Healthcare Technical Lead

«out Conduent 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. Job Description About Conduent: 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 Conduent.com Healthcare Technical Lead Conduent is looking for an experienced HealthCare Functional Manager to provide business and technical leadership for managing IT operations for Conduent’s HealthCare claims processing system. The ideal candidate will have experience in healthcare, large project operations, have a solid Information Technology (IT) background and keep up to date with advancements in the healthcare and IT industries. Apart from education and experience, the ideal candidate will have strong management, technical, and communication skills. Responsibilities: Lead a team of Business / Systems Analysts to understand the Business requirements, and create the corresponding blueprint for setting up various components of a new system Will be responsible for running daily operations from a systems and IT standpoint, for Conduent’s claims solution Provide technical and business leadership, and be the point of contact for all technical/business questions Provide business and technical subject matter expertise for running and managing HealthCare IT Operation for a new Healthcare/Managed Care system. Responsible to own, track, and meet various client SLA and KPI metrics with regards to daily operations – such as eligibility, EDI, Provider, and other data loads. Setup and manage the change and incident management procedures to adhere to SDLC, thereby ensuring efficient operations Identify gaps between contract requirements and available products and services. Work with operational and technical teams to determine how to close the gaps. Identify solutions required to meet functionality gaps and collaborate with engagement owners to determine impact on pursuit and steps necessary to remediate. Analyze potential solution components offered by third parties. Work with technical, operational, sales and management teams to determine what third-party products and services should be included in the solution. Coordinate all necessary modifications to teaming agreements and statements of work needed from solution vendors, subcontractors, and suppliers with contracts and legal teams. Develop product/solution roadmaps and strategies Education and Experience Required: A Bachelor’s degree. In some circumstances, exceptional experience may be substituted for a bachelor’s degree. 5+ years of experience in the healthcare or human services industry in a senior capacity. Must-have IT Operations, preferably in a HealthCare project setting A strong understanding of business processes related to government health care programs Outstanding written and verbal communication skills are a must. Must be able to communicate effectively with staff at all levels, including senior executives. Must have strong organization, presentation, and problem-solving skills. Must have excellent time management and organizational skills; project management experience is preferred. Must have the ability to work under tight deadlines and work extended hours when necessary. Preferred: A basic understanding of public health systems and operations, especially in the fields of eligibility, document management and processing and contact centers Fundamental knowledge of relational databases such as Microsoft SQL Server Good understanding of Microsoft SSIS, SSRS All other duties as assigned.
techjobs Closing 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