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Conduent
is hiring
Business Analyst, Claims
About Our Company
Conduent delivers digital business solutions and services spanning the commercial, government and transportation spectrum – creating exceptional outcomes for its clients and the millions of people who count on them.
Through a dedicated global team of approximately 60,000 associates, process expertise, and advanced technologies, Conduent’s solutions and services digitally transform its clients’ operations to enhance customer experiences, improve performance, increase efficiencies and reduce costs.
Conduent adds momentum to its clients’ missions in many ways including delivering 43 percent of nutrition assistance payments in the U.S., enabling 1.3 billion customer service interactions annually, empowering millions of employees through HR services every year and processing nearly 12 million tolling transactions every day.
Job Description & Responsibilities
The Business Analyst, position offers an exciting opportunity to help support our enterprise claims processing system. You must be detail-oriented with great communication skills, with willingness to learn about the Healthcare industry. Candidates should also be able to effectively multi-task while remaining flexible to changes in priorities and deadlines.
Responsibilities
- Having prior experience or understanding in configuring benefits or programs in claims system across various sub-systems
- Working with the clients to create/gather requirements and document them according to standards.
- Having good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, ICDs.
- Having good experience with claims processing concepts, along with the provider, member enrolment and care management concepts
- Adhering to (or if needed, define) the processes for requirement solicitation, documentation and hand off.
- Understanding concepts like web services, relational databases
- Working closely with the client and development team during the stages of development
- Conducting demos at completion of milestone track and close feedback from such demos
- Working Closely with Dev, architecture and Design teams to define the GUI view and platform requirements
Requirements
Requirements
- 5 years in the domain understanding of the healthcare payer space
- 5 years prior experience in implementing, maintenance of commercial payer claims solution and Medicare/Medicaid system
What we offer
Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation or sick time.
The estimated salary range for this role is $103,180 - $134,000.
