Medicaid SME
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Job Location:
Jackson, MO - USA
Monthly Salary:
Not Disclosed
Posted on:
4 hours ago
Vacancies:
1 Vacancy
Job Summary
Role: Medicaid SME
Location: Jackson MS - 100% onsite
Duration: 1 year
The Medicaid SME must possess:
Minimum of 15 years of experience working with Medicaid program data and operations
- Member/Eligibility data
- Provider enrollment data
- Claims and encounter data
- Managed care program data
Experience working with Gainwell Medicaid Management Information Systems (MMIS) or successor platforms
Strong understanding of Medicaid program policies and regulatory requirements
Experience supporting large system implementations or modernization projects
Ability to communicate complex Medicaid data concepts to technical and non-technical stakeholders
Prefered Skills:
- Experience implementing and managing Provider Enrollment systems
Experience implementing claims systems and managing claims data
Familiarity with CMS reporting and compliance requirements
