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WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
Partner with colleagues to deliver moderate to high complexity solutions in the Hyland OnBase Enterprise Content Management suite (ECM). In addition, you will assist in design, creation, deployment, and maintenance of programs. You will need to demonstrate effective communication skills to interpret needs of clients, collaborate with peers to deliver quality solutions and coordinate with other Inf
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
Work as a senior member of Information Security team with focus on improving decision making through collaboration with management, staff, and customers on technology strategy, enterprise architecture, and investments in strategic technology. Provide overall direction, lifecycle management, and leadership for all Information Security architecture and technology. Perform a lead role in identificati
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
The ETL Developer will design and develop Business Intelligence data integration solutions for WPS. You will design, develop, and test extract, transform, and load processes for enterprise wide data warehouse and data store implementations. You will need to demonstrate effective communication skills to interpret needs of clients and coordination with other teams. Oversee design and development of
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
This Manager of Infrastructure Technology is responsible for helping to drive and deliver the forward looking technical roadmap for on premise and cloud infrastructure. This Manager will work closely with other leaders, managers, and vendors to help further advance the infrastructure team's goals. Will be actively involved in vendor management, budget preparation and purchasing activities. Along w
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
WPS is looking for a highly motivated and passionate Solution Architect to drive high priority modernization initiatives. The Solution Architect leads the design, development, and deployment for architecture across our application portfolio. Recommend and implement architectural solutions to solve business problems for customer service, self service, and enrollment/billing departments. You will ne
Posted 1 day ago
Responsible for leading the gathering and establishment of procurement processes, contracting and vendor management of corporate level products and services. Such requirements will include category management for business related products, subcontracted labor and professional services in support of company and customer requirements in accordance with company policies and procedures, and when appli
Posted 1 day ago
At WPS Health Solutions, our goal is simple, but vital Together, making health care easier for the people we serve. We're on a mission as a company to modernize our technology, transform the ways we work and provide services, and create an inclusive environment for all employees. We're seeking someone to join our HR Business Partner team to help us achieve our mission. Someone who's a demonstrated
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
The Senior Data Architect manages design, development, and deployment of reporting and analytic solutions for WPS business units. Works with clients to determine reporting/visualization requirements, and design and develop solutions that deliver actionable intelligence. Ensures solutions are highly usable, scalable, maintainable and cost effective while conforming to industry best practices design
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
The Senior Applications Developer will design, develop and implement Dynamics CRM solutions and applications for the enterprise. This position develops and delivers new product features and works on existing applications. This position will work with other IT resources, engineering teams and operations teams to understand business processes and workflows. You will need to demonstrate effective com
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
The Medical Review Nurse Analyst will assist in reviewing medical documentation to assure billing providers are billing and being paid appropriately for services provided based on Medicare guidelines. In this role you will Perform review of submitted claims to ensure billed services are medically necessary and correctly coded based on Medicare guidelines Monitor the progress of assigned providers
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
PBM Vendor Coordinator This role can be filled at the Professional Level or Senior level of PBM Vendor Coordinator. Imagine the personal satisfaction of knowing that the work you do makes a difference. Working in the health benefits industry means your daily efforts go toward ensuring that employees and their family members have access to healthcare and medications they need. When you work for WPS
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
Make determinations whether a denied claim for a certain medical service was reasonable and necessary to pay. In this role you will Examine medical records and claims information for first level appeal cases to determine whether services provided were medically necessary or meet Medicare coverage guidelines in accordance with Medicare regulations and policies. Utilize clinical knowledge and clinic
Posted 1 day ago
WPS Health Solutions
- Green Bay, WI / Phoenix, AZ / Denver, CO / 14 more...
Participate in testing a variety of new system implementations and software changes across the enterprise. Participate in analysis and triage of system issues for resolution or for additional research. Participate in collecting, analyzing and reporting on metrics relating to testing efficiency and effectiveness. In this role you will Partner with specific operational departments to gain expertise
Posted 1 day ago
Our Facilities Vendor Contract Administrator Facilities 2 will be responsible for project management and working with vendors on the contract management process. This would include the creation of RFP (request for proposal) documents, bid tabulation forms and analysis of responses. This role will work closely with in house project management staff to ensure that contract renewals are on schedule a
Posted 1 day ago
This position will manage both Clinical Nurse and Redetermination Representative staff. They will plan, organize, direct, and evaluate the unit operations. They will also ensure Part A and B redeterminations, reopening, and QIC workloads are completed accurately and timely according to CMS goals and directives. In this role you will Oversee Medical Review Be responsible for overseeing the nurses (
Posted 1 day ago
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