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. 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.
Manager of Provider Outreach and Education
Location
United States
Posted
14 days ago
Salary
$95K - $110K / year
Seniority
Lead
Job Description
Role Description
Our Manager of Provider Outreach and Education (POE) oversees a team dedicated to delivering targeted, data-driven educational initiatives to Medicare providers. They aim to reduce confusion, inquiries, errors, and improper payments by ensuring educational efforts align with CMS and contractual requirements. This POE Manager collaborates with internal teams to prioritize and measure the effectiveness of outreach, preventing provider issues and enhancing system stability before they affect customer service or payment accuracy.
Qualifications
- Bachelor’s degree in Health Administration, Business Administration or other related field, or equivalent post high school education and/or work-related experience.
- 7 or more years of experience developing and delivering education, training, outreach in a healthcare setting.
- 3 or more years in a leadership or managerial role.
- Extensive knowledge and understanding of Medicare guidelines (Part A, Part B).
- Experience working with or interpreting improper payment data (e.g., CERT findings, error categories, dollar impact) to inform education or outreach priorities.
- Expertise in designing or leading targeted education efforts based on performance data, risk indicators, or provider behavior, rather than a one-size-fits-all approach.
- Strong experience in leading teams through process changes, with the ability to introduce new approaches while maintaining staff engagement and operational stability.
- Proficiency with dashboards, reporting tools, or data visualization (e.g., Excel, Power BI, or similar tools) to communicate trends and results to leadership or stakeholders.
- Proven ability to collaborate effectively with customer service, policy, operations, IT, or analytics teams to align education strategies with broader organizational goals.
- Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences.
Requirements
- 5 or more years in a leadership or managerial role (preferred).
- Certified Evaluation and Management Coder (CEMC) or Certified Professional Coder (CPC) (preferred).
- MAC contractor experience with FISS, MCS and MAS systems (preferred).
- 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 https://speedtest.net ).
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: https://www.wpshealthsolutions.com/careers/ .
Job Requirements
- Bachelor’s degree in Health Administration, Business Administration or other related field, or equivalent post high school education and/or work-related experience.
- 7 or more years of experience developing and delivering education, training, outreach in a healthcare setting.
- 3 or more years in a leadership or managerial role.
- Extensive knowledge and understanding of Medicare guidelines (Part A, Part B).
- Experience working with or interpreting improper payment data (e.g., CERT findings, error categories, dollar impact) to inform education or outreach priorities.
- Expertise in designing or leading targeted education efforts based on performance data, risk indicators, or provider behavior, rather than a one-size-fits-all approach.
- Strong experience in leading teams through process changes, with the ability to introduce new approaches while maintaining staff engagement and operational stability.
- Proficiency with dashboards, reporting tools, or data visualization (e.g., Excel, Power BI, or similar tools) to communicate trends and results to leadership or stakeholders.
- Proven ability to collaborate effectively with customer service, policy, operations, IT, or analytics teams to align education strategies with broader organizational goals.
- Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences.
- 5 or more years in a leadership or managerial role (preferred).
- Certified Evaluation and Management Coder (CEMC) or Certified Professional Coder (CPC) (preferred).
- MAC contractor experience with FISS, MCS and MAS systems (preferred).
- 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 https://speedtest.net ).
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: https://www.wpshealthsolutions.com/careers/ .
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