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  • Medicare Customer Service Manager (HH & H)

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Medicare Customer Service Manager (HH & H) will lead a customer service team of roughly 20 members which includes 3 direct reports and focuses on delivering exceptional service. As a manager the primary role is to direct day-to-day operations, develop staff, and drive performance excellence through the implementation of strategic initiatives, policies, and procedures. Departmental expectations include ensuring compliance with CMS requirements, achieving Quality Assurance Surveillance Plan (QASP), Award Fee metrics, maintaining high levels of service accuracy, efficiency, and stakeholder satisfaction. This is a critical role that directly impacts our organization's success in meeting contractual obligations and maintaining a trusted partnership with CMS, while serving as a leadership anchor within the customer service department. Salary Range $85,000 ~ 110,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may foll outside of this range. Work Location We are open to remote work in the following approved states: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Possess experience working with Medicare specifically in the Home Health and Hospice space. Have planned, organized, managed, and evaluated the day-to-day operations of a customer service team. Can ensure operational effectiveness and alignment with departmental priorities and service expectations. Excel at working in a highly compliant environment while complying with company policies and practices as well as CMS directives. Have maintain regulatory and contractual adherence through consistent oversight in previous roles. Would enjoy monitoring the performance of the department to ensure established goals and CMS requirements are met while tracking and responding to key performance indicators to ensure operational and quality targets are consistently achieved. Can partner with internal departments to share information, identify cause and effect, and implement methods to optimize performance levels. Like to collaborate with teams to make improvements and resolve systemic issues. Have developed, implemented, and continuously improve customer service processes to ensure operational efficiency. Enjoy building strong relationships with internal customers and CMS that foster trust, transparency, and open communication to support ongoing collaboration and alignment. Can ensure adherence to regulatory guidelines (i.e., HIPAA, CMS) when providing information and service to members and providers. Minimum Qualifications Bachelor's Degree in related field or equivalent post high school and/or related work experience. 5 or more years of experience in customer service, claims processing, or outreach. 2 or more years of supervisory/team lead experience in Medicare Part A, Part B, or Home Health and Hospice operations. Extensive knowledge of Medicare Part A, Part B and/or Home Health and Hospice program guidelines. Excellent verbal and written communication skills with the ability to effectively explain complex information. Strong analytical, problem-solving, and organizational skills with the ability to manage multiple processes simultaneously and meet strict deadlines. Demonstrated leadership and team-building capabilities. Ability to identify, prioritize and drive work efforts that result in more efficient operations through innovation or process improvement. Ability to work in a complex, rapidly evolving environment with multiple internal and external stakeholders. Proficient in call center and workforce management technology tools such as CRM or OnBase. Preferred Qualifications CMS knowledge of the Home Health and Hospice program. Knowledge of call center operations and workforce management technology tools. MAC contractor experience with FISS, MCS and CRM systems used for Home Health and Hospice. Remote Work Requirements Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
    $85k yearly 60d+ ago
  • HR Representative

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot The HR Representative delivers operational excellence across core HR processes, serving as the first point of contact for employees and managers, coaching corrective‑action steps, and maintaining accurate records. Acting as an HR operational subject matter expert, this role drives efficiency and consistency by training colleagues, managing transactions in the HCM, and supporting HR Business Partners. Salary Range $70,000 - $80,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location: Our first consideration will be to have this new employee live in the Greater Madison, WI area to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work in the office 2 days a week. Secondary priority will be given to remote candidates in WI, IL, MN, or IA. **If not regionally local to Madison, WI, frequent monthly travel to our WPS Headquarters will be expected. How do I know this opportunity is right for me? In this role you will: Serve as a first-line resource for managers and employees, responding to questions regarding HR policies, procedures, and systems. Escalate complex or sensitive issues to HR Business Partners. Support HR Business Partners in handling low-risk employee‑relations inquiries, including attendance, minor performance concerns, and routine policy violations. Provide guidance on documentation, timelines, and next steps. Provide guidance and coordinate routine HR transactions such as job changes, terminations, salary changes, and leave of absence, ensuring proper documentation and adherence to internal processes. Support the administration of HR programs and processes including performance reviews, employee engagement, and compliance training. Act as an HR operational process SME-develop/update job aids and procedures, deliver training to HR colleagues and organizational leadership. Partner to identify opportunities for enhancements and efficiencies in existing HR procedures. Monitor and respond to unemployment claims. Minimum Qualifications Bachelor's degree or equivalent experience in Human Resources, Business Administration, or related field 3 years or more of progressive Human Resources experience in a generalist, coordinator, or HR support role. Demonstrated experience processing E‑Verify and managing background screenings. Familiarity with employment laws and HR practices. Strong interpersonal and communication skills; able to interact effectively with employees at all levels. Detail‑oriented with a strong process‑improvement mindset. Strong data‑entry accuracy and reporting skills. Preferred Qualifications Proficient with HCM platforms (e.g., UKG Pro, Workday, ADP) and Microsoft Office. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog
    $70k-80k yearly 48d ago
  • Medicare Outreach and Education Specialist (HH & H)

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Medicare Outreach & Education Specialist (HH & H - Home Health and Hospice) plays a crucial role in our Medicare Program by developing and delivering educational content to the provider community regarding current and upcoming CMS regulations. This specialist creates and develops educational materials, host events, and analyze data to improve provider education and reduce billing errors all while working in a fast-paced, remote environment. This education is provided to Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and be informed about changes. The role assists providers in developing best practices to avoid coverage and billing errors to reduce error rates and protects the Medicare Trust Fund. The Outreach and Education Specialist focuses on ensuring a positive customer experience through relationship building with providers, CMS, and other stakeholders. Salary Range $61,000 ~ $90,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside of this range. Work Location We are open to remote work in the following approved states: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Possess experience working with Medicare specifically in the Home Health and Hospice space. Thrive in developing and maintaining positive relationships with healthcare providers, clinics, and medical staff. Enjoy planning, developing, coordinating and delivering educational sessions, workshops, and training materials tailored to provider needs. Can analyze error data, geographical data, track Medicare regulations, WPS policy guidelines, coverage issues, and keep abreast on upcoming legislation, to determine areas for additional education needs. Like to conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives. Have collaborated with clinical and administrative teams to understand provider challenges and develop targeted solutions. Would enjoy serving as a resource for providers regarding updates in guidelines, policies, billing procedures and regulatory requirements. Can Coordinate with internal teams (i.e., Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to ensure identified issues are communicated and shared with Provider Outreach & Education (POE) staff. Can establish and maintain a POE Advisory Group (POE AG) to assist contractors in creation, implementation, and review of provider education strategies and efforts. Minimum Qualifications Bachelor's Degree in Communications, Health Education, Nursing OR related field OR equivalent combination of education and experience. 3 or more years of experience in a role supporting Medicare. 1 or more years specifically in Medicare communications. Demonstrated experience developing educational materials and presentations. Extensive knowledge of Medicare Part A, Part B and/or Home Health and Hospice program guidelines and PO&E processes. Solid knowledge and understanding of medical billing, coding, and insurance processes. Proficient with Microsoft Office Suite and using various modes of technology to deliver training (i.e., YouTube Channel, WebEx, etc.). Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences. Strong interpersonal and relationship-building skills. Ability to travel for onsite training and education sessions - Travel will be approximately 15% in the future. Preferred Qualifications CMS knowledge of the Home Health and Hospice program. Strong facilitation, presentation and training experience to large groups of people. Experience processing Home Health and Hospice appeals. MAC contractor experience with FISS, MCS and MAS systems. Remote Work Requirements Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
    $61k-90k yearly 60d+ ago
  • Senior Agile Coach - SAFe

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role SnapshotOur Senior Agile Coach supports the organization in the adoption and growth of Agile ways of working, with a focus on the Scaled Agile Framework (SAFe ). They are responsible for guiding leaders, teams, and stakeholders in adopting Agile principles, improving cross-functional collaboration, and enhancing value delivery across the enterprise. They will partner closely with leadership to strengthen Agile maturity across the organization, ensuring that delivery practices are consistent, transparent, and connected to overall business goals. This Senior Agile Coach will build alignment between delivery practices and business goals in a transformative Scaled Agile environment. This includes facilitating Agile planning events, providing training and mentorship on Agile methodologies, and promoting the effective use of metrics to support informed decision-making. Salary Range 105,000 ~ $130,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Hybrid Work This position will be hybrid, having the regional availability to come into the Office 3 days a week. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI. How do I know this opportunity is right for me? If you: Enjoy driving organizational adoption of Lean-Agile principles and SAFe practices across portfolios, programs, and teams. Can ensure alignment between strategic business objectives and delivery execution, fostering a culture of agility and responsiveness. Thrive when providing ongoing coaching to executives, Product Managers, Release Train Engineers (RTEs), and Scrum Masters to strengthen Agile mindset and leadership behaviors; build organizational capability to sustain Agile practices. Like to facilitate key SAFe events and portfolio activities and lead and support core SAFe events such as PI Planning, Inspect & Adapt workshops, and Lean Portfolio Management ceremonies. Have conducted Agile maturity assessments at the team and program levels, identify growth opportunities, implement improvement initiatives, and track progress through Agile health and performance metrics. Can bring and enable transparency and metrics-driven decision making through defining, implementing and maintaining portfolio-level dashboards and metrics to enhance visibility into delivery progress, risks, and outcomes. Love collaborating with PMO and business stakeholders to ensure data informs and supports strategic and operational decision-making. Have designed and facilitated Agile workshops, training sessions, and experiential learning opportunities tailored to various roles and maturity levels to accelerate adoption and engagement. Enjoy supporting and cultivating Agile Communities of Practice to promote knowledge sharing and continuous development. Minimum Qualifications U.S. citizenship is required for this position due to Department of Defense restrictions. Bachelor's degree in Computer Science, Business, Organizational Development or related field or equivalent combination of education and experience. 5 or more years of experience leading Agile delivery. 2 or more years coaching Agile teams and leaders. SAFe certification (e.g., SAFe Agilist, SAFe POPM); Agile/Scrum training or certification (e.g., CSM, CSPO) Working knowledge in Agile methodologies (Scrum, Kanban) and SAFe frameworks, including ART launches, PI Planning, Lean Portfolio Management, and Agile lifecycle tools (Jira, Azure DevOps) this includes: Strong communication, facilitation, and coaching skills, with the ability to influence at all levels of the organization. Skilled in facilitating enterprise-level events (e.g., PI Planning, Inspect & Adapt) and delivering workshops to drive alignment and Agile adoption. Demonstrated experience in stakeholder analysis and developing cross-functional alignment strategies. Demonstrated experience using KPIs, dashboards, and analytics to guide execution and report outcomes. Exceptional organizational, analytical, and problem-solving skills. Preferred Qualifications 7 or more years of experience leading Agile delivery. 5 or more years coaching Scaled Agile (SAFe ) teams and leaders. SAFe Lean Portfolio Management (LPM) certification; AgileBA , ICAgile Certified BA, or ICP-BAF; and training in Agile metrics and reporting tools (e.g., Power BI, Jira dashboards). Hybrid Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Hybrid work Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position may from time to time provide support to federal health care programs and other governmental or regulated industries. In accordance with law and/or contractual requirements, individuals in this role are or may be subject to all applicable federal regulations, agency contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. WPS and its personnel are subject to mandatory enhanced screening and background investigation prior to being granted access to information systems and/or sensitive data in order to Safeguard regulated information and government resources that provide critical services.
    $130k yearly 47d ago
  • Insurance Sales Agent - Work from Home - Remote

    Answer Financial 4.4company rating

    Remote or California job

    Boost Your Insurance Sales Career with Multi-Carrier Expertise! Looking to grow your knowledge and skills in insurance sales? We are now accepting applications for our 2026 training classes! Whether you're unlicensed or already hold an active Property & Casualty (P&C) License, Answer Financial has the perfect path for you: * Unlicensed? Join one of our paid pre-licensing training classes to earn your P&C license and kickstart your career. * Already Licensed? If you're a licensed agent, join our highly successful paid sales training classes to deepen your expertise and maximize your sales potential. Our platform offers the unique opportunity to work with multiple carriers, giving you the tools to succeed and grow in the insurance industry. Apply now and invest in a career path with limitless growth and opportunity! Answer is an Allstate company with 25+ years in the industry and one of the nation's largest and longest running personal lines insurance agencies. This is an excellent career position that offers you continued career growth, opportunity, and unlimited earning potential, and we are a remote, work from home company. As an Insurance Sales Agent with Answer, you will take inbound calls, offering shoppers the opportunity to compare prices and purchase auto and home insurance. Our proven training methods involve self-study, coaching, eLearning, instructor-led, interactive, on-the-job, computer-based training. Take a moment to view our video A Day in the Life of an Agent. Please copy and paste the following link to your browser:
    $62k-87k yearly est. 24d ago
  • Staff Counsel

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Staff Counsel serves as an attorney in the Legal Department and is responsible for supporting all of WPS' lines of business, including Health Plan, Government Services, WPS Data Logistics and New Ventures. The Staff Counsel position advises business leaders on various legal matters, including new business opportunities, contract review and negotiations, review and responding to RFPs, advising on corporate structure matters, and compliance and regulatory support. The Staff Counsel position reports to the VP, Deputy General Counsel. Salary Range $115,000 - $130,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location Our first consideration will be to have this new employee live in the Greater Madison, WI area to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work in the office 2 days a week. Secondary priority will be given to remote candidates in WI, IL, MN, or IA. **If not regionally local to Madison, WI, frequent monthly travel to our WPS Headquarters will be expected. How do I know this opportunity is right for me? In this role you will: Draft, review, and negotiate documents supporting corporate transactions, including non-disclosure agreements, term sheets, and service agreements. Advise business leaders on legal and regulatory risks, ensuring compliance with relevant laws and regulations. Provide guidance on laws and regulations impacting a Wisconsin-based health insurance company, including the Wisconsin Statutes, Wisconsin Administrative Code, HIPAA, ACA, and ERISA. Advise on applicable laws and regulations for WPS Data Logistics, focusing on compliance with HIPAA, GDPR, and state privacy and consumer protection laws. Support WPS' Government Services division in pursuing opportunities with federal government agencies and contractors, ensuring compliance and risk mitigation. Review, negotiate, and manage services agreements for various WPS business lines, ensuring alignment with corporate objectives. Collaborate with internal departments and other stakeholders to ensure that contract terms align with business goals. Maintain, improve, and update contract templates, clause libraries, and playbooks for commonly negotiated terms. Minimum Qualifications Juris Doctor (JD) degree from an accredited law school. Active membership in the State Bar of Wisconsin in good standing, required upon hire. 3 or more years of legal experience in commercial contract law, preferably with in-house corporate or law firm experience including proven experience negotiating complex commercial contracts. Excellent analytical, communication, and organizational skills. Ability to interpret complex statutes and regulations and apply them to business operations. Exceptional communication and negotiation skills. Comfortable advising business leaders and interacting with regulatory agencies. Ability to work independently and manage multiple priorities in a fast-paced environment. Preferred Qualifications Experience in health care law or government contracting. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog
    $115k-130k yearly 33d ago
  • Employee and Community Engagement Lead

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Employee and Community Engagement Lead is a dynamic and passionate leader responsible for developing and executing strategies that cultivate a thriving employee culture and foster strong relationships with our local community. This lead is instrumental in ensuring our employees have the tools and experiences they need to execute our core values of Accountability, Authenticity, Curiosity and Determination. This role is pivotal in shaping our company's reputation as a responsible corporate citizen and an employer of choice. This includes ensuring company initiatives align with our core corporate values and oversight of the WPS Charitable Foundation. Salary Range $90,000 ~ $110,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Hybrid Work Location This position will be hybrid, having the regional availability to come into our Office 2 days a week cadence. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI. How do I know this opportunity is right for me? If you: Have developed, implemented, and managed employee engagement programs that foster a positive work environment and reinforce the company's values. Would enjoy providing leadership and oversight to WPS Interest Networks (WINs)- {WPS's version of an employee group} including facilitating Executive Sponsor and Co-Lead check-ins, participating in bi-weekly WIN meetings, coaching and succession planning for WIN leadership roles, and budget oversight. Are able to manage our annual Culture and Engagement survey that includes; data gathering and analysis, sharing updates with senior executive leadership, and working with HRBPs to coach leaders on action planning and execution. Want to serve as champion for the company's core values, ensuring they are integrated into all aspects of employee and community engagement. Thrive when driving community partnership from activation through relationship management, communications, event representation and social media content development. Enjoy managing internal communications related to employee engagement and community partnership initiatives. Can monitor and evaluate the effectiveness of programs designed to promote corporate values. Have managed an employee recognition platform, including regular check-ins with account executive, quarterly budget reviews, and addressing ad-hoc requests. Enjoy managing annual community partnerships funding cycle and oversee the Community Partnership Advisory Team (CPAT) selection and onboarding. Can serve as the WPS Charitable Foundation's program administrator, ensuring Foundation activities align with the Board of Trustee's approved strategy and confirm requirements set forth by Internal Revenue Service's guidelines to maintain the Foundation's non-profit status. Would like to oversee biannual fundraising appeals, Charitable Foundation giving process, and the annual Ray Koenig Memorial scholarship program. Are capable of providing complete charitable giving impact reporting driven by Board requests. Minimum Qualifications Bachelor's degree in a related field or equivalent combination of education and experience. 8 or more years in employee engagement, community engagement, talent development or related field. 3 or more years of experience leading projects or people in an employee experience related role. Strong understanding of corporate social responsibility and philanthropic best practices, this includes: Excellent communication, interpersonal, and presentation skills. Proven ability to build and maintain strong relationships with diverse stakeholders. Demonstrated leadership skills and ability to motivate and inspire others. Ability to manage multiple projects simultaneously and prioritize effectively. Strong analytical and problem-solving skills, including data analysis using Excel. Preferred Qualifications Experience working with cross-function teams including senior executives, HRBP's and community partners. Ability to drive measurable impact in employee engagement. Experience managing a charitable foundation including strategic planning and fundraising. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Hybrid work Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog
    $90k-110k yearly 11d ago
  • Accounting Intern - Summer 2026

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot The Internship Program with WPS Health Solutions is comprised of two key components. The first component involves gaining practical experience to supplement academic coursework and prepare for future career pursuits. This will be comprised of a hands-on role within a functional area related to a relevant field of study. Each internship incorporates responsibilities and tasks which support the business objectives and client service offerings, while providing ongoing collaboration with experienced departmental colleagues and exposure to "real world" business demands. The second element centers on exposure to corporate culture and professional development. Interns will participate in discussions focused on building soft-skills and business acumen. This intern will learn the overall Accounting process with mentorship, including journal entries, reconciliations, and a summer long Finance project. Start Date: June 2025 Pay Rate: $20.00 - $22.00/hour. The base pay rate offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location Our first consideration will be to have this intern live in the greater Madison, Wisconsin area to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to be able to work Hybrid 2 days a week. **As a secondary consideration, we do offer remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin In this role you will: Shadow team members to observe day-to-day accountabilities and gain insights into industry practices, processes, and techniques. Participate in team meetings and provide input on current processes and initiatives. Flowchart and document key accounting processes. Complete month-end journal entries as assigned Monthly account reconciliations as assigned. How do I know this opportunity is right for me? If you: Have a strong interest in financial reporting, accounting principles, and understanding how businesses manage their finances. Are detail-oriented, organized, and enjoy working with numbers to ensure accuracy and compliance with financial regulations. Want to gain hands-on experience in key accounting functions, such as general ledger management, reconciliation, audit preparation, and financial analysis. What will I gain from this role? Hands on Accounting Experience with financial statements, general ledger, reconciliations, and other core accounting functions Exposure to Accounting software and tools Work closely with senior accountants, financial analysts, and other team members, learning best practices, gaining mentorship, and building a network in the accounting field. Minimum Qualifications Be currently pursuing a degree in higher education or recent graduate. Have experience with Microsoft Office (i.e., Word, Excel, Outlook, etc.). Preferred Qualifications Currently pursuing a degree in Accounting, Finance or related field. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Holiday Pay and On-Demand PTO Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog
    $20-22 hourly 7d ago
  • Proposal Manager

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot The Proposal Manager leads the development, coordination, and delivery of high-quality, competitive proposals that support our Federal Business Development (BD) strategy and the pursuit of federal healthcare contracts. The role partners closely with capture manager, subject matter experts, pricing, and operations teams to ensure a proposal is compliant with all RFP requirements and oversees proposal production and delivery activities. The Proposal Manager is a critical, foundational member on the strategy team and will lead and execute projects and proposals of varying size. Salary Range $110,000 - $130,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin In this role you will: Lead and manage proposal development efforts, coordinating volume leads, technical writers, graphic artists, and production support staff. Develop and execute proposal schedules, outlines, and compliance matrices to ensure timely, compliant submissions. Analyze RFPs to identify requirements including deliverable and evaluation criteria, ensuring complete compliance throughout the proposal process. Collaborate with the capture team to understand the win strategy and ensure RFP responses effectively communicate business perspectives, key messages, value propositions, and competitive differentiators. Develop persuasive and compliant proposal content for federal, state, and commercial customers ensuring adherence to all proposal requirements, templates, and branding guidelines. Support pricing and cost volume teams by ensuring integration of technical and cost strategies. Partner with internal stakeholders throughout the business development lifecycle-from opportunity identification and capture through proposal submission. Track and report proposal metrics, win/loss outcomes, and lessons learned to inform future pursuits. Maintain proposal templates, boilerplate materials, and a centralized content library to improve efficiency and consistency. How do I know this opportunity is right for me? If you: Have led proposal development for federal contracts. Enjoy problem solving and are an independent thinker - data driven, logical, and creative with an ability to drive innovation. Are curious and have a high attention to detail. Have worked in healthcare, insurance, or technology industries. What will I gain from this role? Making an impact by working on the most important initiatives we have to grow our business and diversify our portfolio. Being a part of innovative, growth oriented, BD team within the very competitive government healthcare industry. Experience working in an environment that serves our nation's military, veterans, Guard and Reserves and Medicare beneficiaries. Working in a continuous performance feedback and great team environment. Minimum Qualifications Bachelor's degree in Business, Communications, English, Healthcare Administration, or related field or equivalent combination of education and related work experience. 7 or more years of experience in proposal management, development or related business development support roles 3 or more years supporting federal contracting Deep understanding of the federal procurement lifecycle and proposal compliance standards. Excellent problem-solving and critical-thinking skills; able to use data and logic to develop creative, effective solutions. Strong attention to detail, curiosity, and ability to manage multiple priorities in a deadline-driven environment. Exceptional verbal, written, and presentation communication skills, with the ability to tailor messaging for different audiences. Solid understanding of healthcare, insurance, or technology industries and their related proposal or contracting environments. Extensive knowledge of proposal best practices and tools, including Shipley or similar methodologies. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position may from time to time provide support to federal health care programs and other governmental or regulated industries. In accordance with law and/or contractual requirements, individuals in this role are or may be subject to all applicable federal regulations, agency contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. WPS and its personnel are subject to mandatory enhanced screening and background investigation prior to being granted access to information systems and/or sensitive data in order to safeguard regulated information and government resources that provide critical services.
    $110k-130k yearly 53d ago
  • Sales Coordinator

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot The Sales Coordinator supports the health plan's sales team in achieving membership growth and retention goals by providing administrative, operational, and customer service support. This role serves as a central point of coordination of sales activities, ensuring smooth execution of processes, timely communication, and accurate documentation. The Sales Coordinator supports sales and account management teams through data entry, reporting, collaboration, scheduling, and orchestration. The role supports all WPS Health Plan Sales initiatives as they relate to new business sales efforts. Hourly Rate of Pay $22.00 - $25.00/hour The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location We offer remote work in the following approved states: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin In this role you will: Provide administrative support to the account executive and account management teams. Partner and deliver baseline quotes for prospective clients, ensuring accuracy, compliance, and timely turnaround. Partner with actuarial and product teams to confirm benefit, rating, and pricing information. Maintain documentation of all quotes, including version control and communications. Track sales leads, opportunities and pipeline activity in CRM systems. Coordinate scheduling for sales meetings, client appointments, and enrollment events. Maintain accurate sales, quoting and membership records, ensuring timely data entry and reporting. Manage fulfillment activities from initial entry of prospect information to mailing of product information, including working with vendors and ensuring timeliness of responses. Support resolution of enrollment or eligibility issues by coordinating with operations and customer service teams. How do I know this opportunity is right for me? If you: Excel at getting things done and across the finish line. Have strong organization and project management skills and can effectively prioritize and communicate with internal and external partners. Pride yourself on clear communication, transparency, and organization. You think pragmatically. You can manage the details while not losing sight of the big picture. Are people-oriented, highly motivated and a self-starter who thrives in a dynamic, fast-paced environment. What will I gain from this role? Experience in our sales process, ongoing coaching, and development of sales techniques. Experience working with a team that is collaborative and highly adaptable. Working in a continuous performance feedback environment. Minimum Qualifications Associate's degree in business, marketing, or a related field OR equivalent post high school education and/or work-related experience. State of Wisconsin Accident & Health producer license or obtained within 60 days of employment. 1 or more years of experience in sales support, quoting, or customer service. Proficiency in Microsoft Office Suite. Strong organizational and multitasking skills with attention to detail. Strong written and verbal communication skills. Preferred Qualifications Knowledge of health plan products, benefits, and regulatory requirements Experience with CRM and quoting systems. Experience in health insurance or healthcare industry. Remote Work Requirements High speed cable or fiber Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at *********************** Please review Remote Worker FAQs for additional information. Benefits Remote and hybrid work options available. Performance bonus and/or merit increase opportunities. 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately). Competitive paid time off. Health insurance, dental insurance, and telehealth services start DAY 1. Professional and Leadership Development Programs. Review additional benefits: (******************************************************************** Who We Are WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog
    $22-25 hourly 60d+ ago
  • Data Analyst Intern - Summer 2026

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Internship Program with WPS Health Solutions is comprised of two key components. The first component involves gaining practical experience to supplement academic coursework and prepare for future career pursuits. This will be comprised of a hands-on role within a functional area related to a relevant field of study. Each internship incorporates responsibilities and tasks which support the business objectives and client service offerings, while providing ongoing collaboration with experienced departmental colleagues and exposure to "real world" business demands. The second element centers on exposure to corporate culture and professional development: Interns will participate in discussions focused on building soft-skills and business acumen. This intern will support data-driven decision-making within the Medicare operations area by analyzing claims, provider, and beneficiary information. The role provides practical experience in health insurance claims data and exposure to corporate analytics processes. Within the organization, this position contributes to improving data accuracy, operational efficiency, and reporting capabilities through hands-on projects and ad hoc data analyses. Start Date: June 2025 Pay Rate: $23.00/hour Hybrid Work Location: This position will be hybrid, having the regional availability to come into our Office two days a week cadence. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI. What you will do as a Data Analyst Intern: Work with and shadow team members to observe day-to-day accountabilities and gain insights into industry practices, processes, and techniques. Analyze Medicare claims and related data. Query and extract data from Medicare database. Develop reports and dashboards for leadership needs. How do I know this opportunity is right for me? If you: You enjoy working with others, sharing ideas, and contributing to a team effort, and you're comfortable engaging in discussions around process improvement and problem-solving. Have a strong interest in claims data and want to gain hands-on experience in data analysis and corporate analytics processes. Enjoy working with numbers and data, and are passionate about improving accuracy, efficiency, and reporting. Detail-oriented, with a problem-solving mindset, and thrive in an environment that values operational improvement. What will I gain from this role? Gain hands-on experience working with health insurance claims data and learn key data analysis techniques that will enhance your analytical skills. Contribute to meaningful projects that focus on improving data accuracy and operational processes, allowing you to apply your skills to real-world business challenges. Working in a continuous performance feedback environment. Minimum Qualifications Be currently pursuing a degree in higher education or recent graduate. Have experience with Microsoft Office (i.e., Word, Excel, Outlook, etc.). Preferred Qualifications Currently pursuing a degree in Data Science, Mathematics, Statistics, Computer Science or related field. Remote Work Requirements Wired (ethernet cable) internet connection from your router to your computer (add this High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Hybrid work Holiday pay and On-demand PTO Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services
    $23 hourly 7d ago
  • Document Processor / Compliance Analyst

    BCS Financial 4.2company rating

    Remote job

    Document Processor / Compliance Analyst (Full-Time - NJ) Business Credentialing Services, Inc. (BCS) is a fast-growing technology company in the insurance and risk management industries. We are growing our Operations department and are looking to hire a Document Processor to assist with data entry and customer support. Today, we have more than 70 employees and two office locations in Parsippany, NJ and Provo, UT. Our compliance and risk management platform helps companies reduce their risk exposure by systematically verifying Vendors/Suppliers they do business with. Blending professional services with web-based applications, BCS continues to maintain its foothold as one of the industry leaders. Job Type: Full-time Employee Pay: $19.50 per hour Responsibilities: Perform data entry tasks, including inputting and updating information in databases. Review incoming documentation to verify pertinent information for our clients. Send emails and make phone calls to provide feedback on the documents received. Assist with administrative tasks as needed. Attend team meetings/phone calls. Requirements: Strong data entry skills with a high level of accuracy and attention to detail. Strong written and verbal communication skills. Excellent organizational and time management skills. Ability to perform data entry tasks within our software platform quickly and accurately. Intermediate computer literacy is required. Bachelor's Degree required in any field. Employee Benefits and Additional Information: Starting Pay Rate: $19.50 per hour. Required to report to the office in Parsippany, NJ Monday - Friday. When an employee reaches six months of employment, they can work remotely one day per week. When an employee reaches three years of service, they can work remotely two days per week. Semi-Annual Pay Increases - Employee can earn up to a 2.5% pay rate increase every six months based on performance. Healthcare Benefits (Medical, Vision, Dental) are available for employees on their first day of employment. 401(k) / Retirement Benefits - An employee is eligible to participate in the BCS 401(k) program with company matching on their three-month anniversary. Paid Federal Holidays and Paid Time Off.
    $19.5 hourly Auto-Apply 19h ago
  • Government Services Personnel Security Specialist

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot The Personnel Security Specialist is responsible for managing and processing all personnel security requirements and related activities for employees supporting TRICARE, Medicare, and other federal program contracts. The role ensures compliance with Department of Defense (DoD), Centers for Medicare & Medicaid Services (CMS), and other agency regulations, with a primary focus on facilitating and maintaining background investigations and credentialing processes for Common Access Cards (CACs) and Enterprise User Administration (EUA) access and CMS IDs. The Specialist serves as the primary point of contact for employees, government security representatives, and internal stakeholders on personnel security matters. Salary Range $65,000 - $85,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location Our first consideration will be to have this new employee live in the Greater Madison, WI area to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work in the office 2 days a week. Secondary priority will be given to remote candidates in WI, IL, MN, or IA. **If not regionally local to Madison, WI, frequent monthly travel to our WPS Headquarters will be expected. How do I know this opportunity is right for me? In this role you will: Manage end-to-end personnel security processes for employees and contractors requiring a CAC or EAU access, including identifying applicable requirements, initiating background investigations, reviewing initial employee applications for required information, tracking status, and ensuring timely completion. Ensure compliance with DoD, CMS, and other applicable federal requirements governing identity verification, background investigations, adjudications, and credentialing processes. Serve as the WPS Facility Security Officer for TRICARE and primary liaison with government security offices, contracting officers, internal leadership, and applicants regarding personnel security requirements and status updates. Maintain complete and accurate, audit-ready records and track documentation of identity verification, background checks, investigations, and credentialing activities in accordance with federal and organizational policies. Gather and submit evidence for audit requests and attend auditor interviews and meetings, as needed to provide process insights and clarifications. Provide guidance to employees and contractors on security requirements, documentation and processes related to EAU access and obtaining or reissuance of a CAC. Compile, analyze, and validate data for required routine government reporting. Conduct research and analysis on emerging and new government agency requirements. Create and maintain process and procedure documentation. Recommend process improvements to increase efficiency and productivity. Other job duties may be assigned as required, including but not limited to general support of contract administration activities for WPS ‘federal contracts, third party risk analyses, general support of Enterprise Risk Management program functions, and business resiliency or continuity program activities. Minimum Qualifications Must be a U.S. Citizen in possession of a favorably adjudicated Tier 3/NACLC or equivalent investigation or having the ability to obtain equivalent government determined clearance level. Bachelor's degree in related field or equivalent combination of education and work experience. 5 or more years of experience in personnel security and compliance, background investigations, or related field, preferably in a government contracting environment. Working knowledge of DoD personnel security programs, CMS credentialing requirements, and regulations related to federal background checks, investigations and credentialing. Demonstrated experience with systems such National Background Investigation Services (NBIS) and the NBIS electronic application (eApp), or similar platforms and ability to complete NBIS eApp training to access and use NBIS eApp. Strong analytical skills, attention to detail, and organizational skills with the ability to diligently manage multiple priorities and meet deadlines. Excellent communication and interpersonal skills, both written and oral, needed for interactions with employees, leadership and government stakeholders. Ability to maintain strict confidentiality and privacy. Familiarity with ServiceNow and UKG Pro, as well as expertise with Microsoft Office applications, particularly Excel. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position may from time to time provide support to federal health care programs and other governmental or regulated industries. In accordance with law and/or contractual requirements, individuals in this role are or may be subject to all applicable federal regulations, agency contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. WPS and its personnel are subject to mandatory enhanced screening and background investigation prior to being granted access to information systems and/or sensitive data in order to safeguard regulated information and government resources that provide critical services.
    $65k-85k yearly 7d ago
  • Medicare Provider Enrollment Manager (HH & H)

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Medicare Provider Enrollment Manager (HH & H - Home Health and Hospice) will lead our supervisory and technical teams with responsibility for overseeing daily operations and functions related to provider enrollment. The role is responsible for managing and streamlining processes and implementing best practices to enhance the efficiency and effectiveness of the enrollment function while ensuring performance accountability. The Provider Enrollment Manager is accountable for managing, coaching, training, recognizing, and evaluating associates to foster a productive team environment. As part of the Provider Enrollment Leadership team, the manager will focus on workflow management, action planning, and departmental initiatives. Salary Range 85,000 ~110,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside of this range. Work Location We are open to remote work in the following approved states: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Possess experience working with Medicare specifically in the Home Health and Hospice space. Would enjoy managing and direct daily enrollment operations by providing guidance, coaching, and performance management to ensure accurate and timely completion of all aspects of the enrollment process. Can organize, oversee, and manage all aspects of provider enrollment processes. Would like to analyze enrollment data to track performance metrics and proactively identify trends. Want to lead in the maintenance of and strict adherence to all internal and external regulatory requirements for credentialing and re-credentialing processes while staying abreast of enrollment requirements and industry best practices. Can support and guide project inventory levels, ensuring production levels are maintained to meet goals and internal controls are maintained and followed. Would like Overseeing security responsibilities to ensure protection of company resources and data while ensuring privacy and confidentiality of Medicare data and employee information. Enjoy preparing and providing detailed management reports related to performance, staffing, budget, training, and resource needs. Minimum Qualifications Bachelor's Degree in Business Administration, Healthcare Administration OR related field OR equivalent combination of education and experience. 5 or more years of experience with Medicare Fee-for-Service provider enrollment operations. 3 or more years of management, supervisory, or team lead experience in Medicare Part A, Part B, or Home Health and Hospice operations. Extensive knowledge of healthcare credentialing and payer enrollment processes, including state and federal regulations. Excellent verbal and written communication skills with the ability to effectively explain complex information. Strong analytical, problem-solving, and organizational skills with the ability to manage multiple processes simultaneously and meet strict deadlines. Demonstrated leadership and team-building capabilities. Ability to identify, prioritize and drive work efforts that result in more efficient operations through innovation or process improvement. Ability to work in a complex, rapidly evolving environment with multiple internal and external stakeholders. Preferred Qualifications CMS knowledge of the Home Health and Hospice program. Experience processing Home Health and Hospice PE applications MAC contractor experience with FISS, MCS and PECOS systems. Remote Work Requirements Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
    $56k-80k yearly est. 60d+ ago
  • Financial Services Professional - Hybrid Remote

    Bankers Life 4.5company rating

    Remote or Williamsport, PA job

    Job DescriptionAs a Bankers Life Financial Services Professional Expect To:1. Build - Develop a client base by growing relationships with your network, establish and maintainstrong customer relationships, offering guidance, and providing solutions to help families obtainfinancial freedom. 2. Gain Expertise - Obtain knowledge beyond licensed agent training through sponsored coursework, and proprietary agent development training. 3. Guide - Presenting clients with the ability to preserve their retirement and grow their wealth. Use the latest software, and product illustrations to guide clients through important financialdecisions. 4. Own - Take ownership of your career as you master your craft and excel in Financial Services. Decide your path; delivering retirement protection, managing all client assets, or construct andlead your own team of agents and representatives. How Bankers Life will provide support: 1. Hybrid Experience - Flexible in-office schedules once you complete your agent training and takeoff as a producing agent. 2. Pre-Licensing Training - Bankers Life agents are provided pre-licensing training free of charge;individuals will need to pay for the state exam required to sell life and health products. 3. Award-winning Training - Our training, conducted in office, by successful field leaders will fulfillyour desire for continuous learning. Bankers Life has been named as a Training Apex AwardWinner for eleven years and counting and a CLO LearningElite winner for five years andcounting. 4. Advancement Opportunities - Benefit-eligible management positions within local branchstructure. What makes a great Financial Services Professional? 1. Informative - Ability to present complicated concepts effectively and maintain uncompromisingprincipals, such as honesty and integrity. 2. Driven - Self-motivated to network and prospect for new clients, while demonstrating strongtime-management skills. 3. Sociable - Strong relationship building and communication skills will bond you with clients andcolleagues. 4. Dreamer - Competitive and entrepreneurial spirit to achieve success both for yourself andothers. The Bankers Life Team comes from a variety of backgrounds including, but no limited to, sales, athletics,military, client services, or client-facing roles. Regardless of your professional experience level, we willprovide you the skills and knowledge necessary for success. Our Financial Service Professionals helptheir clients live more and worry less. Apply now and join the team!!
    $45k-72k yearly est. 20d ago
  • IT Infrastructure Intern - Summer 2026

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Internship Program with WPS Health Solutions is comprised of two key components. The first component involves gaining practical experience to supplement academic coursework and prepare for future career pursuits. This will be comprised of a hands-on role within a functional area related to a relevant field of study. Each internship incorporates responsibilities and tasks which support the business objectives and client service offerings, while providing ongoing collaboration with experienced departmental colleagues and exposure to "real world" business demands. The second element centers on exposure to corporate culture and professional development: This Intern will support WPS ITIL infrastructure as part of the change control, major incident management, problem management, and disaster recovery cross-functional team. Pay rate:$20.00 ~ $22.00/hour The base pay rate offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location Our first consideration will be to have this intern live in the state of Wisconsin to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to be able to work Hybrid 3 days a week on a regular basis. **As a secondary consideration, we do offer remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin What you will do as an IT Infrastructure Intern: Review, support, and facilitate Requests For Change in the ServiceNow Platform Attend Change Advisory Board meetings and provide administrative support for the change control process, including following up on unauthorized changes Review, update and test department documentation and procedures Help develop disaster recovery plans, procedures, and documentation Assist in major incident response activities How do I know this opportunity is right for me? If you: Have a strong interest in IT service management and are eager to learn about frameworks like ITIL that help organizations manage their IT infrastructure effectively. Enjoy working with cross-functional teams to solve complex problems, improve systems, and ensure business continuity. Are detail-oriented, organized, and thrive in environments where precision and accuracy are critical, especially when it comes to change control, incident management, and disaster recovery. Want to gain hands-on experience in problem management and major incident resolution, working to minimize disruptions and improve IT service delivery. What will I gain from this role? Gain practical experience supporting core ITIL processes, including change control, incident management, problem management, and disaster recovery, all of which are vital for maintaining IT service delivery. Work with various teams across the organization to understand how IT infrastructure is managed, how incidents are resolved, and how systems are optimized for performance and continuity. Build your knowledge in IT service management (ITSM) tools and frameworks, helping you develop valuable skills for a career in IT operations, service management, and support. Minimum Qualifications US. Citizenship is required for this position due to Department of Defense restrictions. Be currently pursuing a degree in higher education or recent graduate. Have experience with Microsoft Office (i.e., Word, Excel, Outlook, etc.). Preferred Qualifications Currently pursuing a degree in Computer Science, Information Technology, Cybersecurity, Risk Management, or related field. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Hybrid work and Remote work Holiday pay and On-demand PTO Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position may from time to time provide support to federal health care programs and other governmental or regulated industries. In accordance with law and/or contractual requirements, individuals in this role are or may be subject to all applicable federal regulations, agency contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. WPS and its personnel are subject to mandatory enhanced screening and background investigation prior to being granted access to information systems and/or sensitive data in order to safeguard regulated information and government resources that provide critical services.
    $20-22 hourly 7d ago
  • Medicare Appeals Manager (HH & H)

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Medicare Appeals Manager (HH & H - Home Health and Hospice) oversees the first-level appeals processes this includes investigations, resolutions, documentation, and follow-up in alignment with regulatory standards. They ensure timely, accurate reporting of Medicare Administrative Contractor (MAC) deliverables and supports process improvements through trend analysis. This Medicare Appeals Manager monitors departmental performance, ensures CMS (Center for Medicare and Medicaid Services) compliance, and collaborates with internal teams to optimize outcomes. Serves as a key liaison with CMS and internal stakeholders to support operational efficiency and regulatory compliance within the Home Health and Hospice services. Salary Range 90,000 ~120,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside of this range. Work Location We are open to remote work in the following approved states: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Possess experience working with Medicare specifically in the Home Health and Hospice space. Have planned, organized, managed, and evaluated departmental operations, including direct management of staff across multiple sites and domains. Would like to develop, manage, and monitor the department budget to ensure alignment with approved funding levels while supporting responsible financial management by controlling costs and contributing to the organization's overall fiscal accountability. Enjoy overseeing day-to-day departmental activities, resource allocation, and staff performance to meet organizational goals. Can ensure accurate and timely handling of Part A and Part B redetermination decisions, payment adjustments, QIC case file forwarding, ALJ effectuations, and record retention. Have ensured operational accuracy and compliance with Medicare standards across appeals processing functions. Are detail oriented and can ensure accurate and timely reporting of all Medicare Administrative Contractor (MAC) Statement of Work (SOW) deliverables. Can maintain accountability for key regulatory deliverables and align reporting with CMS expectations. Want to be responsible for responding to operational concerns raised by Medicare providers, attorneys, beneficiaries, CMS, internal WPS areas, and contractors. Have supported external and internal customer satisfaction by addressing escalated issues and inquiries. Enjoy preparing and providing detailed management reports related to performance, staffing, budget, training, and resource needs. Are data driven and look to metrics in decision-making through regular, comprehensive reporting. Like to manage and coordinate operational and reporting activities with subcontractors and other CMS contractors. Can ensure seamless collaboration and compliance with agreements and joint operating standards. Minimum Qualifications Bachelor's Degree in related field or equivalent post high school and/or related work experience. 5 or more years of experience in appeals, claims processing, customer service, or outreach. 2 or more years of supervisory/team lead experience in Medicare Part A, Part B, or Home Health and Hospice operations. Extensive knowledge of Medicare Part A, Part B and/or Home Health and Hospice program guidelines and appeals processes. Excellent verbal and written communication skills with the ability to effectively explain complex information. Strong analytical, problem-solving, and organizational skills with the ability to manage multiple processes simultaneously and meet strict deadlines. Demonstrated leadership and team-building capabilities. Ability to identify, prioritize and drive work efforts that result in more efficient operations through innovation or process improvement. Ability to work in a complex, rapidly evolving environment with multiple internal and external stakeholders. Preferred Qualifications CMS knowledge of the Home Health and Hospice program. Experience processing Home Health and Hospice appeals. MAC contractor experience with FISS, MCS and MAS systems. Remote Work Requirements Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
    $82k-116k yearly est. 60d+ ago
  • Regulatory Compliance Attorney

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot The Regulatory Compliance Attorney supports the WPS Health Plan division by providing legal advice on regulatory matters affecting various health insurance products. This role ensures compliance with state and federal laws, including ACA, HIPAA, and ERISA, and advises leadership on legal risks and regulatory developments. The position reports to the Managing Regulatory Compliance Attorney. Salary Range $100,000 - $120,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location Our first consideration will be to have this new employee live in the Greater Madison, WI area to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work in the office 2 days a week. Secondary priority will be given to remote candidates in WI, IL, MN, or IA. **If not regionally local to Madison, WI, frequent monthly travel to our WPS Headquarters will be expected. How do I know this opportunity is right for me? In this role you will: Conduct in-depth legal research on state and federal insurance laws and regulations related to health insurance products, including ACA, HIPAA, ERISA, and Medicare programs. Analyze how laws impact WPS Health Plan operations. Identify legal and regulatory compliance risks affecting WPS Health Plan products and operations. Develop legal strategies and recommendations to mitigate these risks. Provide legal counsel and compliance guidance to internal stakeholders, including actuarial, underwriting, sales, and operations teams. Advise on privacy and data security issues, marketing materials, and new business initiatives. Communicate with and represent WPS before regulatory agencies, trade associations, and other external bodies. Defend the company's position during negotiations and compliance-related interactions. Review insurance certificates, plan documents, and policy materials for compliance with applicable laws. Ensure marketing and promotional materials meet regulatory requirements. Respond to formal complaints, support RFP responses, and assist with internal or external audits related to Health Plan regulatory matters. Support and assist the Managing Regulatory Compliance Attorney in leading the Regulatory Services team. Participate in corporate projects, grievance/appeals committee activities, and cross-functional legal initiatives. Minimum Qualifications Juris Doctor (JD) degree from an accredited law school. Active membership in the State Bar of Wisconsin in good standing, required upon hire. 5 or more years of legal experience with 3 or more years focused on health care regulatory law. Strong knowledge of Wisconsin insurance regulations and the Affordable Care Act (ACA). Strong analytical and research skills. Excellent communication and negotiation skills. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog
    $40k-54k yearly est. 33d ago
  • Senior Business Analyst - SAFe Agile

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    Role Snapshot Our Senior Business Analyst - SAFe Agile plays a pivotal role in enabling IT delivery through facilitation of Agile practices, data-driven analysis, and Lean Portfolio Management (LPM) principles. They are responsible for translating complex business requirements into actionable features and user stories, facilitating Agile Release Trains (ARTs), and ensuring alignment across cross-functional teams. This Sr. BA will leverage Agile and LPM metrics, provide data-driven insights to monitor performance, assess delivery risks, and support informed decision-making. They are integral in advancing our Agile maturity and ensuring solutions delivered have measurable business value aligned to portfolio priorities. Operating within the SAFe framework, this Sr. BA supports Program Increment (PI) planning, facilitates cross-team coordination, and ensures alignment between business requirements and technical implementation. Salary Range $100,000 - $125,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Hybrid Work This position will be hybrid, having the regional availability to come into the Office 3 days a week. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI. How do I know this opportunity is right for me? If you: Enjoy turning conversations into clarity-gathering insights from stakeholders, workshops, and data to shape business and technical requirements that drive real outcomes. Thrive on translating ideas into action, crafting epics, features, and user stories with crisp acceptance criteria that guide development with purpose. Energized by Agile ceremonies and PI Planning, where I can bring business context to life, facilitate backlog refinement, and help teams plan with confidence. Enjoy orchestrating feature prioritization and managing dependencies across Agile Release Trains, ensuring delivery aligns with what matters most to the business. Appreciate collaborating naturally with Product Owners, Architects, Developers, QA, and other stakeholders to ensure solutions are feasible, valuable, and aligned with strategic goals. Passionate about connecting features to business outcomes, refining the portfolio backlog, and supporting coordination across value streams to accelerate execution. Take pride in maintaining healthy backlogs-ensuring items are prioritized, refined, and ready for development so teams can deliver with clarity and focus. See process documentation as a strategic tool-mapping current and future states, spotting gaps, and identifying opportunities for improvement and automation. Comfortable tracking progress, managing scope changes, and communicating delivery impacts to stakeholders. I support change management and adoption with empathy and precision. Relish metrics like velocity, cycle time, and predictability to inform planning, surface risks, and drive continuous improvement. I build dashboards that turn data into decisions. Enjoy leading demos, walkthroughs, and post-implementation reviews to validate outcomes, gather feedback, and ensure users are satisfied and supported. find fulfillment in mentoring other analysts-sharing SAFe principles, backlog best practices, and delivery techniques that elevate the team. Open to evolving responsibilities and excited to contribute wherever I can add value. Minimum Qualifications Bachelor's degree in Computer Science, Business Administration, Information Systems or related field or equivalent combination of education and experience. 5 or more years of experience as a Business Analyst or Product Analyst. 2 or more years supporting SAFe or scaled Agile delivery. Proven ability to elicit, analyze, and document complex business requirements, translating them into actionable epics, features, and user stories with clear acceptance criteria. Experience collaborating with cross-functional stakeholders and effectively communicating business value, delivery risks, and insights to both technical teams and executive leadership that includes: Strong understanding of SAFe principles, Program Increment (PI) planning, and Agile Release Train operations. Proficient in using Agile tools such as Azure DevOps(ADO) and Jira for backlog management, workflow automation, and tracking delivery progress in enterprise IT environments. Solid understanding of Lean Portfolio Management, business process improvement, and aligning features and initiatives to organizational goals, OKRs, KPIs, and value streams. Excellent written and verbal communication skills, with the ability to influence at all levels of the organization. Preferred Qualifications 7 or more years of experience as a Business Analyst or Product Analyst. 5 or more years supporting SAFe or scaled Agile delivery. Certification in Agile/Scrum and/or SAFe (CSM, CSPO, SAFe Agilist, SAFe POPM) SAFe Lean Portfolio Management (LPM) certification; AgileBA , ICAgile Certified BA, or ICP-BAF; and training in Agile metrics and reporting tools (e.g., Power BI, Jira dashboards). Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Hybrid work Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position may from time to time provide support to federal health care programs and other governmental or regulated industries. In accordance with law and/or contractual requirements, individuals in this role are or may be subject to all applicable federal regulations, agency contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. WPS and its personnel are subject to mandatory enhanced screening and background investigation prior to being granted access to information systems and/or sensitive data in order to safeguard regulated information and government resources that provide critical services.
    $100k-125k yearly 53d ago
  • IT Product Manager for Data Logistics

    WPS Health Solutions New 4.4company rating

    Remote or Madison, WI job

    due to Department of Defense restrictions. Role Snapshot Our IT Product Manager for Data Logistics leads strategic product initiatives that modernize secure mail handling, imaging, and digitization of business-critical documents. This Manager oversees the full product lifecycle, aligning delivery with business goals through Agile (SAFe )practices like Program Increment Planning (PI Planning) and backlog refinement. They will partner with engineering, operations, and compliance teams. The IT Product Manager drives scalable, high-tech solutions that support federal and commercial clients. Having technical fluency in Agile tools, workflow automation, cloud platforms, EDI and compliance frameworks is essential. As a key departmental leader, this role fosters innovation, cross-functional collaboration, and continuous improvement. This role requires product management skills including roadmap planning, backlog prioritization and KPI definition. Salary Range 125,000 ~ $160,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Work Location Our first consideration will be to have this new employee live in the state of Wisconsin and to take advantage of Hybrid work and collaboration. Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work Hybrid 3 days a week on a regular basis. **As a secondary consideration, we do offer remote work in the following approved states: We are open to remote work in the following approved states: Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin How do I know this opportunity is right for me? If you: Want to define and maintain the technology product vision, strategy, and roadmap to align with business goals and customer needs. Can conduct competitive analysis and assess emerging technologies to inform future enhancements and maintain relevance. Enjoy prioritizing and managing the product backlog to deliver high-value features using Agile principles. Like to gather, validate, and refine business requirements through stakeholder engagement, market research, and data analysis. Have owned the delivery of product releases by setting clear goals and ensuring timely, compliant deployment. Would like to act as the primary liaison between business stakeholders and technical teams to ensure alignment and shared understanding. Can monitor product performance against KPIs, customer satisfaction, and business outcomes and recommend and lead adjustments as needed. Have worked in a highly complaint and secure environment and can ensure compliance with healthcare regulations, data privacy, and security requirements in all product decisions. Have managed product budgets and resource allocation to meet financial targets and maximize ROI. Like to develop and present product updates and strategic recommendations to executive leadership for decision-making. Enjoy leading and mentoring cross-functional teams, fostering collaboration, accountability, and continuous improvement that support career development, performance feedback, and role clarity across product and delivery teams. What skills would help me in this role? Product management skills include roadmap planning, backlog prioritization and KPI definition. Analytical and problem-solving skills for interpreting complex data and making informed product decisions. Financial acumen to manage budgets, assess ROI, and optimize resource allocation. Stakeholder engagement and facilitation skills to align cross-functional teams. Business requirement documentation and user story writing expertise. Strong Negotiation skills to effectively negotiate with stakeholders and cross-functional teams to ensure alignment of product priorities and commitments. Strong Leadership skills to lead cross-functional teams, foster collaboration between IT and business stakeholders and drive accountability across product lifecycles. Experience or understanding of project management principles to ensure delivery plans are realistic and aligned with stakeholders' expectations. Minimum Qualifications U.S. citizenship is required for this position due to Department of Defense restrictions. Bachelor's degree in Information Technology, Computer Science, Business Administration, or related field required. 7 or more years of experience in IT product management or related roles. 3 or more years in a leadership/management capacity. Extensive experience with SAFe Product Owner/Product Manager (POPM), PSPO (Scrum.org), Certified Product Manager (CPM), or Certified Scrum Product Manager (CSPO). Proven track record in managing large-scale, enterprise IT products or portfolios. Demonstrated success leading product teams in an agile or hybrid delivery environment. Deep understanding of product management principles, agile frameworks, and IT solution delivery this includes: Agile/Scrum methodologies, backlog management tools (Jira, Azure DevOps), and iterative delivery practices including sprint cycles and PI Planning. Strategic thinking with ability to translate division/business unit goals into actionable product strategies. Strong leadership and people management skills with ability to coach and mentor teams. Expertise in agile product management, scaled agile frameworks (SAFe ), or hybrid delivery models. Software Development Life Cycle (SDLC) experience to assist the development team navigate technical complexities. Excellent financial acumen with experience managing product budgets. Ability to influence and drive change across diverse teams and complex organizations. Excellent communication and stakeholder management skills. Negotiation skills with ability to effectively negotiate with stakeholders and cross-functional teams to ensure alignment of product priorities and commitments. Ability to balance strategic thinking with tactical execution. Strong analytical, problem-solving, and decision-making abilities. Preferred Qualifications Master's degree in Information Technology, Computer Science, Business Administration, or related field. Experience with enterprise IT platforms (ERP, CRM, cloud, or healthcare systems). Familiarity with X12 format document exchange and secure data handling practices. Experience working with cloud platforms (e.g., Microsoft Azure, AWS) and API integrations. Understanding of workflow automation, data indexing, and system interoperability. Working knowledge of HIPAA, FedRAMP, NIST, and other data protection standards. Knowledge of mailroom operations, including document imaging, digitization, and batch processing. Ability to ensure product and process alignment with audit and security requirements. Remote Work Requirements High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position may from time to time provide support to federal health care programs and other governmental or regulated industries. In accordance with law and/or contractual requirements, individuals in this role are or may be subject to all applicable federal regulations, agency contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. WPS and its personnel are subject to mandatory enhanced screening and background investigation prior to being granted access to information systems and/or sensitive data in order to safeguard regulated information and government resources that provide critical services.
    $160k yearly 60d+ ago

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