WPS—A health solutions company remote roles

• Senior Account Manager - Health Insurance

  Company: WPS—A health solutions company

  Location: United States

  Salary: $85k - $105k

  Job type: full-time. Experience level: senior.

  Skills: Account Management, Benefit Planning, Renewal Strategy, Cost Management, Member Engagement, Relationship Management.

  Role Snapshot Our Senior Account Manager manages a book of mid-market and large employer groups (typically 250 – 1,000 lives), providing strategic guidance on benefit planning, renewal strategy, cost management, and member engagement.

• Claims Examiner II

  Company: WPS—A health solutions company

  Location: United States

  Job type: full-time. Experience level: mid.

  Skills: Claims Processing, Customer Service, Fraud Investigation, Documentation Review, Policy Application, Medical Documentation.

  U.S. CITIZENSHIP IS REQUIRED FOR THIS POSITION DUE TO DEPARTMENT OF DEFENSE RESTRICTIONS. Our Claims Examiner II Receives, researches, and reviews allegations of fraud or abuse by beneficiaries and providers.

• Medical Review Nurse Analyst

  Company: WPS—A health solutions company

  Location: United States

  Salary: $68k - $70k

  Job type: full-time. Experience level: entry.

  Skills: Clinical Review, Medical Record Analysis, Claims Review, Documentation Compliance, Utilization Review, Regulatory Compliance.

  Our Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This analyst ensures that providers are being reimbursed appropriately for services provided based on Medicare guidelines.

• Billing & Enrollment Specialist

  Company: WPS—A health solutions company

  Location: United States

  Job type: full-time. Experience level: mid.

  Skills: Billing, Enrollment, Data entry, Customer Service, Problem Solving, Communication.

  Our Billing and Enrollment Specialist processes membership enrollment functions and assists in billing, cash posting, and ID card generation for new groups and members within our Health Plan. They enter and maintain all group and membership data in our enrollment system.

• Medicare Sales Consultant

  Company: WPS—A health solutions company

  Location: United States

  Salary: $90k - $115k

  Job type: full-time. Experience level: mid.

  Skills: Sales Objectives Achievement, Consultative Sales, Communication Skills, Medicare Regulations Knowledge, Product Offerings Knowledge, Enrollment Processes Knowledge.

  Our Medicare Sales Consultant is responsible for achieving sales objectives by selling Medicare Supplement plans directly to individuals eligible for Medicare.