WPS Health Solutions
Senior Medical Review Nurse Analyst (RN) - REMOTE
PayCompetitive
LocationMadison/Wisconsin
Employment typeFull-Time
This job is now closed
Job Description
- Req#: SENIO005701
Employer Industry: Health Insurance and Government Contracting
Why consider this job opportunity:
- Salary up to $77,000
- Performance bonus and/or merit increase opportunities
- Remote and hybrid work options available
- Competitive paid time off and health insurance starting Day 1
- Opportunity for professional and leadership development
- Supportive and inclusive work culture that values diversity and collaboration
What to Expect (Job Responsibilities):
- Serve as a subject matter expert (SME) to clinical staff regarding Medicare regulations for accurate claim processing
- Plan and facilitate training events on general and department-specific topics
- Develop and update written work instructions and training materials in response to regulatory changes
- Perform quality assurance activities and analyze training effectiveness
- Collaborate with business units and medical directors on new CMS directives
What is Required (Qualifications):
- Bachelor’s Degree in a related field or equivalent post-high school and/or related work experience
- Active RN license applicable to the state of practice
- Strong verbal and written communication skills
- Ability to multitask, set priorities, and excel at time management
- Technical proficiency with computers and training delivery
How to Stand Out (Preferred Qualifications):
- 4 or more years of experience in clinical nursing
- Bachelor’s Degree in Nursing
- 2 or more years of leadership and/or training experience
- Experience as a Nurse Analyst with a background in Medicare principles and guidelines
#HealthInsurance #RemoteWork #NurseAnalyst #CareerDevelopment #DiversityAndInclusion
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. 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.