Xerox announced this month that it is administering the claims processing systems for the Medicaid program in California. The firm also recruited more than 1,200 workers in Sacramento, where the state's Medicaid management information system is located. State health care employees are facing a "tsunami-like wave" of change when federal mandates take effect in 2014, says Will Saunders, group president of government health care solutions at Xerox, which works with 38 states on some aspect of their Medicaid programs.

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