Healthcare Reconciliation Leader

1 day ago


Tampa, Florida, United States Wipro Digital Operations and Platforms Full time

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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