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Medicare System Developer Jobs (NOW HIRING)

... Medicare Fee For Service claims processing system. In this role, you will be a senior technical ... As a Cobol Software Developer, you will you will work within a highly structured and rigorous ...

SQL Developer, SQL plus and executing SQL scripts using DBeaver to query Vertica and Oracle ... Medicare Systems Standards and Codes such as EDI 837, EDI 834, ICD Codes, HIPPA etc. and various ...

Business Analyst

Annapolis Junction, MD · On-site

$110K - $120K/yr

Expertise with tools such as Jira, Confluence, Azure DevOps * Direct experience supporting CMS initiatives Preferred Qualifications * Experience with CMS programs or Medicaid/Medicare systems

Responsibilities The Peraton Health, State and Local Sector is seeking Cobol Software Developers to join us in supporting and maintaining the Medicare Fee For Service claims processing system. In ...

... Medicare Fee for Service claims processing system. In this role, you'll be a key contributing ... Demonstrates experience as a software developer in a mainframe environment, preferred.

... Medicare Fee For Service claims processing system. In this role, you will be a senior technical ... Mentors and provides technical guidance to junior and mid-level developers on the team.

... the Medicare Fee For Service claims processing system. In this role, you will be a contributing ... As a Cobol Software Developer, you will work within a highly structured and rigorous development ...

Systems Engineer

Ann Arbor, MI · On-site +1

$92K - $149K/yr

Attend system demonstrations, perform integration or user testing as needed, develop test criteria ... Experience working within Medicare systems at CMS, especially enrollment and beneficiary database ...

Showing results 21-40

Medicare System Developer information

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$12

$48

$76

How much do medicare system developer jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for medicare system developer in the United States is $48.86, according to ZipRecruiter salary data. Most workers in this role earn between $41.35 and $57.21 per hour, depending on experience, location, and employer.

What is a Medicare system developer?

A Medicare System Developer is a software engineer or IT professional who designs, develops, and maintains technology systems that support Medicare operations. Their work involves creating applications for processing claims, managing beneficiary data, and ensuring compliance with federal healthcare regulations. They often collaborate with healthcare administrators, policy experts, and other IT specialists to enhance the efficiency and security of Medicare systems. Familiarity with healthcare data standards, such as HIPAA and HL7, is often required. This role is critical in ensuring that Medicare services are delivered accurately and efficiently to eligible beneficiaries.

What are the key skills and qualifications needed to thrive as a Medicare system developer?

To thrive as a Medicare System Developer, you need expertise in software development, healthcare data standards (such as HL7 and HIPAA), and a solid understanding of Medicare regulations and processes. Familiarity with programming languages (like Java or .NET), database management systems, and experience with claims processing platforms or EDI transactions are typically required. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with stakeholders and troubleshooting complex issues. These skills and qualifications are vital to ensure secure, compliant, and accurate development of systems that support Medicare operations and patient care.

What are some common challenges faced by Medicare system developers when integrating new regulations into existing systems?

Medicare System Developers often encounter challenges when federal and state regulations change, requiring updates to complex legacy systems. These updates must ensure compliance while minimizing disruptions to ongoing operations, which can involve extensive testing and collaboration with compliance teams. Additionally, developers must stay informed about policy changes and work closely with analysts and other stakeholders to accurately interpret requirements and implement them efficiently. Effective communication and adaptability are key to successfully managing these regulatory transitions.

What is the difference between Medicare System Developer vs Healthcare Software Engineer?

AspectMedicare System DeveloperHealthcare Software Engineer
Required CredentialsBachelor's in Computer Science, healthcare IT certificationsBachelor's in Computer Science, software development certifications
Work EnvironmentHealthcare organizations, government agenciesTech companies, healthcare IT firms
Employer & Industry UsagePrimarily in healthcare and government sectorsIn healthcare tech, software development companies
Common Search & ComparisonYesYes

The Medicare System Developer focuses on creating and maintaining software specifically for Medicare systems within healthcare and government settings. In contrast, a Healthcare Software Engineer develops broader healthcare applications across various platforms and organizations. While both roles require similar technical skills and certifications, their primary focus and work environments differ, with Medicare System Developers specializing in Medicare-related solutions.

What are popular job titles related to Medicare System Developer jobs?

For Medicare System Developer jobs, the most frequently searched job titles are:

Sr. Business Data Analyst with Medicaid Eligibility

Albany, NY • On-site

Sligo Software Solutions
IT Services • 51 - 200 employees

Contractor

This job post has expired today. Applications are no longer accepted.


Job description

Greetings from Sligo Software Solutions, Inc. !!
This is Vikram from SLIGO. We have an urgent requirement for Sr. Business Data Analyst with Medicaid Eligibility position with our client.
 
Title : Sr. Business Data Analyst with Medicaid Eligibility
Location : Albany, New York
Duration : 30 Months
Client : NY State - Department of Health
Job ID: SLG - 26 - 12358
Respond by: 09/03/26 5:00 PM
 
 

Description 

The position is being requested for the Medicaid Data Warehouse Bureau.  Medicaid Data Warehouse is the primary repository for Medicaid in New York State and is the main provider of Business Intelligence on Medicaid Data.

Duties 

The IT Specialist will perform report development tasks as it relates to health information technology including development of reports, workflows, data transformation, programming solutions, writing and executing unit test plans, researching, resolving, and testing reporting defects, and close collaboration with the technical team.

  • Analyze, develop, and revise flow charts, process models and technical specifications describing as-is or to-be Information Technology (IT) systems or business processes
  • Review business requirements documentation with technical project manager and programmers to ensure clarity in implementation of technical design.
  • Participate in business requirement and joint application development sessions to inform report options.
  • Implement systems and program design to meet complex business needs and author technical design document. Create appropriate documentation in work assignments such as program code and technical documentation.
  • Assist project manager in development of report time estimates and completes assigned tasks.
  • Participate in development as data expert, with specialization in report development. Ensure report development through coding, testing, debugging, implementing, and documenting programs, and developing test plans to verify logic programs and output.
  • Troubleshoot end user technical issues, identifying report problems and leading solutions.
  • Support release management process including technical steps to promote, test and release through the development environment, coordinating with infrastructure staff.
  • Use waterfall, iterative and agile software development life cycle methodologies.
  • Write Queries – support the reconciliation of the MDW, CMS 64 and eMedNY utilizing MARS reports – this facilitates claim reporting to the Centers for Medicaid/Medicare systems – T-MSIS.
  • Assist in querying Data sources to determine the validity of project outputs.
  • Document data architecture.

Mandatory Requirements 

  • Experience (14+ Years)
  • Works in the field of Information Technology, experienced in the usage and support of a collection of development platforms, technical architectures or business applications and products that run on those platforms - beyond that of a Programmer.        

Requirements 

  • This is an 100% Onsite.
  • 84 months experience in the area of:  Public health information Systems such as Medicaid or the Childs Health Insurance Program.
  • 84 months experience using Oracle products including: SQL Developer, SQL plus and executing SQL scripts using DBeaver to query Vertica and Oracle Databases.
  • 84 months experience Working with Stakeholders and vendor in the entire project life cycle from requirement gathering to Implementation..
  • 84 months experience with Center for Medicaid/Medicare Systems Standards and Codes such as EDI 837, EDI 834, ICD Codes, HIPPA etc. and various CMS Medicaid Reports such as TMSIS, CMS64 etc.
  • 64 Months experience in the analysis, design and testing of enterprise applications using JAVA/J2EE, XML, SOAP, DB2/Oracle and Web Services.
  • 36 months experience in a large volume Data Warehouse Environment processing billions of health care records, understanding of various ETL Databases like Source, Staging and Publishing and the related Row and Column Level security.
  • Masters/ Bachelor’s Degree in Computer Science/Information Technology.
  • Résumé
  • Copy of Candidate Identification (i.e., Driver’s License/Green Card/Visa and Passport if applicable)
  • Any documents referenced in the above Requested Qualifications (i.e., professional certifications, degrees, etc.)