1095B Operations Specialist

Company Description

Established in 1995 and headquartered out of Southfield, MI, w3r Consulting is a national leader in technology consulting. We work tirelessly as a staffing firm to connect top talent to premier organizations across America while simultaneously helping corporations identify and maximize their business objectives and processes to ensure optimal success.


Operating out of 5 states currently, and expanding our consultant and client base daily, we realize building relationships are critical to the success of w3r. We value our relationships with our clients as much as we do with our employees and our business partners. These relationships are based on mutual interest, and create added value for all parties involved. Our low turnover, combined with our long-lasting relationships serve as a true testament of our strengths.


- See more at: http://www.w3r.com/about-us/#sthash.QEZKFTo8.dpuf

Job Description

  • Eligibility and Medicaid Functional Experience (Affordable Care Act, MAGI, eligibility determination, IRS, federal healthcare exchange) 
  • Resource will report directly to the Level 2 Team Lead and focus on 1095 stabilization and ongoing support 
  • Collaborate with operations team running 1095B submissions to CMS and citizens and client resources to assess business operational metrics 
  • Build skills to become functional POC for 1095B Interface directly with Client M&O (business operations leads ) 
  • Understanding functional eligibility programs for Medicaid and other state programs ABD, nutritional assistance, Affordable Care Act a PLUS 

Qualifications

Critical Skills:  

  • Client Relationship 
  • Communication Skills 
  • Critical thinking and Problem Analysis skill 
  • Strong knowledge on Medicaid, Medicare and Healthcare Services

Additional Information

All your information will be kept confidential according to EEO guidelines.