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Conduent

BPO and digital solutions provider

Field Health Benefits Coordinator

Community Outreach & ProgramsConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • An associate degree from an accredited college or university is required.
  • At least two years of experience in the healthcare field is required.
  • A high school diploma or equivalent level of education is required.
  • Legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship is required.
  • Knowledge of Medicaid and managed care programs is required.
  • Ability to solve problems through analysis and ongoing feedback is required.
  • Ability to work with people of diverse backgrounds is required.
  • Ability to handle multiple tasks, meet deadlines, and remain flexible under pressure is required.
  • Ability to maintain strict confidentiality is required.
  • Ability to work independently is required.
  • Verbal, written, and interpersonal skills are required.
  • Ability to interpret and apply program policies and procedures is required.
  • Ability to use basic arithmetic to determine household size, income, and program eligibility is required.
  • Ability to apply logical reasoning to make timely, effective decisions is required.

Responsibilities

  • Assist walk-in and telephone customers with completing new and renewal applications and HMO selection forms, and answer questions about the program.
  • Conduct presentations educating consumers about NJ FamilyCare and managed-care benefits in an office and call-center setting, at community-based organizations and community events, and during home visits; some events take place in the evening and on weekends.
  • Respond to telephone inquiries and complaints in a call-center environment using standard scripts and procedures.
  • Enter eligibility information into a web-based computer system and reference other New Jersey-specific databases as appropriate.
  • Determine eligibility for NJ FamilyCare according to program regulations and guidelines by reviewing documentation and following procedures; prepare correspondence requesting missing information and make outbound calls to obtain, clarify, or validate information.
  • Participate in and contribute to the quality-improvement process.
  • Participate in training sessions conducted in Hamilton and at regional offices.
  • Perform other duties as assigned.

Desired Qualifications

  • Knowledge and operational experience in Medicaid and/or CHIP programs is a plus.
  • General knowledge of public health, managed care, human services systems, and local and statewide political systems is preferred.
  • Experience working with people representing diverse backgrounds is preferred.
  • Bilingual capabilities are a plus.

About the Company

Conduent

BPO and digital solutions provider

Conduent provides technology-enabled business process outsourcing services across healthcare claims and administration, customer experience management, and human capital solutions. It uses automation and AI to streamline operations, such as healthcare and casualty claims processing, omnichannel customer support, and HR services. This differentiates itself through large-scale delivery (billions of interactions annually, millions of tolling transactions daily) and a focus on combining digital technologies with domain expertise to improve performance, customer experiences, and reduce costs and risks for clients. The goal is to help clients run more efficiently, deliver better service, and support missions across industries.

Company size
10,001+
Company stage
IPO
Headquarters
Florham Park, NJ
Founded
2017

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