Conduent – Medicaid Reference File Analyst (Austin, TX) (Hybrid WFH) – Austin, TX

Job title: Medicaid Reference File Analyst (Austin, TX) (Hybrid WFH) Company: Conduent Job description: About 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 MEDICAID REFERENCE FILE ANALYST (candidate must be commutable to Austin TX) (Hybrid WFH available) Essential Functions This position is responsible for processing the Medicaid regulations and program changes. Work on the development, testing and implementation of program policies, business processes, system configuration changes, and pricing updates. • Translate business and technical rules into a formal BRD and/or RTM to work with the IT team on system design and configurations • Create, maintain, and update reference tables with varying Federal Financial Participation (FFP) rates (e.g., procedure or combinations of procedures, modifier or combinations of modifiers, and other indicators used for identifying TPL cases) • Update all reimbursement rates and Services by program specific guidelines • Assist in validating all system configurations to verify requirements have been successfully met, collecting, and entering Medicaid data in databases and maintaining accurate records • Compile and verify accuracy and sorting of information to prepare source data for data entry • Review data for deficiencies or errors, correct any incompatibilities and validate output Experience: Essential data entry skills, 2 years of Medicaid coding experience preferred, an eye for detail, and familiarity with spreadsheets and online forms. Certified Professional Coder (CPC), Certified Coding Associate (CCA), or the Registered Health Information Technician (RHIT) preferred Organizational skills and strong communication skills Medicaid billing process knowledge Qualifications • High School Diploma or equivalent Req Adept in MS Office (Excel and PowerPoint) • Ability to carry out moderate analysis and information gathering to resolve problems on non-routine matters. • General knowledge of company products and pharmaceutical industry or field specific to a major function. 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 "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: . You may also . The Colorado Equal Pay for Equal Work Act requires employers to disclose the following information. If the successful applicant will be required to perform work from a physical site outside Colorado, the following information may not apply. 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. At Conduent, we value the health and safety of our associates, their families and our community. Under our current protocols, we do not require vaccination against COVID for most of our US jobs, but may require you to provide your COVID vaccination status, where legally permissible. Expected salary: Location: Austin, TX Apply for the job now! [ad_2] Apply tot his job Apply To this Job