EL Review Specialists

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.

Eligibility Review Specialist

Remote - Equipment Provided

Payrate between $19.00 - $21.00/hr. (which may below your states minimum wage, please keep this in mind when applying)

If you or anyone you know meets the qualifications below, please follow the directions and apply. 

Before applying for this internal position, you must meet the following criteria:

• Must be currently working within the NJEB Eligibility business unit
• You have been in your present position for at least 6 months; and
• You are not on any disciplinary action at a written notice level; and
• You have met all the requirements for your position as of the last performance review.

Minimum Requirements

• Currently working with in the NJEB Eligibility Business Unit
• Associates degree required. Relevant quality assurance experience can be substituted for education on a one-for-one basis. 
• A minimum of two (2) years of experience providing corporate quality assurance. 
• Experience utilizing state-of-the-art technology and quality methods to implement improvements and changes in an organization
• Experience in public sector administration, outsourcing/production environment, Medicaid and/or CHIP a plus.  
• Outstanding oral and written communication skills, strong interpersonal skills, and superior organizational abilities. 
• Ability to take initiative, to maintain confidentiality, to meet deadlines, and to work in a team environment essential. 

Position Purpose:

Reports directly to the EL Review Supervisor, the ELR Specialist ensure elements of the Quality Assurance Plan are carried out and contractually required performance requirements are maintained.  Perform quality assurance reviews on Call Center calls and various aspects of the business, based on the approved Quality Assurance (QA) Plan and QA policies and procedures.  

Essential duties may include, but are not limited to:

• Review eligibility cases meeting all production and quality goals.
• Maintain technical and program policy proficiency in the NJ Family Care program and maintain proficiency in contract requirements
• Monitor and assess individual/group performance against established standards/requirements
• Enter QA review results into database for quality assurance scorecard reporting
• Identify, develop, and assist in the execution of corrective action measures as needed to maintain or re-gain compliance in a timely manner
• Provide feedback to leadership team and assist in addressing education/training needs with Project Director, Managers and Supervisors to include preparing summaries and presentations when appropriate
• Compile and analyze data to assist with contractually required, ad hoc, and internal management reports as needed
• Participate in and contribute to the quality improvement process
• Assist in collecting information for staff performance reviews by monitoring individual and group performance against established standards.
• Provide feedback to leadership staff of areas for improvement. 
• Work with management team to develop and executes corrective action plans in the event of contractual non-compliance.  
• Participate in training sessions.
• Other duties as assigned.

Required Skills/Abilities

• Prioritize required tasks along with special project demands.
• Extreme attention to detail
• Thorough understanding of all areas of operations in order to evaluate quality in work processes. 
• Problem solve through analysis and ongoing feedback. 
• Develop correction action plans for areas not meeting performance standards through data analysis and trend identification
• Ability to champion change within a formal organization 
• Ability to handle multiple tasks and meet deadlines; flexibility under pressure
• Ability to work with people of diverse backgrounds 
• Ability to maintain strict confidentiality
• Capable of working independently
• Ability to use MS Word, MS Excel and MS Outlook required. 
• Overtime, evening and some weekend hours. Fast pace. 

Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in state where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain state or municipalities. 

We are currently NOT hiring in the following geographies, including but not limited to:

• AK, CA, HI, MA, IL, MT, & NY

• Metro Areas: MN - Minneapolis, IL - Chicago, NY - New York City, OR - Portland, MD - Montgomery County, WA - Seattle, WA - Washington DC, Puerto Rico

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 $19.00 - $21.00 per hour. 

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.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:  click here to access or download the form.  Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.