• Conduent
  • $65,090.00 -95,690.00/year*
  • Webster , PA
  • Financial Services - Insurance
  • Full-Time
  • 119 Bargehr Lane

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.
Purpose:
We are looking for Healthcare claims experts to join our team to drive growth and be part of the Managed Care group focused on delivering innovative solutions to our healthcare payer clients. The role will work very closely with the product development, implementation and QA teams to craft unique healthcare solutions using the Claims Administration Platform (CAP) and Conduents other proprietary solution offering for the Healthcare value chain.
Responsibilities
Become an expert on the Claims Administration Platform
Work closely with existing clients in resolving their service issues and enhancement requests
Analyze competition and industry trends and provide inputs to improve functionality of the CAP
Define best practices for claims processing for commercial and government health plans
Acts as an advisor to clients and subject matter expert on CAP
Work with account management teams to seek inputs and provide advisory services when required
Participate and/or lead client implementations
Education, Qualifications:
Degree or equivalent
Strong Healthcare experience, Third Party Administration experience will be an advantage
Deep experience with at least one Health Claims Platform in the past 5 years
Experience of at least one end to end CAP implementation in the past 5 years
Thorough understanding of the Healthcare value chain and associated third party vendors
In depth understanding of the end to end project lifecycle
Strong communications skills, both written and verbal
Understanding of the importance for detail and organization
Very good prioritization skills to balance key priorities
A strong customer centric approach.
Behavioral Competencies
Is effective in unifying and creating teams of people with disparate skills
Is energetic, determined, positive, goal focused and consistent - even under pressure
Builds trust and demonstrates integrity in all circumstances.
Self-starter with attention to detail and strong analytical skills
Ability to solve problems quickly and under deadline pressure while maintaining high quality
Excellent time management and follow up skills, with the ability to deliver on multiple concurrent priorities
Strong relationship building skills, with the ability to influence without direct authority
Proven verbal and written communication skills
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.


Associated topics: automobile, casualty, claim, claim examiner, claimant, damage, insurance, insurance adjuster, insurance examiner, liability

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

Launch your career - Upload your resume now!


Loading some great jobs for you...