Healthcare Reconciliation Leader
1 day ago
Company Overview:
Wipro Digital Operations and Platforms is a leading provider of digital operations and platforms. Our team is seeking a seasoned leader to join our organization as the Healthcare Reconciliation Leader.
About the Role:
We are looking for an experienced professional with extensive knowledge of healthcare enrollment reconciliation, specifically within the ACA Marketplace and Exchange line of business. The ideal candidate will have a deep understanding of CMS files including 834, 820, RCNO, RCNI, EAPS, HICS, and other relevant reconciliation files.
Key Responsibilities:
- Lead a team responsible for accurate and compliant reconciliation of enrollment and membership data for the ACA Marketplace and Exchange line of business.
- Oversee the reconciliation of 834 and 820 files, RCNO, RCNI, EAPS, HICS, and other relevant CMS files, using innovative solutions to enhance and automate processes.
- Collaborate with IT teams, Project Managers, and Business Partners to develop detailed Business Requirements based on analytic research and Root Cause Analysis.
Qualifications:
- Bachelor's degree in a relevant field; an advanced degree is preferred.
- Extensive experience in healthcare enrollment reconciliation, specifically within the ACA Marketplace and Exchange line of business.
- Strong understanding of CMS files including 834, 820, RCNO, RCNI, EAPS, HICS, and other relevant reconciliation files.
- Proven leadership and project management skills, with the ability to develop teams and meet strategic objectives.
Compensation and Benefits:
The estimated salary for this role is $120,000 - $150,000 per year, depending on experience. Wipro Digital Operations and Platforms offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.
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