Conduent Project Analyst in Cranston, Rhode Island
Our project team provides direct and ongoing support to the Rhode Island Medicaid program in such areas as health care purchasing, including contracts and agreements; health plan/provider oversight and monitoring; quality improvement, finance and actuarial support; business function support, including RIte Care member enrollment support and reconciliation; health plan performance review; health services utilization and data analysis; employer contact and enrollment for RIte Share; administrative/production support; and health policy and planning support, including federal regulatory analysis, waivers, and feasibility analyses of potential initiatives.
This position supports the Rite Share Premium Assistance Program (RS) and RI Affordable Health Care Coverage Assistance Program (AHCCA) at the Rhode Island Executive Office of Health and Human Services. This position requires strong customer service skills, working with multiple systems, and detail oriented skills. Duties include:
Providing professional telephonic customer service to potential members, existing members, and employer groups
Analyzing reports to determine program eligibility
Researching and resolving client and employer issues
Working closely with enrollment staff to coordinate enrollment changes
Preparing spreadsheets and standard reports on monthly and quarterly basis
Routinely updating the Medicaid Management Information System (MMIS) and the Integrated Eligibility system
Importing, reviewing, and exporting United Health Infrastructure Project (UHIP) file
Reviewing, processing, and managing employers’ medical benefits and rate information in the Cost Effectiveness database, RI Bridges (UHIP) and MMIS.
Interpreting third party liability coverage types
Identify overpayment months for the current account receivables and data entry into recovery database
Performing User Acceptance Testing (UAT) for RI Bridges (UHIP) system releases
Other duties as assigned
5 years of customer service experience in health care/medical industry
Experience working with multiple computer systems, in addition to Microsoft Word and Excel
Ability to manage multiple projects simultaneously
Ability to work collaboratively as part of team to achieve client objectives
Ability to manage high-paced, competing demands
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 .
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 Project Management
Primary Location United States-Rhode Island-Cranston
Unposting Date Ongoing
Req ID: 18027329