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.
Business Subject Matter Expert (Medicare Advantage)
Are you passionate about shaping Medicare Advantage policies and ensuring compliance in a dynamic regulatory environment?
Do you excel in developing strategic solutions and contributing to market-leading initiatives?
About the Role:
The Business Subject Matter Expert will take ownership of monitoring CMS guidance and regulatory updates related to Medicare Advantage. This role involves developing and implementing compliance policies, conducting impact assessments, and ensuring that our products and processes align with regulatory changes. Additionally, you will collaborate with various teams to integrate these changes and enhance our market presence through expert white papers on Medicare topics.
Responsibilities:
- Leading the ongoing monitoring of CMS guidance and regulatory updates related to Medicare Advantage.
- Developing compliance policies and procedures, including drafting and finalizing relevant documents.
- Creating and executing a transition plan for regulatory monitoring and impact assessments.
- Monitoring state administrative entities for Medicaid changes and assessing their functional and technical impacts.
- Collaborating with product and operations teams to integrate regulatory changes into products and processes.
- Ensuring operational compliance within the BPO environment.
- Supporting the sales team with Medicare Advantage opportunities by providing expert insights and guidance.
- Consulting with the implementation team on Medicare Advantage requirements to ensure effective execution.
- Writing and publishing white papers on Medicare topics to enhance market reputation and drive thought leadership.
Requirements:
- Demonstrating extensive knowledge of CMS guidance and Medicare Advantage regulations.
- Developing and implementing compliance policies and procedures with precision.
- Conducting thorough impact assessments and integrating regulatory changes effectively.
- Collaborating with cross-functional teams to ensure seamless product and process integration.
- Crafting high-quality white papers and marketing materials with exceptional writing skills.
- Analyzing complex regulatory information and translating it into actionable business strategies.
- Maintaining a high level of operational compliance and excellence within a BPO setting.
- Advising on Medicare Advantage opportunities with a deep understanding of market dynamics.
Preferred Qualifications:
- Holding an advanced degree or relevant certification in healthcare compliance or Medicare Advantage or equivalent work experience.
- Possessing experience in a Business Process Outsourcing (BPO) environment.
- Demonstrating previous expertise as a subject matter expert in Medicare or Medicaid.
Flexible Working:
At Conduent, we value individuality and flexibility in how our associates work and deliver their best. In this role, you can expect the following working conditions:
- Remote work: Enjoy the flexibility of working from home, optimizing your work-life balance.
Working For You:
Perks and rewards designed for you:
- Health and Welfare Benefits: Tailored to fit your and your family's needs, effective from day one.
- Retirement Savings: Supportive plans to help you secure your financial future.
- Employee Discounts: Access a broad array of discounts on merchandise, services, travel, and more.
- Career Growth Opportunities: A variety of opportunities to advance your career within a global company.
- Paid Training: Earn while you learn with access to award-winning learning platforms.
- Paid Time Off: Attractive packages designed to help you enjoy your life outside of work.
- Great Work Environment: Join an award-winning culture recognized for diversity and inclusion efforts.
Join Us:
At Conduent, we are united by a single mission. We know that our success is tied to the success of our associates. We strive to create an environment where you can:
- Bring your authentic self to work every day.
- Grow and thrive both personally and professionally.
- Make a meaningful impact with our clients, in our communities, and for the millions of people we serve.
When you join Conduent, you are part of a future-oriented team – shaping both the company's and your own future. With more than 60,000 associates in 24 countries, you'll have opportunities to grow with people who inspire you to be your best.
Pay Transparency: Certain jurisdictions require the disclosure of compensation and benefits-related information. For this position, actual salaries will vary and may be above or below the range based on factors including but not limited to location, experience, and performance. In addition to base pay, this position may be eligible for bonuses or incentives. Conduent offers a variety of benefits including health insurance, dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and sick time. The estimated salary range for this role is $106,260-$138,000
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. For US applicants while we DO NOT require vaccination for most of our jobs, we DO require that you provide us with your vaccination status, where legally permissible. Providing this information is a requirement of your employment at Conduent.
