• Medicaid Subject Matter

    DATAMAXIS (Springfield, IL)
    …distance (3 - 5 Hours) of Springfield, IL. Functional Description: This position is a Medicaid Subject Matter Expert for the Illinois Enterprise Data ... Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. * With the specialized… more
    DATAMAXIS (10/22/25)
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  • CO Medicaid Enterprise Solution (CMES)…

    State of Colorado (CO)
    …are aligned with the Medicaid & CHP+ regulatory and programmatic rules. + Subject matter expert in the technical aspects of Decision Support Systems ... CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148793) Apply  CO … more
    State of Colorado (12/01/25)
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  • Medicare/ Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment ... - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required Experience (must have):** + 3+ years in healthcare… more
    Commonwealth Care Alliance (11/30/25)
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  • Analyst, Actuarial ( Medicaid Risk…

    Molina Healthcare (Mesa, AZ)
    **JOB DESCRIPTION** **Job Summary** Responsible for being the SME ( Subject Matter Expert ) for Medicaid risk adjustment programs in multiple states. ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score… more
    Molina Healthcare (11/09/25)
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  • CDOC - Accountant III (Canon City)

    State of Colorado (Canon City, CO)
    …This position exists to be relied upon as the Medicaid 1115 Waiver Program subject matter expert , who performs accounting functions to record and report ... requirements associated with Medicaid -reimburseable service provisions and serves as a subject matter expert for all Medicaid 1115 Waiver Program… more
    State of Colorado (11/27/25)
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  • DFR Subject Matter Expert

    State of Indiana (Indianapolis, IN)
    DFR Subject Matter Expert Date Posted: Dec 10, 2025 Requisition ID: 468034 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... by emphasizing self-sufficiency and personal responsibility. Role Overview: This role, Subject Matter Expert , provides specialized knowledge regarding… more
    State of Indiana (12/11/25)
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  • Business Analyst *State Government Medicaid

    TEKsystems (Montgomery, AL)
    …approve * Interact professionally with a diverse group of executives, managers, and subject matter experts. * Perform standard project functions such as creating ... Description Position Description The Alabama Medicaid Agency (AMA) is preparing for a major...* 2 years of experience with multi-vendor project * Expert /Advance experience in using Visio, MS Project, Office 365,… more
    TEKsystems (12/02/25)
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  • Head of CMS/ Medicaid - Solutions,…

    RELX INC (Washington, DC)
    …sales leadership, and sales executives to implement strategic initiatives. + Serving as the Subject Matter Expert and thought leader for LNRS as Head ... risk. About the Job: The Head of CMS and Medicaid Solutions will oversee all aspects of the CMS...50% of the time. + Present themselves as a subject matter expert / thought… more
    RELX INC (10/15/25)
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  • Senior Medicaid & Medicare Reimbursement…

    OhioHealth (Columbus, OH)
    …analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert in the following areas, S-10, Wage Index, ... is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This...reimbursement functions. Knowledge in the following areas: Reimbursement functions: Subject matter expert on CMS… more
    OhioHealth (09/25/25)
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  • Strategic Medicaid Proposal Quality Analyst

    CVS Health (Columbus, OH)
    …team concerns and review findings. + Actively engage health plan leadership and subject matter experts during capture meetings and strategy meetings to influence ... internal quality standards and deliverables are met. + Maintain expert understanding of Aetna Medicaid products and services. + Support the proposal lifecycle by… more
    CVS Health (11/22/25)
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