Senior Business Analyst, Claims Module

Conduent

Claims Domain lead for MMIS health care projects at Conduent. Responsible for driving claims module, analysis, documentation, and customer support.

Posted 7/10/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $85,470 - $111,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Claims Processing and Adjudication within the health care domain, with strong capabilities in SQL for data validation and a thorough understanding of Medicaid and Medicare systems. Proven ability to analyze business requirements and collaborate effectively with cross-functional teams to meet customer expectations.

Highest-signal resume keywords

Claims ProcessingAdjudication ProcessesMedicaid and Medicare KnowledgeSQL SkillsClaims Lifecycle Understanding

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingAdjudication ProcessesSQL SkillsData ValidationBusiness Requirements Analysis

Soft Skills

Excellent Communication SkillsMultitasking AbilityTeam Collaboration

Tools & Technologies

CMdSGHSFacets

Industry Keywords

Health Care Domain ExperienceClaims ModuleBenefits ConfigurationX12 Files ValidationData Workflows

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Play the role of Claims Domain lead for MMIS health care projects
Drive the claims module and process
Perform analysis of business requirements
Design and develop documentation and ensure quality process
Work in a team environment and provide guidance throughout the life cycle
Meet customer expectations and troubleshoot problems in the application
Assist customers in implementation decisions

Requirements

What you’ll need

Strong health care domain experience
Good knowledge of Medicaid and Medicare
Hands-on experience on claims processing and Adjudication processes
Experience in Reference code/data sets required in Claims adjudication
Understanding in configuring benefits or programs in claims system across various sub-systems
Ability to run queries and perform basic system analysis
Excellent written and spoken communication skills
Ability to multitask between internal team and clients
Close work with Dev, architecture and Design teams
In depth understanding of Claims and Claims lifecycle
Familiarity with systems like CMdS, GHS, Facets
SQL skills to validate data in backend tables
Validating X12 files and understanding data workflows

Benefits

Comp & perks

Health insurance coverage
Voluntary dental and vision programs
Life and disability insurance
Retirement savings plan
Paid holidays
Paid time off (PTO) or vacation and/or sick time