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Role                Medicaid Subject Matter Expert (SME)

Location         Jackson, MS - Onsite

Duration         12+ months contract

Pay Range     $50 -$60 per hour on W2 (All inclusive)

 

Job Description:

 

The Medicaid SME will provide subject matter expertise related to Medicaid program data, policies, and operational workflows to support the successful implementation and operationalization of the Program Integrity (PI) tool.

The SME will collaborate with technical teams, program staff, vendors, and project leadership to ensure the PI solution effectively leverages Medicaid data to detect, prevent, and investigate fraud, waste, and abuse.

 

Key Responsibilities:

  

Data Domain Expertise - Provide expert guidance related to the structure, relationships, and usage of Medicaid data domains, including:

 

Member Data:

Eligibility...