Wps Health Insurance Remote jobs - 39 jobs

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

Logistics: Palmetto GBA,- one of BlueCross BlueShield's South Carolina subsidiary companies. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. Location: This a full-time remote position. You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m.-5:00 p.m. Monday - Friday. It may be necessary, given the business need to work occasional overtime. What You'll Do: Communicates/educates providers on issues such as Medicare coverage, utilization statistics, documentation and medical review by use of written advisories, reports, letters, and telephone contacts. Documents all provider contacts/communications in provider tracking system. Conducts formal conference calls and/or in-person educational visits with providers that are consistently over utilizing services, on progressive corrective action, or have unacceptable denial rates and/or error rates under the medical review program. Conducts coverage and documentation workshops for provider staff (Medicare providers and physicians' staff). Researches, composes, and coordinates the preparation of all regulatory based provider education materials. Performs analysis of effective reports to determine actions to be taken regarding medical reviewed its/audits. Determines what providers are over-utilizing services and what services are being over-utilized. Works with medical review department and provides input regarding actions taken in response to provider billing practices. Targets providers where greatest abuse of Medicare program has occurred. Participates in the medical review process and inter reviewer reliability (IRR) studies. Assists in training of medical review associates regarding coverage and medical review process. To Qualify for This Position, You'll Need the Following: Required Education: If LPN, graduate of accredited School of Licensed Practical Nursing; if LVN, graduate of accredited School of Licensed Vocational Nursing; if RN, graduate of approved School of Nursing. Required Experience: If LPN or LVN, 7 years of clinical experience or equivalent combination of clinical and educator experience. If RN, 5 years of clinical experience or equivalent combination of clinical and educator experience. Required Software and tools: Microsoft Office. Required Skills and Abilities: Knowledge of medical terminology and disease processes. Demonstrated proficiency in word processing and spreadsheet software. Good judgment skills. Effective customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar. Analytical or critical thinking skills. Basic business math proficiency. Knowledge of mathematical or statistical concepts. Ability to persuade, negotiate, or influence. Required Licenses and Certificates: Active LPN or LVN licensure in state hired, OR active compact multistate LPN license as defined by the Nurse Licensure Compact (NLC), OR active RN licensure in state hired OR active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) others. Ability to handle confidential or sensitive information with discretion. We Prefer That You Have the Following: Preferred Work Experience: 3 years of provider relations and Medicare experience. Preferred Skills and Abilities: Knowledge of claims processing software. In-depth knowledge of Medicare program, guidelines, regulations governing coverage. Preferred Software and Other Tools: Working knowledge of Microsoft Access or other database software. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

The AVP Special Investigations Unit (SIU) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, investigation, and prevention efforts to safeguard the organization's assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust processes to identify FWA schemes and direct investigations to resolve issues effectively and efficiently. The AVP will develop strategies to create and maintain an organization that has the flexibility, knowledge, business acumen, and capacity to successfully address the dynamic space of FWA. This role involves leading a matrixed team of investigators, analysts, and clinical/coding subject matter experts, working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. The AVP SIU also will coordinate closely within the Payment Integrity team to flag (i.e., pend, review) suspect providers and develop pre-and post-payment approaches to the challenges of FWA. The AVP SIU requires externally facing credibility and leadership to collaborate with government regulators and the Blue Cross Blue Shield Association in connection with FWA investigation and reporting. What You'll Do Leadership: Lead and mentor a team of fraud investigators, analysts, and other staff, providing guidance and support in fraud detection, prevention, and recovery efforts. Establish team goals, monitor performance, and ensure alignment with organizational objectives. Collaborate internally with other departments to create and maintain a seamless claims payment integrity program. Serve as liaison with other key departments (Medical Management, Network Management, Data Analytics, Claims & Enrollment Operations) to develop, monitor, and update respective roles, responsibilities, and strategies related to claims payment integrity activities. Fraud Detection and Prevention: Work closely with analytics teams to contribute to the development of fraud detection strategies using data analytics, machine learning, and other advanced techniques to identify patterns of fraudulent behavior. Conduct risk assessments to identify vulnerabilities in the organization's processes and implement measures to mitigate these risks. Design and manage proactive fraud prevention programs to minimize exposure to fraudulent activities. Investigation Management: Oversee the management of the SIU's intake and investigative procedures and coordinate with Payment Integrity's prepayment analysts including workflow, productivity, accuracy, timeliness, and interaction with SIU and other Blue Cross NC staff members across the organization Ensure timely and accurate reporting of investigation findings and coordinate with legal, healthcare, and data teams to take appropriate action. Collaborate with law enforcement agencies, regulatory bodies, and external partners during investigations. Prepare comprehensive reports summarizing investigation outcomes, risk assessments, and fraud trends. Liaison with Blue Cross NC Legal department on all SIU/Legal interactions including communications with provider attorneys and determinations in the pursuit of criminal and civil actions. Compliance and Regulatory Adherence: Ensure all fraud investigation and prevention activities comply with state, federal, and industry regulations. Stay informed about changes in laws, regulations, and industry practices related to healthcare fraud. Assist in preparing documentation for audits, compliance reviews, and regulatory inquiries. As a critical component of the organization's Compliance Program, support law enforcement in the prosecution of unlawful activity directed against corporate and customer assets. Establish and maintain working relationships with governmental law enforcement agencies. Lead the development and delivery of educational awareness and training programs for the organization as part of the annual Code of Conduct training. Skills: Strong leadership and team management ability Excellent communication and presentation skills. Ability to work cross-functionally with various teams and external partners. What You Bring: Minimum 7+ years of experience in healthcare fraud detection, investigation, or auditing Bachelor's degree preferred in healthcare administration, finance, criminal justice, or related field/specialized training/relevant professional qualification. In-depth knowledge of healthcare systems claims processing, coding/reimbursement, and regulatory requirements related to healthcare fraud. Minimum 5+ years in a leadership role. Bonus Points (preferred qualifications) : Relevant certifications (e.g., Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) What You'll Get: The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $191,153.00 - $305,845.00 Skills

Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. Description The Auditor position is a full-time (40 hours) remote position. This position has the ability to work from any US location. What You'll Do: Conducts internal and/or external timely operational, financial, and/or compliance audits of divisions, departments, providers, and activities of the corporation including evaluation of internal controls. Identifies, documents, and evaluates business risks. Develops written audit programs. Conducts testing and analysis of existing controls to determine adequacy and effectiveness. Prepares written work papers to document testing results and conclusions reached. Documents issues, the causes of those issues, and their effects on the process/function and the corporation. Serves as Lead Auditor on more complex audit assignments. Drafts recommendations to limit risks and improve processes, functions and activities. Writes audit reports for corporate executive management that clearly and effectively convey engagement evaluations, conclusions and recommendations. Collects and analyzes data to detect deficient controls, duplicated effort, fraud, or non-compliance with laws, regulations, and management policies. Conducts testing of corrective actions as identified. Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity. Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of findings and recommendations for management. Provides training to and assists or leads other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel. Strives to expand knowledge of applicable laws, regulations, program instructions, and technology through self-study, corporate offerings, and formal training programs. What You'll Need: Required Education: Bachelor's in a job related field. Required Experience: 5 years auditing experience. Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data, to draw conclusions and make appropriate recommendations. Ability to gather information by examining records and documents and to interview individuals concerning those records. Strong interpersonal skills and the ability to work professionally with persons at all levels, and to maintain effective working relationships. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis. Excellent analytical or critical thinking and problem solving capabilities. Required Software and Tools: Microsoft Office. Preferred Education: Bachelor's degree- any major Preferred Licenses and Certificates: Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information Systems Auditor (CISA) Work Environment: Typical office environment. Travel between office buildings and out of town may be required. Pay Range Information: Range Minimum $62,289.00 Range Midpoint $90,417.00 Range Maximum $118,545.00 Pay Transparency Statement: Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity. Equal Employment Opportunity Statement: BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Blue Cross is hiring Clinical Support Representatives to work alongside our clinical review team as part our Utilization Management department. Job responsibilities include verifying member benefits, provider networks, and prior approval requirements for authorization of services all in a call center type environment. Work hours are Monday-Friday 8:00-4:30. Experience working in the medical field as an office assistant, medical coder, or Licensed Nursing Assistant is preferred and familiarity with medical terminology is helpful. Location: If hired, there will be a six week in-person training program at our Berlin, Vermont office. Representatives will continue working on-site five days per week until proficiency has been demonstrated in performing the role independently. After this time, employees within a 50-mile radius will be expected to come to the office on Wednesdays with flexibility to work remotely the rest of the week. Starting pay at $20.00 per hour. Six-week paid training. Target start date is Wednesday, February 18. Robust benefits package including: Health insurance (including vision) Dental coverage (free to employees) Wellness Program with a $500 year-end incentive 401(k) with employer match Life Insurance Disability Insurance Combined time off (CTO) - 20 days per year + 10 paid holidays Tuition reimbursement Student Loan Repayment Dependent Caregiver Benefits And more! Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at **************************************************************** **Complete job description attached to ADP posting

Role Snapshot The Application Configuration Supervisor leads a team Application Analysts and Configuration Specialists responsible for managing and optimizing the configuration of applications to meet operational, clinical, and regulatory requirements. This role oversees workload distribution, ensures accurate documentation, and supports analysts in resolving system and configuration issues. The supervisor collaborates with cross-functional teams, drives continuous improvement efforts, and ensures application integrity and alignment with business needs. Salary Range $80,000 - $95,000 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: Partner with stakeholders to collect and translate business needs into technical specifications and configuration solutions. Manage workload distribution, establish priorities, and monitor progress to ensure timely and accurate configuration of systems. Ensure accurate setup and maintenance of system configurations including user roles, workflows, rules, structures, or other configurable elements depending on system use. Serve as an escalation point for complex configuration-related issues, identifying root causes, coordinating resolutions and implementing effective solutions. Participate in system implementations, upgrades, and testing efforts, ensuring configuration aligns with technical and functional specifications. Develop and maintain documentation, policies, and standard operating procedures. Identify opportunities for automation and execute to improve efficiency and accuracy in configuration processes. Provide regular updates on configuration activities, metrics, and issues to management and stakeholders. Promote effective communication and coordination within the team and across departments such as development, operations, and business units. Provide coaching, mentorship, and performance feedback to team members, identify training needs and support staff development. Ensure compliance with industry regulations, data standards, and security protocols. Identify and implement opportunities for automation, efficiency, and accuracy improvements within configuration processes. Minimum Qualifications Bachelor's degree in Information Systems, Business, Healthcare Administration, or related field or equivalent combination of education and related work experience. 3 or more years of experience in application configuration, system administration, or business systems analysis. 1 or more years in a supervisory or lead role with experience managing or mentoring staff. Excellent communication skills with the ability to clearly convey technical information to both technical and non-technical audiences. Strong understanding of system configuration principles, workflows, and data management. Experience working with complex enterprise systems such as EHR, claims systems, or CRM. Exceptional organizational and time management skills with ability to manage multiple priorities in a fast-paced environment. Strong Leadership, technical expertise, and communication 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

Role Snapshot Our Actuarial Analyst, will work in a team setting and will apply mathematics, probability, statistics, and business principles to support rating/pricing, valuation, healthcare economics, and financial forecasting in a Health Plan / Insurance environment. This Analyst assists actuaries and provides actuarial support to various departments, including Network Management, Underwriting, Sales and Marketing, and Finance. Salary Range $80,000 ~ $100,000 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 **New employee living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work Hybrid 2 days a week on a regular basis. Onsite work will be tailored for team cohesion, strategy, planning and collaboration. How do I know this opportunity is right for me? If you: Can assist in actuarial research, experience studies, and statistical analyses and calculations. Have built and maintained models for pricing, forecasting, and risk assessment. Thrive when analyzing financial, statistical, and mathematical data and perform actuarial calculations. Can provide support to senior analysts or actuaries. Like to get things done, completing procedural tasks accurately, identifying and resolving issues that arise. Enjoy retrieving and validating data for rate filings and actuarial models; assist in building rate studies, pricing tools, model enhancements, and financial reports. Can perform peer reviews, identify, and communicate errors and risks. Want to assist in preparation and coordination of all rate filings necessary for Commissioner of Insurance. Would like to coordinate with internal and external auditors to support regulatory audits and examinations. Minimum Qualifications Bachelor's degree in actuarial science, statistics, mathematics, or related field. At least 2 exams completed towards the Associate of the Society of Actuaries designation. 2 or more years actuarial experience. Demonstrated skills in planning, organizing, coordinating, and managing multiple tasks and priority projects in a changing work environment. Proficient in Microsoft Excel and actuarial modeling tools and programming languages (e.g., SQL, R, Python). Knowledge and practice in reconciling report results. Preferred Qualifications 4 or more years actuarial experience. Experience working in a health insurance or health plan environment. Diverse Actuarial Analysis exposure that could include: Reserving, Pricing Products, Supporting Underwriting, Network Management, Sales and Marketing, or Finance. 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

We're seeking an Episodic Care Manager to join our Behavioral Health Team! The Episodic Care Manager is responsible for performing clinical reviews to assess, facilitate, and coordinate the delivery of health care services for members based on medical necessity and contractual benefits. Effectively coordinate with providers, members, and internal staff to support the delivery of high quality and cost-effective care across the health care system. What You'll Do Clinical Evaluation and Review Receive assigned cases for varied member services (i.e. inpatient, outpatient, DME) Review and evaluate cases for medical necessity against medical policy, benefits and/or care guidelines and regulations. Complete work in accordance with timeliness, production, clinical quality/accuracy and compliance standards Provide notifications to member and/or provider, according to regulatory requirements. Assess appropriateness for secondary case review by the Medical Director (MD) for denials and coordinate as needed. May coordinate peer-to-peer review upon provider request when members' health conditions do not meet guidelines Collaboration and Documentation Communicate and collaborate effectively with internal and external clinical/non-clinical staff (including MDs) to coordinate work Appropriately and fully document outcome of reviews and demonstrate the ability to interpret and analyze clinical information Utilize detailed clinical knowledge to summarize clinical review against the criteria/guidelines to provide necessary information for MDs. What You Bring RN with 3 years of clinical experience or LPN with 5 years of clinical experience. For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience. Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties. Bonus Points (Preferred qualifications) Previous experience with utilization management in Behavioral Health strongly preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $73,698.00 - $117,917.00 Skills Clinical Analysis, Clinical Documentation Review, Clinical Evaluations, Clinical Experience, Clinical Knowledge, Clinical Review, Decision Making, Medical Care, Medical Information, Medical Review, Medicare, Patient Care, Patient Evaluations

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. This Intern will participate in discussions focused on building soft-skills and business acumen. Start Date: June 2025 Pay Rate: $22.00 - $24.00/hour. The base pay rate offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. Hybrid Work Location: This position will be hybrid, having the regional availability to come into our office 2 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? In this role you will: Play an important role in the development and implementation of a new enterprise automated testing and quality platform. Learn from experienced colleagues the skills and techniques needed to develop/engineer and produce high-level Automated Testing solutions. Participate in the creation of testing solutions that will allow for expansion and enhancements to our program as it grows. What will I gain from this role? Working with a highly skilled leadership team, focused on innovation, process improvements and building a strategic path into the future. Being able to help create QA and QE solutions that will have a large impact on many of WPS's business areas and company as a whole. Working in a transformative environment focused on strategic quality, deployment and development throughout the company. Working on new QE automations, planning, collaborating and scripting solutions. Minimum Qualifications U.S. Citizenship is required for this opportunity 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.). Scripting experience gained from coursework in a higher education setting. Preferred Qualifications An understanding and interest in QA or QE automation. An understanding and interest in automated testing for application development, data transactions and complex administrative operations. 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 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.

Role Snapshot Our Medicare Claims Representative processes Medicare claims from receipt through resolution in accordance with applicable policies, procedures, and regulatory requirements. This role ensures timely and accurate claim resolution while maintaining high standards for quality and customer service. Hourly Rate of Pay $18. 50 /hour or more based on county SCA rates. Start Date: 2/24/26 Training Location/Schedule: Mandatory phased training from Monday through Friday will be required over the first 8 months. The first 4-week training sessions will be Monday-Friday from 7:30am - 4:00pm. (Subsequent 3-week training sessions will be planned and Monday-Friday from 7:30am - 4:00pm, dates to be provided.) Scheduled Shift: Flexible schedule once trained, 8-hours shifts between 6:00 am-6pm CST, (Available in-between 2-3-week training modules and once fully trained) split shift is an option. Remote Work 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 How do I know this opportunity is right for me? If you: Can review Medicare Part A claims, this includes complex and specialty claims, and by applying federal and internal guidelines to ensure appropriate application of processing guidelines, payment rules, and manual calculation procedures. Would enjoy handling complex adjustments involving multiple admissions and adjustments regarding pending returned notices and manually adjust reconsideration, including patient complaints and denials, and process through the system accordingly. Can communicate with internal departments, healthcare providers, and members to obtain additional information or clarify claim issues. Could interact with providers by phone to resolve pending claim problems, correspond with providers, other contractors, and third party billing support entity (s) on various claim-related problems. Would like to assist the claims department in meeting CMS performance metrics and minimum quality and quantity standards. Would enjoy supporting the claims department and provide back-up for completing staff responsibilities as needed. Can keep up to date with changes in regulations, coding standards, and plan policies. Can meet requirements of Federal Privacy Act, International Organization of Standards (ISO 9000), Freedom of Information, Desk Disclosure Reference, and WPS conflict of interest and confidentiality. What will I gain from this role? Enjoying a flexible schedule. Receiving valuable opportunities for knowledge-sharing with seasoned teammates and trainers. Gaining valuable skillsets with many career growth opportunities within the organization. Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries. Working in a continuous performance feedback environment. Minimum Qualifications High School Diploma or GED or equivalent experience. 1 or more years of experience in hospital, clinic and/or medical office billing. 1 or more years of post-high school education or coursework in insurance or medical-related studies 1 or more years of experience in a position using computer, keyboarding, and customer communications. Demonstrated proficiency in data entry with a strong ability to maintain focus and accuracy. Ability to multitask, prioritize, problem-solve, and effectively adapt to a fast-paced environment. Ability to work independently and meet quality and production standards. Preferred Qualifications Previous health/Medicare adjudication experience. Experience with UB/institutional (CMS-1450) and HCFA/professional (CMS-1500) claims. Familiarity with medical terminology, procedure and diagnosis codes. 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

As Director, Provider Service, you will play a key role in shaping and advancing the strategic vision for provider customer service. This leadership position empowers you to guide team leaders, drive support initiatives that meet high contractual and service standards and nurture a dynamic culture of excellence. You'll have the opportunity to analyze financial and service results, implementing meaningful strategies that enhance performance and deliver real value to the organization. What You'll Do Develop the strategic vision and key processes for the provider contact center, prioritizing support delivered through vendors, plan-to-plan, and PSA contact channels by business impact Partner with Operational leads and workforce management to supplement strategy with the development of budgets, staffing models, and operational performance standards Direct and improve Strategic Provider Services offering, maintaining close relationships with key (Platinum) providers including use of site visits to inform provider service strategy and resolve escalated claims and service issues Oversee support of non-platinum providers through virtual contact centers while providing oversight for vendor relations. Ensure plan-to-plan contacts are handled in line with BCBSA standards and service level expectations Communicating with managers and team leads on the provider service strategy and align on operational changes necessary for execution Resolve complex escalations and contribute to training development to maintain and improve service delivery Monitor and review service performance ensuring that provider service agreements are met Report operational updates to the Claims AVP and Operations VP; serve as a subject matter expert for provider service End to end inventory management to align with all regulatory, Internal, external and other applicable processing guidelines and timeliness expectations; includes evaluating and adjusting all processing guidelines as required to meet customer expectations. What You Bring Bachelor's degree or advanced degree (where required) 10+ years' experience in Health Care Delivery and Operations In lieu of degree, 12+ years of experience in related field. Deep health plan claims and service expertise. 5+ years of progressive leadership experience. Bonus Points Strong analytical skills with the ability to drive transformational, consumer centric change while managing operations - highly preferred Six Sigma/Continuous improvement experience - highly preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $143,616.00 - $229,786.00 Skills

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.

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 focus on ensuring data is accurate, secure, and responsibly managed. They may assist with data quality checks, metadata and cataloging, and documentation that promotes transparency and auditability. They will also gain exposure to how governance practices extend to AI, including ethical use, compliance, and risk awareness. This experience builds practical skills in strengthening data foundations while supporting the responsible adoption of AI. Start Date: June 2025 Pay Rate: $22.00/hour Hybrid Work Location: This position will be hybrid, having the regional availability to come into our Office 3 days a week cadence. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI. What you will do as a Data & AI Governance Analyst Intern: Support data quality, metadata, and cataloging efforts by running validation checks, tagging datasets, updating lineage information, and assisting with the configuration and upkeep of governance platforms. Contribute to governance and risk management activities by identifying data or AI-related risks, drafting mitigation notes, maintaining dashboards, and supporting the tools and systems that track compliance and risk. Advance responsible AI and governance practices by researching ethical frameworks and compliance requirements, and by developing documentation, checklists, training materials, and platform-based resources that promote transparency, accountability, and audit-readiness. How do I know this opportunity is right for me? If you: Are passionate about data management, accuracy, and security, and want to help ensure that data is handled responsibly and transparently. Are interested in the ethical use of AI and want to understand how governance practices are applied to both data and AI technologies. Enjoy working with data quality checks, metadata, and documentation to promote clarity, accountability, and compliance. What will I gain from this role? Gain practical experience in ensuring data accuracy, security, and transparency through tasks like data quality checks, metadata management, and documentation. Strengthen your ability to assess and maintain data quality, improve data cataloging practices, and ensure compliance with data governance standards. Learn how governance practices are applied to AI technologies, including ethical considerations, compliance requirements, and risk management in AI adoption. 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 Information Systems, Computer Science, Business Analytics, Data Science 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 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 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.

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.

Role Snapshot Our Senior Technical Program & Portfolio Manager is accountable to drive consistent execution and delivery across complex, cross-functional programs by establishing portfolio governance frameworks and aligning initiatives with strategic business objectives in a scaled agile framework (SAFe ). This Manager leads programs or projects from initiation through completion, ensuring scope, schedule, and budget adherence while proactively managing risks, resolving issues, and maintaining momentum. They will facilitate executive-level reviews to support accountability and accelerate decision-making. Oversees resource planning and financial management to optimize investments and ensure program efficiency. Will foster strong stakeholder relationships and communicate program status and outcomes with clarity to ensure alignment, strategic cohesion, and sustained delivery performance. Leverage the SAFe framework to participate in Agile Release Trains and facilitate effective PI Planning, ensuring synchronized execution and alignment across teams and programs. Salary Range $120,000 ~ $140,000 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 the posted range. Work Location Hybrid - This employee will be expected to be able to work Hybrid 3 days a week on a regular basis, out of our WPS Headquarters (1717 W. Broadway in Madison, WI). How do I know this opportunity is right for me? If you: Can define and maintain portfolio frameworks and governance structures that enable consistent execution and delivery across programs. Would enjoy aligning initiatives with strategic business objectives to ensure measurable impact and value realization. Like to facilitate executive-level portfolio reviews and reporting to drive accountability, surface delivery risks, and accelerate decision-making. Have led complex, cross-functional programs from initiation through execution, driving delivery of high-impact outcomes. Ensure adherence to scope, schedule, and budget across all phases of the program lifecycle. Can resolve escalated issues and actively manage interdependencies to maintain momentum and prevent delays. Would enjoy building strong relationships with business and technical stakeholders to foster trust and collaboration while facilitating decision-making and alignment across teams to ensure consistent progress and strategic cohesion. Have communicated program status, risks, and outcomes to leadership with clarity and precision. Like to oversee resource planning and capacity management across programs to ensure optimal allocation and utilization by working with application or product owners. Can track budgets, forecasts, and actuals to maintain financial health and accountability by identifying cost-saving opportunities and optimizing investments to maximize program value and efficiency. Enjoy identifying, assessing, and mitigating risks across the program portfolio to ensure delivery stability and resilience. Have managed change control processes with structured impact analysis to maintain alignment and minimize disruption to scope, schedule, and resources. Want to implement targeted process improvements to reduce delivery cycle time and accelerate execution while increasing sprint predictability and velocity by refining planning and delivery rituals. Can track and report key operational KPIs, including defect escape rate, deployment frequency, and lead time for changes. Want to champion delivery best practices and agile maturity to drive continuous improvement across programs. Minimum Qualifications Bachelor's degree in Computer Science, Business, or related field or equivalent combination of education and experience. 7 or more years of experience in technical program or project management roles. 3 or more years working at a senior or portfolio level. Extensive experience in Agile methodologies (Scrum, Kanban) and scaled frameworks like SAFe or LeSS. Extensive knowledge and understanding of structured approaches to identify, mitigate, and communicate risks and manage change control processes. Strong understanding and knowledge of Technical Program & Portfolio Management including: Budgeting, forecasting, cost optimization, and financial tracking across programs. Stakeholder analysis, executive communication, and cross-functional alignment strategies. Aligning technical programs with business goals and translating strategy into actionable roadmaps. Engage with engineering teams on architecture, integration, and dependencies without being hands-on. Using KPIs, dashboards, and analytics to guide execution and report outcomes. Exceptional organizational, analytical, and problem-solving skills. Excellent written and verbal communication skills, with the ability to influence at all levels of the organization. Preferred Qualifications 3 or more years working in SAFe environments. The ability and experience to influence without direct authority. Strong experience using MS tools, Teams, MS Excel. Experience with Agile tools such as ADO, Jira. Certifications: PMP, and at least one SAFe certification. 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.

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. This Intern will participate in discussions focused on building soft-skills and business acumen. This intern will gain mentorship by participating in the full software development lifecycle from design to deployment while working with technologies like C#, JAVA, and SQL. Start Date: June 2025 Pay Rate: $22.00/hour Hybrid Work Location: This position will be hybrid, having the regional availability to come into our office Two days a week. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI. In this role you will: Assist in the design, development, testing, and maintenance of software applications. Analyze and prepare specifications and documentation according to department standards. Provide in-depth analysis, design, and support for department applications and programs. Assist in research and issue resolution for processing business data. Help with front-end and back-end development tasks, supporting system deployments. How do I know this opportunity is right for me? If you: Are eager to gain hands-on experience in software development. Enjoy problem-solving and coding and are excited to work on projects that require attention to detail and technical skills. Are looking for mentorship and want to learn from experienced developers who can guide you through best practices, development tools, and techniques. What will I gain from this role? Exposure to the Full Software Development Lifecycle: Participate in each stage of software development, from designing and coding to testing and deployment, helping you understand the entire process of creating and launching applications. Strengthen your ability to solve complex problems, troubleshoot issues, and debug code, all while working on real-world projects. 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 Computer Science, Information Systems, System Administration 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 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.

Role Snapshot The Contract Administration Specialist will oversee all aspects of Medicare Administrative Contractor (MAC) contracts for WPS, serving as the primary point of contact for the Centers for Medicare & Medicaid Services (CMS). This role is responsible for managing contract administration, ensuring compliance with Federal Acquisition Regulation (FAR), and addressing contract-related issues. A deep understanding of FAR and its daily application is essential for success in this position. 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. 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, 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 the primary point of contact with CMS Contracting Officers for MAC contracts, ensuring effective communication and relationship management. Ensure full compliance with contract provisions by collaborating with business units to address and resolve any compliance issues. Manage contract modifications, assess their impact on funding, and produce Requests for Equitable Adjustments in coordination with the Finance department. Prepare and submit required documents, including contract modifications, consents to subcontract, and funding projections, while ensuring accurate financial reporting to CMS. Oversee subcontracting requirements, develop subcontracts with Legal, and notify CMS of proposed subcontracts as necessary. Monitor and report on MAC budgets, identify business development opportunities, and provide recommendations to senior management regarding funding concerns and projections. Minimum Qualifications Must be a U.S. Citizen having the ability to obtain an applicable government determined clearance level. Bachelor's degree in Business Administration or related field OR equivalent post high school education and/or work-related experience. 5 or more years of experience in contract management or administration, or related field, preferably in a government contracting environment. Strong Federal Acquisition Regulation (FAR) knowledge including experience applying such knowledge on a daily basis. Ability to utilize sound reasoning and analysis for creative problem-solving and overcome regular distractions to meet strict 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. 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.

Role Snapshot Our Health Services Supervisor is responsible for overseeing the Health Services Utilization and Case Management nursing teams. This supervisor will manage inventory, support staff mentoring and training, and drive workflow efficiencies within the teams. Will Work closely with the Health Services Manager, and support implementation of departmental and company initiatives while serving as a key daily resource for the nursing teams. Salary Range $95,000 ~ $115,000 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 **Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work onsite 2 days a week on a regular basis. How do I know this opportunity is right for me? If you: Can ensure utilization management reviews are completed in accordance with department standards. Enjoy coaching and mentoring nursing staff conducting medical necessity reviews, prior authorizations, and appeals. Have overseen case management activities to ensure timely and appropriate member interventions to meet individual needs and maximize health outcomes. Can collaborate with physicians, providers, and internal departments to coordinate care for complex cases. Would enjoy monitoring team performance, productivity, quality of care and compliance with established metrics and accreditation standards (e.g., URAC, NCQA). Like providing training and professional development opportunities for nursing staff. Can serve as a clinical resource for staff, handling escalated provider and member inquiries. Would like to conduct staff quality audits and support the development of clinical guidelines and utilization review protocols. Have participated in quality improvement initiatives and contribute to the development of department goals and performance targets. Would be able to assist with system testing, configuration, training, and implementation of new systems or upgrades. Minimum Qualifications Registered Nurse (RN) with current licensure in the state of Wisconsin OR current Compact License. Active RN license, applicable to state of practice in good standing. Associates Degree in Nursing. 5 or more years of clinical experience in a healthcare setting (hospital, clinic, home care, skilled nursing facility, etc.) Solid knowledge and understanding of medical/clinical review processes. Strong analytical, problem-solving, and organizational skills with the ability to manage multiple cases simultaneously and meet strict deadlines this includes: Excellent reading comprehension, written and verbal communication skills, with the ability to communicate complex medical information clearly and concisely. Proficient in Microsoft Office tools with experience working in electronic health records. Preferred Qualifications 1 or more years of experience in a supervisory or leadership role. Bachelor's degree in nursing (BSN). Certified Managed Care Nurse (CMCN). Health insurance background that could include, Third party Administration (TPA) Point of Service (POS), Preferred Provider Organization (PPO), or Medicare Supplement) plans. 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

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 $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 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