Eligibility Professional Coach - Topeka, United States - CONDUENT

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:

Job Description:

As part of the KanCare Clearinghouse Program, the Eligibility Professional Team Coach will support supervisory staff, serves as an escalation point for Eligibility Professionals' inquiries and aides in the resolution of complex cases. This position will perform a variety of duties. The position is responsible for gathering thorough documentation and entering information into various systems. Serves as a program/process expert in Medicaid programs or special processing.

Essential duties may include, but are not limited to:

• Functions as a subject matter expert for designated departmental functions
• Responsible for subject area information and guidance that could include training, fact sheets, or other tools
• Assists in the development and improvement of new and existing Eligibility Professionals
• Demonstrates a high quality customer service and focuses on the accuracy of information provided
• Provide mentoring/training through job shadowing and assistance for Trainee and Professional team members
• Eligibility Professional Team Coaches are expected to use knowledge of State eligibility processes, policies, and procedures governing managed care enrollment to communicate with consumers regarding a variety of issues.
• Attend training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs
• Coordinates with KDHE leadership on complex cases, as needed
• Assists with special projects and other departmental needs, as requested
• Maintain up-to-date knowledge of regulations, policies, and guidelines

Minimum Qualifications/Experience

• High School diploma or GED equivalent; post-secondary education preferred
• One additional year of experience interviewing, investigating, compiling information, documenting decisions, interpreting guidelines and/or providing technical assistance relevant to the agency's programs.
• Minimum of one (1) years' experience in completing Medicaid programs for KanCare

Preferred Skills or Knowledge:

• Successfully complete KDHE Eligibility Training
• Post-secondary education in Business administration, Public Administration, Sociology, Psychology, Social Work or a related field may be substituted for the additional year of required experience. For the substitution, one year of education equals two years of experience.
• Knowledge of Medicaid and managed care programs
• Minimum of two (2) years' experience in determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility with proven proficiency and knowledge
• Strong computer skills with the ability to maneuver in complex software systems
• Intermediate level of skill with MS Office, Outlook, and Internet usage
• Ability to communicate at multiple levels
• Ability to manage competing priorities
• Demonstrated ability to perform complicated, unrelated tasks efficiently and accurately in a fast-paced environment
• Demonstrated critical thinking skills
• Must possess good interpersonal and communication skills both verbally and in writing including knowledge of basic grammar, spelling & punctuation
• Willingness to work part of a team
• Independently performs specialized and/or complex work assignments
• Maintain the integrity and confidentiality of all records and communications
• All other duties as assigned

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, 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 and/or sick time. The estimated salary range for this role is $19.00hr

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: click here to access or download the form. You may also click here to access Conduent's ADAAA Accommodation Policy.

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.