WPS Health Solutions
Senior Medical Review Nurse Analyst (RN) - REMOTE
PayCompetitive
LocationMadison/Wisconsin
Employment typeFull-Time
This job is now closed
Job Description
- Req#: SENIO005650
Employer Industry: Health Insurance and Federal Government Contracting
Why Consider this Job Opportunity:
- Salary up to $77,000
- Opportunity for career advancement and growth within the organization
- Remote and hybrid work options available
- Performance bonus and/or merit increase opportunities
- Competitive benefits package including health insurance, dental insurance, and telehealth services
- Chance to collaborate with a diverse team and work in an environment serving military, veterans, Guard and Reserves, and Medicare beneficiaries
What to Expect (Job Responsibilities):
- Plan and facilitate training events on various topics for groups and individuals
- Update written work instructions and training materials in response to regulatory changes
- Provide post-training quality analysis reviews and feedback
- Collaborate with business units, medical directors, and subject matter experts on new directives
- Develop and perform quality assurance activities, record scores, and monitor results
What is Required (Qualifications):
- Bachelor’s Degree in related field or equivalent post-high school experience
- Active RN license applicable to the state of practice
- 4 or more years of clinical nursing experience
- Leadership and/or training experience
- Nurse Analyst experience with a background in Medicare principles and guidelines
How to Stand Out (Preferred Qualifications):
- Bachelor’s Degree in Nursing
- Experience working as an Rx Technician or Customer Service Representative in a healthcare-related service
- Technical proficiency in computers and software
- Strong verbal and written communication skills
- Ability to multitask, set priorities, and excel at time management
#HealthInsurance #Medicare #RemoteWork #LeadershipDevelopment #CompetitivePay
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We are 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.