Outreach and Education Specialist (100% Remote)

Who We Are

WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service 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. In 2021, WPS Health Solutions celebrated 75 years of making health insurance easier for those we serve. Proud to be military and veteran ready.

Our Culture

WPS' Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. 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 guided by our Purpose: Together, making health care easier for the people we serve.

In 2021 and 2022, WPS Health Solutions was recognized for several awards including:

• Madison, Wisconsin's Top Workplaces
• Top Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility
• Achievers 50 Most Engaged Workplaces® with the further honor of Achievers "Elite 8" winner in the category of Culture Alignment

Role Snapshot

This role creates, develops, and delivers education designed to reduce billing errors. This education is provided to Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program, be informed about changes, and bill correctly.

• Utilize a variety of strategies and methods to offer Medicare providers a broad spectrum of information about the Medicare program through a variety of communication channels, and mechanisms, including print, internet, telephone, educational messages on self-service tools, face-to-face instructions, and web-based trainings/presentations in classrooms and other settings.
• Coordinate internally with staff in appropriate areas (Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to ensure identified issues are communicated and shared with Provider Outreach & Education (POE) staff.
• Establish and maintain partnerships with external entities to provide education and assist in dissemination of Medicare provider education.
• Establish and maintain a POE Advisory Group (POE AG) to assist contractor in creation, implementation, and review of provider education strategies.
• Analyze data to develop an education methodology.

How do I know this opportunity is right for me? If you:

• Want to work 100% remote from the comfort of your home and use your Medicare knowledge for educating others
• Have the ability to utilize various modes of technology to create on-demand training/learning
• Are a creative individual who can develop and present material in a variety of formats (i.e. web, video, teleconference, in-person)
• Have strong writing skills to develop content for website articles and on-line learning
• Communicate in a way that is clear, articulate, and concise
• Have no fear of public speaking
• Are able to commit to business travel- up to 10% (i.e. presentations, team meetings, training)
• Receive and give feedback in a positive way
• Possess a research mindset and like digging in to solve complex questions

What will I gain from this role?

• Enjoying working remotely with a flexible schedule
• Having the freedom to determine education needs and best course of action to deliver
• Sharing input with CMS on processes and initiatives with an impact on the Medicare Trust Fund
• Working collaboratively with various CMS workgroups to help develop and share information with the provider community
• Traveling occasionally to different areas of the country
• 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

• Bachelor's Degree in related field or equivalent post high school and/or related work experience
• 1 year or more of related work experience

Preferred Qualifications

• 2 or more years in Medicare to include at least one (1) year of Medicare communications (written and oral) as well as public speaking experience.
• Previous experience working with all levels within an organization up to and including senior management
• Background and expertise using recording and editing software
• Experience in developing and delivering presentations
• Knowledge of Medicare guidelines

Currently, WPS strongly encourages employees to be fully vaccinated for COVID-19. However, if the court reinstates the vaccination requirement for federal government contractors, as a condition of continued employment with WPS, you would either need to be fully vaccinated or have an approved accommodation

Location

This role is open to 100% remote work for this opportunity in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

Benefits

• The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills and experience.
• Performance bonus and/or merit increase opportunities
• 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
• Competitive paid time off
• Health, dental insurance, Teladoc starts DAY 1
• Review additional benefits here

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)