WPS Health Solutions

Senior Medical Review Nurse Analyst (RN) - REMOTE

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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      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.