ACL Digital

Medicaid SME - Onsite (Jackson, MS) Location: Jackson, MS Duration: 12+ Months Contract (Likely Extension) 100% Onsite - No Remote We are seeking an experienced Medicaid Subject Matter Expert (SME) to support the implementation of a Program Integrity solution focused on detecting fraud, waste, and abuse in Medicaid programs . This role requires deep expertise in Medicaid data domains, policies, and operational workflows , and close collaboration with technical teams, program staff, and implementation partners. Key Responsibilities Provide expertise in Medicaid data domains including Member/Eligibility, Provider Enrollment, Claims, and Managed Care data Support data mapping, data model validation, and analytics development for fraud detection Assist with requirements gathering, system design discussions, and data validation Identify data quality issues and recommend remediation strategies Support User Acceptance Testing (UAT) and system implementation activities Ensure accurate interpretation of Medicaid policies and regulatory requirements Required Qualifications 15+ years of experience working with Medicaid program data and operations Strong expertise in Member, Provider, Claims, and Managed Care data Experience with Gainwell MMIS or similar Medicaid Management Information Systems Experience supporting large system implementations or modernization projects Ability to communicate complex Medicaid data concepts to technical and business stakeholders Preferred Experience with Provider Enrollment or Claims systems implementation Familiarity with CMS reporting and compliance