Director, Medicaid Eligibility

4 weeks ago

Hamilton, United States Conduent Incorporated 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.

Director, Medicaid Eligibility

(Relocation Assistance & $ign-On Bonus available)

Do you enjoy creating/coordinating multiple projects, and thrive in an exciting environment?

About the Role

You will be responsible for Operation and Delivery functions including the design, development, implementation and maintenance of processes and procedures. This will enable a positive employee experience for client operational services. This is an exciting opportunity to utilize your expertise to transform operations in a stimulating and rewarding environment.

Responsibilities

* Directing the operational plans, organizing staff, and coordinating the operations for multiple lines of business.
* Call Center with approximately 300 FTEs
* Transaction Processing with approximately 250 FTEs
* Document Processing (Inbound Mailroom)
* Outbound Print Mail
* Quality Department with approximately 35 FTEs
* Multiple outreach office locations throughout New Jersey
* Ensuring consistent, timely and high-quality processing of administrative services for the state of New Jersey's Family Care operations
* Driving delivery of operational performance and service standards against pre-defined Service Level Agreements and Key Performance Indicators on a consistent basis.
* Coaching and mentoring team managers, leads, supervisors and specialists. Providing information, guidance and direction on policies, processes, and procedures.
* Fostering relationships with internal Client Advocacy Teams and Account Managers while ensuring delivery and assisting in growth
* Resolving escalations with external providers. Obtaining and understanding root cause analysis and corrective action for complex or non-routine situations for all levels of employees and management.
* Collaborating with compliance owners to ensure processes align with regulatory requirements for applicable lines of business. Mitigates risk related to processes and operational performance.

Requirements

* Bachelors degree: MBA pref
* Have a strong understanding of Government Programs ( e.g Medicaid, SNAP, etc.)
* Have excellent leadership and people management skills and experience
* Be able to identify and implement process improvements.
* Be able to understand impacts to other functions (both upstream and downstream
* Have proactive and creative analytical and creative problem-solving skills
* Be able to effectively communicate with and influence stakeholders at all levels
* Have a "customer first" mindset and work effectively as part of a team.

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:

* ONSITE: In Hamilton, NJ offices, with possible hybrid WFH schedule

Working For You

Perks and rewards designed for you:

* Health and Wellness Benefits Retirement Savings
* Employee Discounts Career Growth Opportunities
* Paid Training Paid time off
* Great Work Environment

At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates.

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-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 and/or sick time. The estimated salary range for this role is $127k-$140K.

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. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.

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