About Conduent:

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Job Description:

Why Conduent:

You'll have an opportunity to work on innovative technology while being surrounded by a culture that recognizes each person's contributions. Each day you'll feel challenged and know you are making a difference. At Conduent, we believe everything touches everything -and to that end we value our work and each other in the process, making it an award-winning place to work. In 2023, we won Best Places to Work, Best Global Culture and Best HR Team.

You have an opportunity to personally and professionally thrive, make a difference, and be part of a culture where individuality and participation is valued.

We need someone who:

• Must be able to work with the clients to create/gather requirements and document them according to standards
• Must adhere to (or if needed, define) the processes for requirement solicitation, documentation and hand off
• Should work closely with the IT development team to elucidate the requirements, enable constructive discussions / brainstorming sessions to implement the best in class solution.
• Should have basic understanding concepts like web services, relational databases etc.,
• Should be able to run queries and perform basic system analysis, RCA etc.,
• Should be able to create mapping documents for the various interfaces and include business rules, transformation and DB mapping
• Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
• Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks
• Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product

Basic Qualifications for Consideration:

• Must have very good understanding of the healthcare payer space with a minimum experience of 4 years in the domain
• Must have a prior experience in implementing/maintenance of commercial payer claims solution and/or Medicare/Medicaid system
• Must have good experience with claims processing concepts, along with the provider, member enrolment and care management concepts
• Must have good experience in Reference code/data sets required in Claims adjudication including not limited to CPT, CDT, HCPCS, and ICDs
• Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems

Preferred Qualifications for Consideration:

• Capability to think out-of-the-box to create new solutions as needed
• Prior experience as a IT QA or Developer in a healthcare system would be helpful though not mandatory
• Ability to validate Test scenarios and test plans, test data
• Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
• Should have excellent communication (written and spoken) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units
• Ability to assess current functionality available in a product Vis a Vis market trends, regulatory requirements to be implemented in future version of the product
• Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented

Optional Tools usage:

• MS Visio to define the different views like System, technical, functional and role based view
• Awareness defect tracking and version control tools like Jira, TFM, DevOps Azure
• DB client to write data queries to validate data updated in the database table

Pay Transparency Laws in some locations require disclosure of compensation-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, 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 $80,080- $104,000.
Closing:

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 . You may also click here to access Conduent's ADAAA Accommodation Policy .

At Conduent, we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible.