Conduent Medical Claims Business Analyst in Lexington, Kentucky

Medical Claims Business Analyst

Description

Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .

Healthcare Business Analyst:

Conduent is looking for experienced Business Analysts who will work on the implementation of a Medicaid Managed Care claims processing system and peripheral systems. The ideal candidate will have experience in healthcare, managed care, medical claims processing, and member eligibility. Prior experience working on healthcare system implementations and Medicaid are highly desirable. Apart from education and experience, the ideal candidate will have strong analysis, documentation, communication and organization skills.

Responsibilities:

  • Regular use of Microsoft Word, Excel, PowerPoint, etc. in support of project documentation and communication needs

  • Work and communicate effectively with all project stakeholders including the client, vendors, peers and Conduent management

  • Contribute to all phases of the new system implementation including Analysis, Design, Configuration, Testing, Training, Documentation and post-implementation support.

  • Analyze and document existing processes and data

  • Perform gap analysis between current system and new system functionality

  • Identify, clarify, and document business requirements

  • Facilitate discussions on various functionality challenges and design issues between client, vendor and internal teams

  • Coordinate across multiple teams, both internal and external, to facilitate timely and quality implementations of project initiatives

  • Perform various levels of system functionality and process testing, document and present test results

  • Perform system configuration updates in the new system based on approved business requirements using system wizards and data entry screens.

  • Create detailed documentation of system incidents/defects

  • Create flow diagrams and project documentation

  • Recommend solutions to business problems

  • All other duties as assigned

  • Required Qualifications:

  • Bachelor’s Degree or equivalent combination of education and experience

  • 5 years’ experience working in Healthcare

  • Demonstrated experience with requirements analysis and documentation

  • Demonstrated experience with the structured testing of systems and business processes

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .

Job Client Services

Primary Location United States-North Carolina-Raleigh

Other Locations United States-Kentucky-Lexington

Organization Financial Service Healthcare

Unposting Date Ongoing

Req ID: 17033370