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Remote Medicaid Jobs in Springfield, IL (NOW HIRING)

MSR Technology Group

IL EDW Data Modeler

Springfield, IL · Remote

$54.25 - $70.25/hr

Senior Health Data Modeler (Healthcare EDW) - Remote Remote (Must reside within the Continental U.S ... Strong healthcare data experience, including Medicaid, Medicare, claims, provider, and member data

MSR Technology Group

Senior Data Engineer

Springfield, IL · Remote

$105K - $142K/yr

Senior Data Engineer (ETL / Python Developer) Remote (Must reside within the Continental U.S.) No ... * Healthcare, Medicaid, or Medicare experience * State government or large enterprise data ...

Humana

Manager, Care Management

Springfield, IL · Remote

Familiarity with Illinois Medicaid policies and systems Additional Information * Workstyle: This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions conducting care ...

Humana

Manager, Care Management

Springfield, IL · Remote

Familiarity with Illinois Medicaid policies and systems Additional Information * Workstyle: This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions conducting care ...

Humana

Manager, Care Management

Springfield, IL · Remote

Familiarity with Illinois Medicaid policies and systems Additional Information * Workstyle: This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions conducting care ...

State of Illinois

Account Tech II

Springfield, IL · On-site +1

$4.7K - $6.4K/mo

Flexible work schedules are available in many program areas. (Remote work may be an option for ... We provide healthcare coverage for children and adults through Medicaid and other medical programs ...

All JobsMedicaid JobsRemote Medicaid JobsRemote Medicaid Jobs in Springfield, IL

Remote Medicaid information

See Springfield, IL salary details

$15

$27

$41

How much do remote medicaid jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for remote medicaid in Springfield, IL is $27.60, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $32.40 per hour, depending on experience, location, and employer.

What is a remote Medicaid?

A Remote Medicaid job involves working from home to assist with Medicaid-related tasks such as processing applications, verifying eligibility, providing customer support, or managing claims. These roles can be in healthcare organizations, government agencies, or insurance companies. Responsibilities may include data entry, policy compliance, and assisting beneficiaries with their Medicaid coverage.

What are the typical daily responsibilities of a remote Medicaid?

In a Remote Medicaid position, you can expect to review and process Medicaid applications, verify eligibility, and communicate with clients or healthcare providers to gather necessary documentation. The role often involves handling sensitive client information, conducting case management tasks, and ensuring compliance with federal and state Medicaid guidelines. You may also coordinate with other team members, such as social workers, nurses, or billing specialists, using virtual collaboration tools. This remote setup allows you to manage caseloads efficiently while maintaining ongoing communication with both clients and your support team.

What are the key skills and qualifications needed to thrive in remote Medicaid, and why are they important?

To thrive in a Remote Medicaid role, you typically need knowledge of Medicaid eligibility and policy, strong organizational skills, and relevant experience in healthcare administration or case management. Familiarity with Medicaid Management Information Systems (MMIS), electronic health records (EHR), and secure telehealth platforms is highly valuable, and some positions may require certification in medical billing or coding. Outstanding attention to detail, excellent verbal and written communication, and the ability to work independently in a remote environment are crucial soft skills. These abilities ensure accurate case handling, regulatory compliance, and efficient service delivery to vulnerable populations from a distance.

What are popular job titles related to Remote Medicaid jobs in Springfield, IL?

For Remote Medicaid jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Remote Medicaid jobs in Springfield, IL look for?

The top searched job categories for Remote Medicaid jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Remote Medicaid jobs?

Cities near Springfield, IL with the most Remote Medicaid job openings:

Remote Medicaid jobs near you
Infographic showing various Remote Medicaid job openings in Springfield, IL as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 18% Part Time, and 3% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $57,407 per year, or $27.6 per hour.

Medicaid Business/QA Analyst

MSR Technology Group

Springfield, IL • Remote

Contractor

Re-posted 14 days ago

Job description

Medicaid Business / QA Analyst
  • 7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid SME Required
  • Candidates with previous State Medicaid program experience will be given strong consideration.
  • Drug screen and background check required as part of onboarding
Position Summary
The Medicaid Business/QA Analyst serves as a subject matter expert (SME) for Medicaid data and processes while performing quality assurance testing within a large-scale Enterprise Data Warehouse (EDW) environment. This position combines program knowledge—eligibility, claims, encounters, provider enrollment, managed care, and reporting—with QA discipline to ensure accuracy, completeness, and usability of EDW deliverables such as data marts, inbound source data loads, outbound extracts, reporting outputs, and operational dashboards.
Key Responsibilities1. Business SME – Medicaid Data & Processes
  • Interpret Medicaid data elements, business rules, and program logic for EDW initiatives.
  • Review inbound data from core systems (eligibility, provider, claims, managed care) for accuracy and mapping alignment.
  • Validate outbound extracts and reporting outputs for accuracy, timeliness, and format requirements.
  • Support development of data marts across eligibility, claims/utilization, provider, managed care, LTSS, and behavioral health.
2. QA Planning & Execution
  • Develop QA plans, scenarios, and test cases aligned to business rules.
  • Perform data reconciliation between source files and EDW target tables.
  • Validate transformations, aggregations, and derived fields.
  • Participate in User Acceptance Testing (UAT) with business stakeholders.
3. Data Quality & Issue Resolution
  • Identify data anomalies, mapping issues, and business rule gaps; work with data engineering and ETL teams to resolve.
  • Ensure referential integrity across eligibility, claims, provider, and plan datasets.
  • Define business data quality rules for ongoing monitoring.
  • Track and document issues in defect management tools.
4. Collaboration & Documentation
  • Work with business stakeholders, vendors, and technical teams to validate requirements and deliverables.
  • Review BRDs, mapping documentation, and data models for accuracy.
  • Maintain QA evidence, testing documentation, and business rule records.
  • Support knowledge transfer related to Medicaid data usage within the EDW.
Required Skills & Qualifications
  • Strong Medicaid business knowledge (eligibility, claims, encounters, provider, managed care).
  • Experience working with EDW environments, including inbound feeds, staging layers, integration layers, data marts, and outbound extracts.
  • Proficiency with SQL for validation and reconciliation.
  • Experience in data warehouse QA/testing, including validating data transformations and dimensional models.
  • Ability to translate Medicaid program rules into testable acceptance criteria.
  • Familiarity with HIPAA compliance and PHI guidelines.
  • Excellent analytical, documentation, and communication skills.
Preferred Qualifications
  • Experience with Medicaid EDW or MMIS modernization projects.
  • Familiarity with provider handbooks, policy documentation, or administrative rules.
  • Experience with managed care data (capitation, encounters, member assignments).
  • Experience validating dashboards or reports in tools such as Tableau, Power BI, or Cognos.
  • Background in data governance or metadata management.