MedicaidSoft - Healthcare Management System

Project Overview

MedicaidSoft is a comprehensive healthcare management system designed to revolutionize how Medicaid professionals track, organize, and process Medicaid applications. Built from scratch with modern cloud-native architecture to streamline complex healthcare workflows.

60% Faster

Reduction in claim processing time through intelligent automation

100+ Providers

Serving healthcare professionals across multiple states

95% Approval Rate

High application approval rate through accuracy and compliance

50% Time Saved

Automated processes saving significant time on applications

The Challenge

Medicaid application processes were traditionally time-consuming, error-prone, and required extensive manual data entry. Healthcare professionals struggled with complex eligibility calculations, document management, and state-specific requirements, leading to delays and potential denials.

The Solution

MedicaidSoft automates the entire Medicaid application lifecycle from intake to submission. The platform intelligently fills applications, tracks verification documents, determines eligibility, and provides comprehensive case management tools, enabling professionals to focus on client care rather than paperwork.

Core Features

Comprehensive tools designed to streamline Medicaid application processes and improve outcomes

Autofill Medicaid Applications

After applicants complete the intake form, their Medicaid application is automatically filled with the correct information. No more tedious data entry - the system intelligently maps intake data to state-specific application formats.

Intelligent form field mapping
State-specific format support
Real-time data validation
Error detection and correction

Track Verification Documents

Ensure you have all the verification the state will want with our self-generated verification checklist and portal. The system automatically identifies required documents and tracks submission status.

Automated checklist generation
Document upload and storage
Expiration date tracking
Client portal for document submission

Determine Eligibility

Have everything you need in one place to determine if the applicant will be eligible. Interactive asset tables allow you to run scenarios and determine eligibility based on optimal spenddown strategies.

Interactive asset tables
Spenddown strategy scenarios
Cost of care calculations
Pre-screening capabilities

Track Application Progress

Monitor each application at every stage of the process. Real-time status updates, automated notifications, and comprehensive tracking ensure nothing falls through the cracks.

Real-time status updates
Stage-by-stage tracking
Automated notifications
Bottleneck identification

Client Portal

Secure client portal enabling applicants to complete intake forms, upload documents, track application status, and communicate with their Medicaid professional.

Secure client access
Intake form completion
Document upload interface
Status tracking dashboard

Concierge Services

Premium concierge service offering expert assistance from certified Medicaid planners and attorneys. Get spenddown strategies, second opinions, and comprehensive training.

Expert spenddown strategies
Second opinion consultations
Professional training programs
Attorney support access

Key Capabilities

Everything you need to get approved faster

Calculate Cost of Care

Accurate cost of care calculations to determine financial eligibility and plan spenddown strategies

Pre-Screen Applicants

Evaluate applicant eligibility before submission to maximize approval chances and reduce denials

Track Application Progress

Monitor application status at each stage with real-time updates and automated notifications

Client Portal

Empower clients with self-service portal for intake forms, document uploads, and status tracking

How It Works

Streamlined workflow from intake to approval

1

Applicant Automation

After the applicant completes the intake form, their Medicaid application is automatically filled with the correct information. No more tedious data entry - the system handles everything intelligently.

2

Case Management

MedicaidSoft sends each client an easy-to-fill intake form, auto-generates their verification checklist, and easily tracks each application at each stage of the process.

3

Financial Assessment

Our easy-to-use asset table allows you to run scenarios and determine eligibility based on the best spenddown strategies. Calculate cost of care and assess financial qualifications.

4

Submission & Tracking

Submit applications to state systems with automated validation. Track progress, receive status updates, and manage responses all in one place.

Challenges & Solutions

Key technical and design challenges encountered during development

Automated Application Filling

Medicaid applications vary significantly by state with different formats, fields, and requirements. Manually filling these applications was time-consuming and error-prone.

Solution: Developed intelligent autofill system using machine learning algorithms to map intake form data to state-specific application formats. Implemented validation rules and error detection ensuring 85% error reduction.

Verification Document Management

Tracking which documents are needed, submitted, and valid can be overwhelming. Missing or expired documents result in application denials or delays.

Solution: Created automated verification checklist system that generates required documents based on application type and state requirements. Implemented document tracking with expiration date monitoring and automated alerts.

State System Integration

Each state has different Medicaid systems, formats, and submission processes. Integrating with multiple state systems while maintaining accuracy and compliance was challenging.

Solution: Developed flexible integration framework supporting multiple state formats and protocols. Created state-specific adapters for seamless data transformation and submission with automated testing and validation.

Project Management & Responsibilities

Comprehensive project management ensuring successful delivery from concept to production

Project Initiation & Planning

Led project initiation from scratch, conducting extensive research into Medicaid application processes across multiple states. Interviewed Medicaid professionals, attorneys, and certified planners to understand pain points and requirements. Developed comprehensive project documentation including technical specifications, user stories, and project roadmap.

Stakeholder interviews and requirements gathering
State-specific process analysis and documentation
Competitive analysis and market research
Technical feasibility assessment and architecture design
Project roadmap creation with 6-month timeline

Team Leadership & Development

Managed cross-functional team of 12 members including frontend developers, backend engineers, QA specialists, and DevOps professionals. Established Agile/Scrum methodology with 2-week sprints. Conducted daily stand-ups, sprint planning, and retrospective meetings. Fostered collaborative environment ensuring high team morale and productivity.

Team of 12: 5 developers, 2 designers, 2 QA, 2 DevOps, 1 BA
Agile/Scrum framework implementation
Daily stand-ups and sprint ceremonies
Performance reviews and team development
Resource allocation and capacity planning

Development Oversight

Oversaw entire development lifecycle from initial concept to production deployment. Managed backend API development with Node.js and Python, frontend application with AngularJS, and state system integrations. Established continuous integration and deployment pipelines. Implemented code review processes and quality gates ensuring high code quality.

Backend API development (Node.js, Python, AWS Lambda)
Frontend application development (AngularJS)
State system integrations and API development
CI/CD pipeline setup and management
Code review and quality assurance processes

Quality Assurance & Testing

Established comprehensive QA processes including unit testing, integration testing, security audits, and user acceptance testing. Coordinated with QA team to develop test plans, execute test cases, and track defect resolution. Ensured accuracy validation with real Medicaid applications and compliance verification.

Test strategy and test plan development
Automated test suite with 80% code coverage
Security and compliance testing coordination
Performance and load testing oversight
User acceptance testing with pilot providers

Stakeholder Management

Maintained regular communication with stakeholders including healthcare providers, state officials, and end-users. Conducted weekly status updates, monthly progress reviews, and quarterly business reviews. Managed expectations, addressed concerns, and ensured alignment between business objectives and technical implementation.

Weekly status reports and stakeholder updates
Monthly progress reviews and demos
Change management and scope control
User feedback collection and integration
Relationship management with healthcare providers

Deployment & Launch

Orchestrated phased rollout strategy starting with select healthcare providers. Developed comprehensive training programs, established 24/7 support during initial launch, and managed post-launch monitoring and optimization. Ensured smooth deployment with minimal disruption to existing workflows.

Phased deployment strategy and execution
Training program development and delivery
24/7 support team activation and management
Post-launch monitoring and optimization
Continuous improvement and feature enhancement

Project Impact

Measurable results and positive outcomes achieved through the platform

60%

Faster Processing

Reduction in claim processing time enabling providers to serve more clients efficiently

85%

Error Reduction

Automated application filling reduced human errors leading to higher approval rates

95%

Approval Rate

High application approval rate through accuracy and compliance with state requirements

90%

User Satisfaction

Intuitive interface and automated workflows resulted in high user satisfaction

Technologies Used

Modern tech stack powering the platform

Frontend

Angular JS TypeScript HTML5 CSS3

Backend

Node.js Python AWS Lambda DynamoDB

Cloud Infrastructure

AWS EC2 AWS API Gateway AWS CloudFront AWS IAM

Project Management

Jira Slack Git GitHub

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