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.
Must have very good understanding of the healthcare payer space.
Must have a prior experience in implementing/maintenance of commercial payer solution and/or Medicaid system (MMIS)
Must have good experience with claims processing and adjudication concepts, along with the member enrolment and care management concepts.
Must be able to work with the clients to create/gather requirements and document them according to standards. 5. Candidate will have the responsibility of Interacting with State Business Users, internal SMEs, external users and Client Business Analysts to solicit business requirements and translate them in the form of use cases, process maps, requirements matrix for the application.
Others include Documenting requirements gaps and process artifacts including project objective, functional system requirements, non-functional system requirements, data requirements, constraints, assumptions and current state process analysis and future state process maps.
Must adhere to (or if needed, define) the processes for requirement solicitation, documentation and hand off.
Should work closely with the development team to elucidate the requirements, enable constructive discussions / brainstorming sessions to implement the best-in-class solution.
Should have basic understanding of concepts like web services, relational databases etc.,
Should be able to run SQL queries and perform basic system analysis.
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Should be able to troubleshoot critical issues and triage with the team to resolve the issue.
Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestone, track and close feedback from such demos
Must have excellent written and spoken communication skills. 12. Should be able to multitask between internal team and clients based on priority tasks
Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.
Skills Preferred skills:
Capability to think out-of-the-box to create new solutions as needed.
Prior experience as a QA or Developer in a healthcare system would be helpful though not mandatory.
Ability to validate Test scenarios and test plans, test data.
Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)
Should have excellent communication (written and spoken) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.
Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.
Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented. Optional Tools usage
MS Visio to define the different views like System, technical, functional and role-based view.
Awareness defect tracking and version control tools like Jira, DevOps Azure
SQL Server client to write data queries to validate data updated in the database table.
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.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.
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