Medicaid Subject Matter Expert
Medicaid Subject Matter Expert
Posted on :
04-09-2025
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1 Vacancy
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Job Description
Hello
Job: Medicaid Subject Matter Expert (SME)
Location: Concord New Hampshire - HYBRID
Scope of Work:
Client is seeking a qualified to provide Medicaid Enterprise Systems (MES) to support the Department with additional information systems and information technology support staff needed to facilitate the implementation and operation of MES modules.
Description:
- Possess broad knowledge of Medicaid policies and regulations including the Code for Federal
- Regulations that govern IT systems including but not limited to federal funding Provider management functions claims adjudication program integrity and third-party liability.
- Demonstrate deep understanding of required federal reporting such as CMS-64 and T-MSIS.
- The SME will review system implementation requirements and advise the technical team of requirements and functionality needed for federal compliance.
- The SME will assist the IT team in obtaining CMS system certification.
Qualifications:
- Five (5) years of experience in Medicaid environments.
- Expertise in federal Medicaid policies and regulations.
- Expertise in federal enhanced funding requirements.
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Employment Type
Full-time
Key Skills
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