Medicaid Coverage & Eligibility Jobs

Analyze healthcare eligibility, enrollment, and data reporting requirements for remote healthcare data operations.

Analyze Medicaid claims, encounters, eligibility, and provider datasets for a long-term remote contract engagement.

Support Medicaid applications and help patients obtain benefits through eligibility review and application assistance.

Review Medicaid utilization and program data for the HSA Program Review Division.

Support senior Medicaid contracting analysis in a remote contract role.

Perform requirements analysis, mapping documentation, and data analysis for T-MSIS healthcare reporting work.

Support public policy, long-term care, and Medicaid rate-setting analysis.

Own Medicaid reimbursement workflows, billing processes, reporting, and cross-functional coordination across special programs and finance teams.

Curated MedicaidReady Careers listing for Chief Medical Officer - New York at Centene Corporation, focused on medicaid operations in a healthcare, managed care, Medicaid, Medicare, or marketplace environment.

Curated MedicaidReady Careers listing for Senior Consultant, Quality Measurement - Remote at UnitedHealth Group / Optum, focused on quality measurement / medicaid consulting in a healthcare, managed care, Medicaid, Medicare, or marketplace environment.

Lead Medicaid reporting and analytics work for a large enterprise Medicaid data warehouse and analytics program, with focus on CMS reporting, audit readiness, compliance, and data modernization.

Support Medicaid business analysis, requirements gathering, reporting, and operational improvements for a national healthcare organization.

Coordinate LTSS, IDD waiver, behavioral health, and physical health support for Medicaid members through assessments, person-centered planning, care coordination, and service navigation.

Support provider engagement, facility relationships, education, issue resolution, and Medicare/Medicaid-related provider operations for UnitedHealth Group / Optum.