Referso Jobs

State Health - Senior Consultant

Guidehouse · Posted Nov 10, 2026

Open

Chicago, Illinois, United States
Senior
$89K–$148K per year
3+ years

State Health - Senior Consultant

Guidehouse · Posted Nov 10, 2026

Open

Chicago, Illinois, United States
Senior
$89K–$148K per year
3+ years

Business Analyst

Inabia Software & Consulting Inc. · Posted Nov 10, 2026

Open

Harrisburg, Pennsylvania, United States
Hybrid
Full-time · Mid
7+ years

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Support the Office of Children, Youth and Families in maintaining existing IT systems and transitioning to a new statewide Child Welfare Case Management system.

Responsibilities

Gather, analyze, and document business, functional, and user requirements.
Support IT system development, maintenance, enhancements, and implementation initiatives.
Review user stories, functional specifications, and project deliverables.
Coordinate and execute User Acceptance Testing (UAT).
Manage system defects, change requests, and issue tracking.

Skills

Business Analysis Requirements gathering Functional documentation User Acceptance Testing Stakeholder management SDLC UAT Business requirements development Business stakeholder engagement

Sr Medicaid Subject Matter Expert - CMS-64 - Federal Reporting and Policy - Remote

UnitedHealth Group · Posted Nov 7, 2026

Open

Remote, United States
Remote
Full-time · Senior

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This senior Medicaid SME supports the State Medicaid Agency Enterprise Data Warehouse (EDW). The role is the business and policy anchor for Medicaid data and federal reporting, with a primary focus on CMS-64 and related financial and federal reporting.

Responsibilities

Serve as a senior Medicaid business and policy SME for the IL EDW, guiding State and Optum teams on claims, eligibility, provider, managed care/encounter, TPL, and financial data and how they relate to Medicaid program rules
Lead the business side of CMS-64 reporting support, including understanding expenditure categories, FMAP and enhanced match rules, reporting periods, prior period adjustments, and reconciliation of EDW data to State financial submissions
Support other federal reporting work such as MARS, T-MSIS, PERM, and CMS Core Set/Quality of Care measures, making sure reports tie back to source data and federal guidance
Interpret federal and State policy (CMS guidance, SMD/SHO letters, the State Medicaid Manual, the State Plan and waivers, and State administrative rules) and translate it into clear business rules, requirements, and acceptance criteria
Explain the 'why' behind the numbers Help State users and leadership understand trends, variances, and data issues in plain business terms, with the policy or operational drivers behind them

Skills

Medicaid policy CMS-64

State Health - Senior Consultant

State Health - Senior Consultant

Compensation

Responsibilities

Requirements

Skills

Benefits

Business Analyst

Responsibilities

Skills

Sr Medicaid Subject Matter Expert - CMS-64 - Federal Reporting and Policy - Remote

Responsibilities

Skills

Federal reporting jobs

Compensation

Responsibilities

Requirements

Skills

Benefits

Responsibilities

Skills

Responsibilities

Skills