MMIS Systems Analyst

Conduent•Honolulu, HI

2d•$50,127 - $65,100•Onsite

About The Position

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 detail‑oriented 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.

Requirements

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 programs , such as Medicaid.
Proficient in Microsoft Office 365.

Nice To Haves

Bachelor’s degree

Responsibilities

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.

Benefits

Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's 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 recognition we’ve received for our diversity efforts.

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