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Medicaid Jobs in Raleigh, NC (NOW HIRING)

STI

Advanced Planning Document Writer

Raleigh, NC · On-site

The Advanced Planning Writer develops Advanced Planning Documents, Medicaid Detail Budget Tables and other documentation required for the planning, implementation, and operations activities in ...

Elite Workforce Inc

APD Writer at NC

Raleigh, NC · On-site

State of North Carolina Duration: 12+ Months We're seeking an experienced APD Writer to develop MES Advanced Planning Documents (APDs) and related materials for a Medicaid program. The role focuses ...

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All JobsMedicaid JobsMedicaid Jobs in Raleigh, NC

Medicaid information

See Raleigh, NC salary details

$15

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$41

How much do medicaid jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for medicaid in Raleigh, NC is $27.07, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $31.78 per hour, depending on experience, location, and employer.

What is a Medicaid job?

Medicaid jobs typically refer to positions that involve administering, managing, or supporting the Medicaid program, which provides health coverage to eligible low-income individuals and families in the United States. These jobs can include case managers, eligibility specialists, policy analysts, healthcare providers, and administrative staff who work for state agencies, healthcare organizations, or managed care companies. Professionals in these roles help applicants access benefits, ensure compliance with federal and state regulations, and support the delivery of healthcare services to Medicaid recipients.

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

To succeed as a Medicaid Specialist, you need a strong understanding of healthcare regulations, Medicaid eligibility criteria, and case management, typically supported by a degree in social work, public health, or a related field. Familiarity with Medicaid management information systems (MMIS), electronic health records (EHRs), and relevant billing or compliance software is often required. Excellent communication, problem-solving, and attention to detail are essential soft skills for effectively serving clients and navigating complex regulations. These competencies ensure accurate eligibility determinations, compliance with policies, and support for vulnerable populations accessing care.

What is the difference between Medicaid vs Medical Assistant?

AspectMedicaidMedical Assistant
CredentialsNone required; eligibility based on incomePost-secondary education, certification often required
Work EnvironmentGovernment programs, clinics, hospitalsDoctor's offices, clinics, hospitals
Employer & IndustryGovernment-funded health insurance programHealthcare providers, clinics

Medicaid is a government health insurance program for eligible individuals, while a Medical Assistant is a healthcare professional providing clinical and administrative support in medical settings. Medicaid focuses on funding and eligibility, whereas Medical Assistants deliver direct patient care and support healthcare operations.

What are some common challenges faced by Medicaid case managers, and how can applicants prepare for them?

Medicaid case managers often navigate complex regulations and high caseloads, making time management and attention to detail essential skills. They regularly interact with clients who may have urgent needs or face barriers to accessing care, which can be emotionally demanding. Collaborating with healthcare providers, social workers, and government agencies is a daily part of the role, so strong communication and problem-solving abilities are critical. Applicants can prepare by familiarizing themselves with Medicaid policies in their state, developing organizational strategies, and cultivating empathy to support diverse populations effectively.
What are the most commonly searched types of Medicaid jobs in Raleigh, NC? The most popular types of Medicaid jobs in Raleigh, NC are:
What are popular job titles related to Medicaid jobs in Raleigh, NC? For Medicaid jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Medicaid jobs in Raleigh, NC look for? The top searched job categories for Medicaid jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Medicaid jobs? Cities near Raleigh, NC with the most Medicaid job openings:
Medicaid jobs near you
Infographic showing various Medicaid job openings in Raleigh, NC as of August 2026, with employment types broken down into 79% Full Time, 14% Part Time, and 7% Contract. Highlights an 78% In-person, 5% Hybrid, and 17% Remote job distribution, with an average salary of $56,302 per year, or $27.1 per hour.

Medicaid Business Analyst with state govt exp (SDLC & Agile) - HYBRID

Chandra Technologies, Inc.

Raleigh, NC • On-site

Other

Posted 2 days ago

New

Job description

Job Description:

***Crop to Crop resumes are accepted

This position requires experience with Agile Methodologies and knowledge of Medicaid program rules, policies, and procedures.

The NC FAST Business Analyst is expected to participate throughout the Software Development Life Cycle (SDLC) and responsibilities include but are not limited to:

  • Lead Fit/Gap and JAD sessions that map requirements to standard features and functions
  • Conduct business, operational, financial and comparative analysis used to recommend an effective implementation approach. 
  • Execute data queries to support reporting, analysis, data validation, troubleshooting, and testing
  • Identify and document business process, issues, value levers, metrics, and capabilities
  • Develop functional and technical design specifications, process flows, and system documentation to ensure solutions meet business requirements, program objectives, and established standards.
  • Refine User Stories and establish acceptance criteria identified for features
  • Support system testing activities, like developing test scenarios, participating in User Acceptance Testing (UAT), and defect tracking
  • Collaborate with business and technical teams to identify training needs and support user readiness for new or enhanced system functionality, business processes, and operational procedures
  • Participate in implementation activities supporting the successful delivery of system enhancements and operational improvements.
  • Provide end-user support by assisting with production support activities, responding to user questions, and helping resolve system related issues. 

Preferred Qualifications: 

  • Experience designing intuitive, user-centric UI/UX solutions
  • Proficiency with SQL for querying and validating data
  • Experience with Large Language Models (LLMs), including generative AI use cases 

Required Skills:

Strong Knowledge of the Software Development Life Cycle (SDLC), including Agile Methodologies

Knowledge of federal and state regulations related to Medicaid and other human services programs

Ability to analyze complex business processes and recommend technology solutions

Experience analyzing and creating user stories, process flows, use cases, mapping, and business requirements documentation

Experience with requirements traceability, testing support, and user acceptance testing (UAT)

Experience facilitating requirements gathering and Joint Application Design (JAD) sessions with Stakeholders, business and technical teams

Proficiency with business analysis and project management tools (e.g: JIRA, Confluence, Visio, Microsoft Office Suite)

Ability to work independently and manage medium complexity work efforts

Desired Skills:

Experience with NC FAST (Cúram Software Suite) or similar integrated eligibility systems

Experience with UI/UX design principles, and user-centric design

SQL Experience for querying and validating data

Experience with Large Language Models (LLMs), including generative Artificial Intelligence (AI) use cases

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