Medicaid Support Specialist
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. This is a remote position; candidates must reside within a 50‑mile radius of Albuquerque, NM. Employment type: Full time.
About the role
We’re hiring a Medicaid Support Specialist who reports directly to the Outreach Supervisor. The specialist conducts presentations throughout the community on the New Mexico Medicaid Program, meets with groups or individuals, and provides accurate information about the program while assisting beneficiaries with enrollment and eligibility. Duties include processing eligibility applications, determining eligibility according to NM Medicaid Care regulations, entering data into a web‑based system and referencing NM‑specific databases, following up with beneficiaries via correspondence, performing file updates, and assessing service/information needs. The role also supports the research process unit for the state‑based exchange (SBE) and acts as a subject‑matter expert on processing systems. Occasional office attendance may be required.
Responsibilities
- Determine eligibility for the NM Medicaid Program per NM Medicaid Care regulations/guidelines by reviewing documentation and accurately entering data into a web‑based computer system.
- Run automated eligibility rules and prepare correspondence for missing information as appropriate.
- Make outbound calls to obtain, clarify, or validate information.
- Process applications while maintaining an error rate of 5% or below.
- Assist and train new staff; assist in the call center when needed.
- Maintain good attendance and punctuality; work independently on projects.
- Adhere to changes in policy and procedure; build relationships with community and advocacy groups.
- Provide administrative support to business operations: data entry, scanning, mail sorting, electronic portal management, media conversion, content storage and retrieval.
Requirements
- Must be 18 years of age or older.
- High School Diploma or equivalent required.
- Able to submit to pre‑employment screening.
- Legal authorization to work permanently in the United States without visa transfer or sponsorship.
- Prior clerical/customer service work experience.
- Comfortable working within established processes and procedures.
- Strong communication and customer service skills.
- Reliable attendance and strong work ethic.
Preferred qualifications
- Strong customer service, communication, and problem‑solving skills.
- Experience handling escalated customer concerns and complex issues.
- Positive and energetic attitude.
- Ability to communicate clearly and confidently.
- Ability to multi‑task and manage time effectively.
- Attention to detail, grammar, and spelling accuracy.
- Computer system experience with data entry and database documentation knowledge.
Benefits
- Medical, dental, and vision coverage from day one (for eligible roles).
- PerkSpot employee discount program.
- Paid time off and holidays.
- Paid training.
- Equipment provided.
- Career growth and advancement opportunities.
- Supportive and inclusive work environment.
Pay
$16.50 per hour (bi‑weekly pay). This rate may be at or below your state’s minimum wage; please consider this when applying. Based on business need, the position may be eligible for a bonus or incentive. Conduent also provides a variety of benefits including health insurance, 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.
Schedule
Full time, Monday – Friday, 8:00 AM – 4:30 PM. No weekends.
Note: Conduent is currently not hiring in the following geographies: AK, CA, HI, MA, IL, MT, NY, Puerto Rico; and metro areas including Minneapolis (MN), Chicago (IL), New York City (NY), Portland (OR), Montgomery County (MD), Seattle (WA), and Washington, DC.