WPS Health Solutions

Policy Development Nurse Coordinator (RN) - REMOTE


PayCompetitive
LocationMadison/Wisconsin
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: POLIC005641
      Employer Industry: Health Insurance Provider

      Why Consider this Job Opportunity:
      - Salary up to $79,000
      - Opportunity for career advancement and growth within the organization
      - Remote work option available in approved states
      - Performance bonus and/or merit increase opportunities
      - Competitive benefits package including health insurance, dental insurance, and telehealth services
      - Chance to make an impact in the Medicare world

      What to Expect (Job Responsibilities):
      - Initiate, coordinate, and maintain healthcare policy development for Medicare program
      - Respond to Centers for Medicare & Medicaid Services (CMS) mandates from federal government
      - Assist contractor Medical Director in development of healthcare policies
      - Serve as a resource to various internal departments regarding company Medicare policies
      - Communicate with external providers and Contractor Advisory Committee (CAC)

      What is Required (Qualifications):
      - Bachelor’s Degree in related field or equivalent post high school and/or related work experience
      - Active RN license, applicable to state of practice
      - 2 or more years of similar work experience (previous utilization review)
      - Strong ability to perform independent research on policy items
      - Excellent written and verbal communication skills

      How to Stand Out (Preferred Qualifications):
      - Bachelor’s Degree in Nursing
      - Strong analytical skills
      - Desire to use nursing knowledge in a different way
      - Ability to work independently while still being part of a larger team
      - Experience in policy development

      #HealthInsurance #MedicareProgram #RemoteWorkOpportunity #CareerGrowth #CompetitiveSalary

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      Talentify is not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      WPS Health Solutions is still 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.