The ideal candidate is an experienced Medicaid operations leader with a strong background in claims processing, regulatory compliance, performance management, and operational excellence. This ...
The ideal candidate is an experienced Medicaid operations leader with a strong background in claims processing, regulatory compliance, performance management, and operational excellence. This ...
The ideal candidate is an experienced Medicaid operations leader with a strong background in claims processing, regulatory compliance, performance management, and operational excellence. This ...
The ideal candidate is an experienced Medicaid operations leader with a strong background in claims processing, regulatory compliance, performance management, and operational excellence. This ...
The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS ... Focusing on readiness for claims processing, payment cycles, provider enrollments and business ...
The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS ... Focusing on readiness for claims processing, payment cycles, provider enrollments and business ...
The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS ... Focusing on readiness for claims processing, payment cycles, provider enrollments and business ...
The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS ... Focusing on readiness for claims processing, payment cycles, provider enrollments and business ...
The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS ... Focusing on readiness for claims processing, payment cycles, provider enrollments and business ...
The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS ... Focusing on readiness for claims processing, payment cycles, provider enrollments and business ...
MEDICAID CLAIMS ANALYST DURATION : 90 DAYS LOCATION : PARSIPPANY, NJ 07054 SHIFT : MONDAY - FRIDAY ... Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company , state ...
Quick apply
MEDICAID CLAIMS ANALYST DURATION : 90 DAYS LOCATION : PARSIPPANY, NJ 07054 SHIFT : MONDAY - FRIDAY ... Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company , state ...
Medicaid/Medicare Consultant
MD · On-site
$90K - $150K/yr
Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities * Provide revenue ...
Medicaid/Medicare Consultant
MD · On-site
$90K - $150K/yr
Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities * Provide revenue ...
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Medicaid Coder and Reimbursement Analyst
Washington, DC · On-site
$60K - $70K/yr
Qualifications * 3+ years of Medicaid coding, billing, claims processing, or reimbursement experience * Direct Medicaid coding experience REQUIRED * Strong knowledge of ICD-10, CPT, HCPCS, and ...
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Be Seen First
Medicaid Coder and Reimbursement Analyst
Washington, DC · On-site
$60K - $70K/yr
Qualifications * 3+ years of Medicaid coding, billing, claims processing, or reimbursement experience * Direct Medicaid coding experience REQUIRED * Strong knowledge of ICD-10, CPT, HCPCS, and ...
Claims Examiner
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner consists of processing claim data and ...
Claims Examiner
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner consists of processing claim data and ...
This role requires strong knowledge of Medicaid processes and the ability to manage varying state requirements. Key Responsibilities Medicaid Billing * Prepare and submit Medicaid claims accurately ...
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This role requires strong knowledge of Medicaid processes and the ability to manage varying state requirements. Key Responsibilities Medicaid Billing * Prepare and submit Medicaid claims accurately ...
Medical Claims Examiner
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and ...
Medical Claims Examiner
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Examiner consists of processing claim data and ...
Senior Data Analyst - Medicaid Exp Must - W2
Frisco, TX · Remote
$88K - $111K/yr
... of Medicaid claims adjudication, member eligibility, provider networks, and reimbursement processes. • Design, develop, and maintain dashboards, scorecards, and reports using BI tools such as ...
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Senior Data Analyst - Medicaid Exp Must - W2
Frisco, TX · Remote
$88K - $111K/yr
... of Medicaid claims adjudication, member eligibility, provider networks, and reimbursement processes. • Design, develop, and maintain dashboards, scorecards, and reports using BI tools such as ...
Medical Claims Coder
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and ...
Medical Claims Coder
Tucson, AZ · On-site
... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Medical Claims Coder consists of processing claim data and ...
Examiner, Claims
Long Beach, CA · Remote
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Examiner, Claims
Long Beach, CA · Remote
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Role: MMIS (Medicaid Management Information Systems) Key Responsibilities & Skills * System ... claims processing, provider enrolment, and eligibility verification.
Role: MMIS (Medicaid Management Information Systems) Key Responsibilities & Skills * System ... claims processing, provider enrolment, and eligibility verification.
Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth ...
Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth ...
Medicaid Claims Data Entry Associate
MT · Remote
$17/hr
As a Medicaid Claims Data Entry Associate , you will be responsible for ... Accurately input claim data into claims processing systems * Review documents for completeness and ...
Medicaid Claims Data Entry Associate
MT · Remote
$17/hr
As a Medicaid Claims Data Entry Associate , you will be responsible for ... Accurately input claim data into claims processing systems * Review documents for completeness and ...
Senior Business Analyst - MMIS Claims Processing
Chesterfield, MO · Remote
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Senior Business Analyst - MMIS Claims Processing
Chesterfield, MO · Remote
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Examiner, Claims
Long Beach, CA · Remote
$14 - $26.42/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Examiner, Claims
Long Beach, CA · Remote
$14 - $26.42/hr
Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...
Examiner, Claims
Long Beach, CA · On-site +1
$14 - $26.42/hr
Required Qualifications • Must have at least 2 years of experience processing Medicaid claims • At least 1 year of experience in a clerical role in a claims, and/or customer service setting ...
Examiner, Claims
Long Beach, CA · On-site +1
$14 - $26.42/hr
Required Qualifications • Must have at least 2 years of experience processing Medicaid claims • At least 1 year of experience in a clerical role in a claims, and/or customer service setting ...
Weekend Medicaid Claims Processing information
See salary details
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.58
18% of jobs
The median wage is $18.62 / hr.
$18.58 - $19.89
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.89 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
How much do weekend medicaid claims processing jobs pay per hour?
As of Jul 26, 2026, the average hourly pay for weekend medicaid claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.
What cities are hiring for Weekend Medicaid Claims Processing jobs? Cities with the most Weekend Medicaid Claims Processing job openings:
What are the most commonly searched types of Medicaid Claims Processing jobs? The most popular types of Medicaid Claims Processing jobs are:
What states have the most Weekend Medicaid Claims Processing jobs? States with the most job openings for Weekend Medicaid Claims Processing jobs include:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 5 days ago
Conduent rating
6.0
Based on 185 frontline employees who took The Breakroom Quiz
37th of 72 rated call and contact centers
Job description
The Operations Claims Processing Manager is responsible for leading all Medicaid Claims Processing operations and serves as the primary point of contact for claim-related operational functions. This role provides leadership and oversight for Claims Resolution, Drug Rebate activities, Medical Policy, Financial Transactions, and Data Entry operations.
The ideal candidate is an experienced Medicaid operations leader with a strong background in claims processing, regulatory compliance, performance management, and operational excellence. This individual will drive process improvements, ensure SLA and KPI achievement, and maintain compliance with CMS regulations and Medicaid State Plan requirements.
This position is contingent upon the award of a government contract. Recruiting and interviewing activities may occur prior to contract award; however, employment and start dates are subject to contract award, funding, customer approval requirements, and/or satisfaction of any applicable pre-employment conditions.
Key Responsibilities
- Serve as the primary point of contact for all Medicaid Claims Processing operations.
- Manage and oversee Claims Resolution, Drug Rebate operations, Medical Policy, Financial Transactions, and Data Entry functions.
- Define, implement, and maintain operational policies and procedures.
- Identify opportunities for operational improvement and drive process enhancement initiatives.
- Lead, coach, and develop claims processing teams and operational staff.
- Ensure adherence to established operational processes, policies, and compliance requirements.
- Monitor and manage operational tools and systems to support efficient claims processing.
- Own and drive achievement of operational Service Level Agreements (SLAs) and Key Performance Indicators (KPIs).
- Analyze operational performance metrics and produce reports for leadership and stakeholders.
- Serve as the primary point of contact regarding CMS regulations, Medicaid policies, and State Plan requirements.
- Partner with internal and external stakeholders to ensure accurate and timely claims processing.
- Manage escalated operational issues and implement corrective actions as needed.
Required Qualifications
- Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, Business Administration, or a related field; or equivalent combination of education and experience.
- Minimum of eight (8) years of experience managing Medicaid claims processing operations or major healthcare payer claims operations.
- Demonstrated experience leading claims processing teams and complex operational functions.
- Strong knowledge of Medicaid claims processing, reimbursement methodologies, and healthcare operations.
- Experience managing operational metrics, SLA performance, and KPI reporting.
- Excellent written, verbal, and presentation communication skills.
- Strong analytical, organizational, and problem-solving abilities.
- Ability to thrive in a fast-paced, high-volume, and high-pressure environment.
- Must complete a background check that includes fingerprinting.
Preferred Qualifications
- Experience supporting Medicaid programs or government healthcare contracts.
- Knowledge of CMS regulations, Medicaid policy, and state healthcare requirements.
- Experience with claims adjudication, provider reimbursement, and financial transaction operations.
- Proven track record of implementing operational improvements that increase efficiency and quality.
- Experience presenting operational results to executive leadership and government agency stakeholders.
Flexible Working
At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too.
In this role, you can expect the following working conditions:
- Onsite work: Work in our local office, receiving personal coaching and leadership so that you can provide the best support to our clients and help you grow in your career.
Working For You
Perks and rewards designed for you:
- Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.
- Retirement Savings: We will support you as you save for your future.
- Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
- Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
- Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
- Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.
- Great Work Environment: We are proud of our award-winning culture and the recognition we've received for our diversity efforts.
Join Us
At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates.
We strive to create a culture where you can:
- Bring your authentic self to work.
- Grow and thrive, both personally and professionally.
- Make a difference with our clients, in our communities, and with the millions of people we support.
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary for this role is $77,770-101,000.
About Us
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
About the Team
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.
About Conduent
Sourced by ZipRecruiter
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Industry
It services
Company size
10,000+ Employees
Headquarters location
Florham Park, NJ, US
Year founded
2017