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1 - 7 of 7 matches in 0.006 seconds
Customer Service Specialist - Starting Pay $15.47 (7009538)
Last Updated: 2019-11-27
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary

The Customer Care Specialist will answer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.

In this role you will:

  • Receive telephone, written, fax, and e-mail inquiries concerning TRICARE eligibility, benefits determinations, and claims adjudication questions…
Medical Director (7004930)
Last Updated: 2019-11-25
Employer: WPS Health Solutions
Location: West Frankfort, IL

Role Summary:

The Medical Director is a physician leader with expert knowledge in Medicare appeals and regulations. The Medical Director is responsible for clinical coverage determinations and staff trainings on clinical matters and collaborating with medical societies and peer groups to share information and provide education.

In this role you

Proposal Manager (Remote Work Offered) (7004337)
Last Updated: 2019-11-24
Employer: WPS Health Solutions
Location: Chicago, IL

Who We Are

We are a leading not-for-profit health insurer in Wisconsin, and our services have grown to reach active-duty and retired military personnel, seniors, and families in Wisconsin, across the U.S., and around the world.

WPS receives World’s Most Ethical Company Award for 10th Year in a Row-

At

Workforce Management Analyst (6995920)
Last Updated: 2019-11-20
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary:

Responsible for short-term workforce forecasting and staff scheduling utilizing industry approved methodologies. Support proper metrics and criteria used to maintain daily, weekly, and monthly reports to forecast staffing needs for WPS Military and Veterans Health (MVH) division.

In this role you will:

Forecasting & Scheduling (50%)

Federal Strategy and Business Development Manager (6981935)
Last Updated: 2019-11-13
Employer: WPS Health Solutions
Location: Chicago, IL

*Federal Strategy and Business Development Manager

Role Overview*

Lead our business capture team efforts, developing and executing strategies and tactics to help WPS win new and retain existing health-related business

In this role you will:

  • Help WPS win business, by:Structuring and executing customer and competitive research to identify opportunities (including…
Healthcare Claims and Benefits Design Engineer (6981772)
Last Updated: 2019-11-13
Employer: WPS Health Solutions
Location: Chicago, IL

Role Summary:

Claims Technical and Development Specialist will review and interpret data within complex claims systems to determine accuracy and compliance with contractual obligations. Collaborate with cross functional groups to develop and implement system updates, ensure continued improvement in the synchronization of systems, people, and processes. Participate in management reviews…

Human Resources Intern (6971834)
Last Updated: 2019-11-08
Employer: WPS Health Solutions
Location: Marion, IL

Role Summary:

The Internship Program with WPS Health Solutions is comprised of four key components. WPS interns will primarily focus on the responsibilities within their functional areas, as it relates to their respective field of study. In a group setting, interns will collaborate on the “Pay-It-Forward Project” – the development…

Legend

  • Registered Apprenticeship