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.

Learning Request Management Associate

Remote

Schedule: Monday – Friday 8am-5pm EST

As a Learning Request Management Associate, you’ll be part of a supportive, high-performing culture that values excellence, accountability, and individual contributions. The Learning Request Management Associate supports the client in maintaining data for both learners and training materials in the client’s Learning Management System (LMS). Daily tasks include meeting with clients to resolve issues, responding to email requests concerning learning data, and submitting tickets into the client’s ticketing systems. Additional tasks include pulling reports from the LMS, monitoring data changes, and performing analytical work in support of the client’s Learning & Development staff.

 

 Requirements:

• Strong verbal and written communication skills
• Ability to navigate and work across multiple systems and tools simultaneously
• Attention to detail
• Problem solving and critical thinking skills
• Must be able to successfully complete a background check and drug screening
• Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175)
• Must have the ability to connect with an ethernet cable to a modem/router
• We are currently NOT hiring in the following geographies, including but not limited to:
• States: AK, AZ, CA, CT, CO, HI, IL, MA, MD, ME, MO, MT, NE, NJ, NY, RI, OR, VT, WA. 
  Metro Areas: Minneapolis – MN, Washington, DC, Denver – CO, Boulder – CO, Edgewater – CO, Flagstaff – AZ.  

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

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 $33,600-$42,000.

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.

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.

Medical Documents Admin will provide support to the operations team. This includes entering PHI and account information into our internal system (Insight), verifying all documentation is available to process cases, processing EHR updates. The Medical Documents Administrator is required to adhere to department policies and procedures in order to comply with performance standards to ensure profitable case delivery measures are managed effectively. The Medical Documents Administrator follows standard department workflows, maintains validation standards and, as appropriate, forwards specific requests to the authorization or case management supervisor for review and direction.

Collaboration Opportunities:

Joining the Operations Team would provide the candidate with the stability and providing support with internal and external auditing documentation. adhere to department policies and procedures in order to comply with performance standards to ensure profitable case delivery measures are managed effectively. Our team focuses on collaboration, a team-oriented environment, as well as continual learning to have a better understanding of the company as a whole and will offer as provide opportunities for continual growth.

What you will be doing:

• Collecting and sorting data from various sources and distributing to the proper destination within the organization and our internal system, Insight.

• Processing all EHR updates.

• Responsible for timely entry of new patient information and referrals into Insight.

• Ensuring the confidentiality of all data collected and that all data is properly stored and maintained.

• Managing accuracy of data received by following validation guidelines and obtains missing information when necessary.

• Training and supporting new team members.

• Internal and external documentation support

• Other duties as assigned based on the business need.

Qualifications:

• Strong critical thinking skills, excellent verbal, written, and interpersonal communication skills.

• High school diploma or GED.

• Experience in healthcare a plus.

• Ability to work quickly and accurately on an independent basis; giving great attention to detail and displaying the initiative to quickly identify and resolve variances and discrepancies.

• Sharp attention to detail and demonstrates initiative to quickly identify and resolve discrepancies.

To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. 

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.

The expected base salary/wage range for this position is $21.00-23.00 per hour. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025. Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

JOB DESCRIPTION OVERVIEW:

The Expiring Credentials Specialist is an administrative position focused on maintaining Clinician Licenses and Certifications, ensuring they remain current as required by facility/facilities and state regulations. The position requires disciplined follow-up, clinician and medical staff office / facility interface, organization skills and detailed documentation.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Carries out the process as outlined in the TeamHealth Coordination of Credentials Policies and Procedures
• Conducts verification of updated, renewed information related to licensure and certification(s)
• Ensure all renewed data, documentation and images are properly entered and uploaded into TeamHealth data bases
• Generate and analyze monthly expirable reports to identify Clinicians with expiring credentials; following with Clinicians, initiating appropriate escalations and Schedule Lockouts as needed
• Send updated, renewed documents to TeamHealth contracted facility/locations to ensure privileges/approvals are maintained
• Maintains personal adherence to professional confidentiality standards established within the Department and in accordance with legal, ethical, and facility policies
• Interfacing with clinicians, Credentialing and other departments as needed
• Performs or assists with special projects and other duties as requested or assigned by management.
• Participates in an integrated work team as a responsible team member
• Assists in the facilitation of the team process at TeamHealth by serving as an active member of team. This includes attending all team related meetings; participating in team goals; being flexible and adaptable to change; establishing trust and respect for other team members; placing team needs first; and by completing all necessary training
• Follows the norms and guidelines established by the team for communication, production, efficiency, conflict resolution, decision-making, problem-solving, and interpersonal relations

QUALIFICATIONS / EXPERIENCE:

• One (1) year of college or
• One (1) to three (3) years of experience in a healthcare setting, medical staff office or credentials position
• Excellent organization skills with the ability to handle multi-tasks
• Excellent interpersonal skills
• Excellent negotiation and persuasion skills
• Excellent verbal and written communication skills
• Good computer skills (word-processing, spreadsheet, database management)
• Ability to work independently in a remote environment
• Ability to attend to detail
• Ability to adapt to flexible work schedules and frequent interruptions
• Ability to problem solve, make decisions, and effectively communicate decisions
• Ability to coordinate and meet deadlines and deal with stressful situations; and
• Ability to work on a team
• Assertive and confident communication skills
• Ability to handle multiple tasks and deadlines
• Ability to adapt to rapid change
• Ability to handle confidential data

SUPERVISORY RESPONSIBILITIES:

• None

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025. Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

What we Offer

• Career Growth Opportunities
• A Culture anchored in a strong sense of belonging
• Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
• 401k (Discretionary match)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

Overview

The Denials Representative will review, organize, and monitor incoming payment denials, taking appropriate corrective action. The Analyst responds to carrier issues as needed and processes all appeals including Medicare, Medicaid, Blue Shield, and Commercial carriers.

Essentials Duties and Responsibilities

• Monitor and review all payment denials as assigned in Enterprise Task Manager and process these claims in the time frame assigned within the system
• Utilize the telephone and various carrier websites as research tools to expedite resolution for issues
• Assembles and forwards documentation to appeal disputed claims through Waystar, if applicable
• Assist with research and development of appropriate denial procedures
• Contacts carriers to inquire on claims that have been denied and appealed
• Assembles and forwards appropriate documentation to the Senior Analyst for provider-related issues
• Review carrier manuals and websites and informs management of any new procedures implemented by the carrier that are impacting our claims
• Reports any consistent errors found during claims review that may affect claims from being processed correctly
• Consistently meets established completion times for projects and assignment
• Consistently meets and maintain the QA (95% or better) and designated production standards per sub-teams

Qualifications / Experience

• 1 – 3 years of experience in physician medical billing with an emphasis on research and claim denials
• Thorough knowledge of physician billing policies, procedures and healthcare reimbursement guidelines
• Computer literate, working knowledge of MS Excel
• Ability to consistently meet production, quality and attendance metrics
• Good organizational and analytical skill
• Ability to work independently
• High school diploma or equivalent
• General knowledge of ICD and CPT coding

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician’s offices, and pharmacies. This role makes outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided from clinical pharmacists.

• Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests

• Offers options including submission of a prior authorization request

• Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within turnaround time requirements and quality standards

• Logs, tracks, resolves, and responds to all assigned inquiries and complaints while meeting all regulatory, CMS, and Centene Corporate guidelines in which special care is required to enhance Centene relationships, while meeting and exceeding all performance standards

• Maintains expert knowledge on all pharmacy benefits and formularies, including CMS regulations as they pertain to this position

• Responsible for knowing and interpreting pharmacy and medical benefits

• Answers and conducts inbound and outbound calls with members and provider offices to provide resolution to claims (i.e.: additional information requests and medication determination updates)

• Actively involved in the initiation and providing status for prior authorization/coverage determination, appeal / redetermination phone calls

• Responsible for ensuring outstanding attention to detail

• Identify root cause issues to ensure enterprise solutions and communicate findings as needed to ensure first call resolution

• Assists with special projects as assigned

• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience: High School Diploma / GED and 1 year of Job Specific call center/customer service. Pharmacy experience strongly preferred.

Pay Range: $15.87 – $27.25 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act