and employer.

Are there any legit product testing jobs?

Medicaid testers are typically involved in verifying healthcare program compliance and may not be related to product testing. Legitimate product testing jobs do exist and often involve testing consumer products, electronics, or software, usually requiring attention to detail and sometimes specific skills or certifications. Always research companies thoroughly to avoid scams and ensure the job is legitimate before providing personal information or payment.

What job makes $10,000 a month without a degree?

A Medicaid Tester typically earns less than $10,000 a month, as the role usually offers moderate pay. Jobs that can pay $10,000 or more monthly without a degree often include high-level sales, real estate investing, or entrepreneurship, which rely on skills, experience, and market opportunities rather than formal education.

What is the difference between Medicaid Tester vs Medicaid Claims Processor?

AspectMedicaid TesterMedicaid Claims Processor
Required CredentialsBasic IT or healthcare knowledge, testing certificationsMedical billing, coding certifications, or claims processing experience
Work EnvironmentHealthcare IT teams, software testing environmentsHealthcare offices, insurance companies, government agencies
Employer & Industry UsageHealth IT companies, government Medicaid programsInsurance companies, healthcare providers, Medicaid agencies
Search & Comparison IntentUnderstanding testing roles in Medicaid systemsUnderstanding claims processing roles in Medicaid

Medicaid Testers focus on testing Medicaid software and systems to ensure functionality, while Medicaid Claims Processors handle the review and processing of Medicaid claims for payment. Both roles are essential in Medicaid operations but differ in responsibilities and required skills.

How do I become a Medicaid specialist?

To become a Medicaid specialist, you typically need a background in healthcare, social work, or public health, along with knowledge of Medicaid policies and regulations. Relevant certifications or training in healthcare administration or Medicaid program management can enhance your qualifications. Gaining experience through entry-level roles or internships in healthcare agencies is also beneficial.

What is a Medicaid Tester?

A Medicaid Tester is a professional responsible for evaluating and validating the functionality, accuracy, and compliance of Medicaid-related software systems. They ensure that these systems meet federal and state requirements for processing Medicaid claims, eligibility, and reporting. Medicaid Testers design and execute test cases, identify issues, and work closely with developers and analysts to ensure the system supports Medicaid business processes effectively. Their work helps prevent errors that could impact beneficiaries and providers.

What are some common challenges Medicaid Testers face when validating eligibility systems?

Medicaid Testers frequently encounter challenges related to the complexity and frequent updates of eligibility rules, which can vary by state and change due to policy updates. Ensuring test cases accurately reflect real-world scenarios while maintaining data privacy is another common difficulty. Testers must also collaborate closely with developers, business analysts, and policy experts to clarify requirements and resolve discrepancies, which requires strong communication and adaptability skills.

What are the key skills and qualifications needed to thrive as a Medicaid Tester, and why are they important?

To thrive as a Medicaid Tester, you need strong analytical skills, attention to detail, and a solid understanding of Medicaid policies and healthcare eligibility requirements, often supported by relevant experience or a degree in health administration or IT. Familiarity with Medicaid Management Information Systems (MMIS), test case management tools, and software testing methodologies is essential. Excellent problem-solving abilities, communication skills, and adaptability help testers collaborate with technical and non-technical teams. These skills ensure accurate system functionality, compliance with regulations, and the delivery of effective healthcare services to eligible populations.

What jobs pay 2000 a day?

Jobs that can pay $2,000 a day include high-level consulting, specialized medical roles such as surgeons or anesthesiologists, and certain freelance or contract positions in technology, finance, or legal fields. These roles typically require advanced skills, certifications, or extensive experience, and often involve project-based or hourly billing arrangements.

Medicaid Business Analyst

VIMO INC.

Mountain View, CA • On-site, Remote

$120K - $160K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

About Vimo:
Vimo® started as the "Expedia" of health insurance and has evolved into a leader in transforming government IT infrastructure with its proven SaaS and AI technology. Our innovative approach to health insurance shopping and enrollment has expanded beyond exchanges, and we are now reinventing how states administer safety net programs such as Medicaid, SNAP (food stamps), child care, and unemployment insurance. With our cutting-edge technology, we are helping agencies serve more people, faster, and transforming healthcare service delivery as we know it.
Job Summary:
The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will perform gap analysis on XML schemas, define field-level mapping, and coordinate directly with Medicaid partners to ensure seamless data flow in production.
Key Responsibilities:
  • XML Data & Gap Analysis:
    • Review and analyze Account Transfer XML files to identify data discrepancies, structural gaps, or missing fields between the Exchange and Medicaid systems.
    • Troubleshoot and resolve production data issues related to failed or "stuck" account transfers.
  • Field-Level Mapping & Documentation:
    • Lead the coordination with Medicaid stakeholders to define and maintain Source-to-Target Mapping (STTM) documents for all shared data elements.
    • Maintain a centralized repository of agreed-upon mapping logic, data dictionaries, and transformation rules.
  • Medicaid Liaison & Traffic Monitoring:
    • Act as the primary point of contact for Medicaid agencies, conducting regular "pulse checks" to monitor system-to-system traffic health.
    • Report on transmission success rates and proactively identify trends in data rejection or service interruptions.
  • Integration Testing & Validation:
    • Support System Integration Testing (SIT) and User Acceptance Testing (UAT) by developing test cases specifically for data mapping and XML validation.
    • Verify that incoming data correctly triggers the intended enrollment actions in the target system.

Basic Qualifications:
  • Technical Skills: Proficiency in reading and validating XML/XSD; strong SQL skills for data reconciliation; experience with EDI or health data standards (HL7/NIEM).
  • Experience: 3-5+ years in Medicaid, Healthcare IT, or Insurance Exchange environments with a focus on data integration.
  • Analytical Ability: Proven experience in Gap Analysis and complex data mapping.
  • Communication: Strong ability to translate technical XML issues into business impacts for Medicaid stakeholders and vice versa

Compensation and Benefits:
  • Competitive compensation - All In range of ($140,000-$170,000). (Please note that salary and compensation may vary based on factors such as skills, experience, performance and location.)
  • We offer a comprehensive benefits package, including but not limited to:
  • Health, Dental, Life, Disability, and Vision insurance
  • Healthcare spending or reimbursement accounts (HSA/FSA)
  • Retirement benefits (401k)
  • Paid time off
  • Holidays: 13 paid days per year
  • Education assistance or tuition reimbursement-
  • Employee discounts for Gym memberships & commuting/travel assistance

Our Vaues:
  • We believe that working hard, when it is imbued with purpose, can and should be fun.
  • You'll find we are a "can do" place where people work together and roll up their sleeves to get the job done.
  • Everyone has a voice; everyone's ideas count, and everyone is respected.
  • We have built a company, as well as a community of friends and colleagues, with respect for each other.

Information Security & Data Protection:
  • This role may involve access to sensitive or regulated information. The candidate is expected to handle all data in accordance with company security, privacy, and data protection policies.
  • Compliance with access control, data classification, and applicable legal and regulatory requirements is required.

Apply