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WPS HEALTH SOLUTIONS Policy Development Nurse Coordinator in MADISON, Wisconsin

JOB REQUIREMENTS: Description Who We Are is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than . 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 inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include diverse 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: Role Snapshot The Policy Development Coordinator will conduct research, collaborate with Medical Directors, communicate with provider community and assist with maintaining up to date published Medicare coverage guidelines. This includes: Initiate, coordinate, and maintain healthcare policy development for Medicare program. Respond to Centers for Medicare & Medicaid Services (CMS) mandates from federal government as they relate to healthcare and policy. Assist contractor Medical Director in development of healthcare policies. Serve as a resource to various internal departments, including Customer Service and Medical Review regarding company Medicare policies. Update and maintain knowledge of current medical practices related to Medicare Coverage. Communicate with external providers and Contractor Advisory Committee (CAC) to help define CMS requests. Communicate policy changes externally through correspondence in partnership with Provider Outreach Education (POE) and customer service activities. How do I know this opportunity is right for me? If you: Are looking to move away from direct patient care and want to use your nursing knowledge in a new and different way Desire daytime shift hours with no on-call work, limited weekend work, and paid holidays off Have an analytical mindset and enjoy taking a deep dive into data and researching best practices Possess excellent written and verbal communications skillsets Are interested in performing work... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/07C427D572124287 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.

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