Claims Quality Assurance Analyst

4 weeks ago

Elkridge, United States Conduent State Healthcare, LLC Full time

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.


As the Claims Quality Assurance Analyst, you will be responsible for monitoring and auditing access to all internal systems, conducting various audits related to claims, systems, business, and project requirement rules. 

Responsibilities:

  • Monitoring and auditing access to all internal systems.
  • Conducting audits related to claims, system business, and project requirement rules.
  • Monitoring projects for defects or potential errors.
  • Managing RCA and CAP for the project during audits.
  • Ensuring that documented policies, procedures, and workflows are maintained.
  • Utilizing experience with data warehouse to enhance data quality and analysis.
  • Performing outreach and education sessions for Maryland Medicaid Providers.

 Qualifications:

  • Possess bachelorâs degree in information technology, Computer Science, or a related field.
  • Have a minimum of 3 years of experience in IT Quality Assurance or a related role.
  • Show strong knowledge of Change and Release Management processes.
  • Possess experience with data warehouse and its applications.
  • Demonstrate proficiency with MS Office Suite.
  • Have excellent analytical and problem-solving skills.
  • Exhibit strong communication and interpersonal skills.
  • Show experience with PBM (Pharmacy Benefit Management), Medicaid, and Medicare desired.
  • Able to travel and attend in-person state meetings as required.

Flexible Working

At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too. 

In this role, you can expect the following working conditions:

Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday. 

Working For You

Perks and rewards designed for you:

  • Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.
  • Retirement Savings: We will support you as you save for your future.
  • Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
  • Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
  • Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
  • Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.
  • Great Work Environment: We are proud of our award-winning culture and the recognition weâve received for our diversity efforts.

Join Us 

At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. We strive to create a culture where you can:

  • Bring your authentic self to work 
  • Grow and thrive, both personally and professionally 
  • Make a difference with our clients, in our communities, and with the millions of people we support 

When you join Conduent, you are engaged in creating the future - both our companyâs and your own. With more than 60,000 associates across 24 countries, we will provide you with the opportunity to grow with a team of people who will challenge and inspire you to be the best 

  

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 approximate compensation for this position is $70-85k per year.

 


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