MMIS Systems Analyst

Conduent offers Fiscal Agent (FA) services which include claims payment processing provider relations and call center support for fee-for-service claims. Additionally we manage Pharmacy Benefits Management (PBM) claims and payment processing as well as Drug Rebate Administration Management Services (DRAMS) for our customer the Hawaii Department of Human Services Med-QUEST Division (MQD) which is responsible for Medicaid administration. Conduent has been providing these services to Hawaii MQD for over 20 years.

We are seeking a knowledgeable and detailoriented MMIS Systems Analyst. In this role you will help ensure accurate Medicaid claims processing and system functionality while working closely with stakeholders to support service delivery reporting and continuous improvement across Medicaid operations.

As the MMIS Systems Analyst you will be:

• Reviewing and adjudicating Medicaid claims and claim challenges to ensure proper payment.

• Serving as primary contact for issues and testing of the Medical Management Information System (MMIS) billing system.

• Serving as EDI Coordinator in provider support and troubleshooting of electronic claims filing.

• Interfacing and influencing key stakeholders.

• Attending meetings to record needed changes in service delivery processes and systems.

• Collecting data from stakeholders relating to systems and reporting issues impacting service delivery.

• Documenting basic business functional requirements.

• Obtaining clarification from stakeholders regarding service delivery and/or system change needs.

• Assisting with collecting data required to compile project definitions and cost assessments.

• Helping to create project cost estimates by calculating work hours and required resources.

• Collecting Service Level and Operating Metrics data for business operations reports.

• Performing other duties as assigned.

Qualifications

• At least two (2) years of experience in government health and human services including work in operations and transaction processing.

• At least one (1) year of experience supporting public sector healthcare programssuch asMedicaid.

• Proficient in Microsoft Office 365.

Preferred

• Bachelors degree

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 work: Work in our local office receiving personal coaching and leadership so that you can provide the best support to our clients and help you grow in your career.

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 familys 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 recognitionweve received for ourdiversity efforts.

Join Us

At Conduent we are one team one mission. We understand that our success isdirectly 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 our communities andthe millions of people we support.

When you join Conduent you are engaged in creating the future - both our companys and your own. With more than 60000 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 addition to base pay this position based on business needs may be eligible for a bonus or 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 $50127 - $65100.