Who We Are

WPS Health Solutions is a leading not-for-profit health insurer in Wisconsin. Our services offer health insurance plans for individuals, families, seniors, and group plans for small to large businesses. We process claims and provide customer service support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. In 2021, WPS Health Solutions celebrated 75 years of making health insurance easier for those we serve. Proud to be military and veteran ready.

Our Culture

WPS’ Performance-Based Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive, empowering employee experience, focusing on People, Work, and Conditions. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are guided by our Purpose: Together, making health care easier for the people we serve.

In 2021 and 2022, WPS Health Solutions was recognized for several awards including:

• Madison, Wisconsin’s Top Workplaces
• Top Workplace national cultural excellence awards for Remote Work and Work-Life Flexibility
• Achievers 50 Most Engaged Workplaces® with the further honor of Achievers “Elite 8” winner in the category of Culture Alignment

Role Snapshot

This role serves the Government Health Administrators (Medicare) division through statistical data analysis to identify existing issues and support divisional strategies of process and technology innovation and profitable growth through the adoption of new industry analytical approaches to ensure continued quality improvement.

How do I know this opportunity is right for me? If you:

• Enjoy working with BIG DATA!
• Love analyzing data for trends and outcomes.
• Are creative, innovative, and get excited about using data differently!
• Seek opportunities to utilize your personal responsibility to interpret and analyze data from various sources and recommend best approaches!
• Like to present data analysis to various both internal and external key stakeholder.
• Relish collaboration with your peers and other subject matter experts.
• Have the drive to manage your own projects from start to completion while balancing accuracy and timeliness!
• Keep current with industry quality analytic approaches and proficiency with business intelligence tools.

What will I gain from this role?

• Working with a forward thinking and highly collaborative team.
• Getting to do fun and exploratory data analysis that doesn’t require cleaning data!
• Learning about the Medicare Program.
• Serving Medicare beneficiaries and actively protecting the Medicare Trust Fund.
• Experience working in an environment that serves our Nation’s military, veterans, Guard and Reserves and Medicare beneficiaries.
• Working in a continuous performance feedback environment.

Minimum Qualifications

• Bachelor's Degree in relevant field (Preferably: Data Science, Healthcare Informatics, Statistics, Economics, Mathematics, Computer Science, etc.) or equivalent post high school and/or related work experience.

Preferred Qualifications

• 2 or more years of experience with business intelligence/analytic tools or programming languages used to interpret results and summarization for presentations. Examples of these are R, Python, SAP Business Objects, Statistical Analysis System (SAS), Structured Query Language (SQL), Google Analytics
• Experience with Medicaid, Medicare, TRICARE, VA or any insurance claims data
• Professional healthcare analytic experience
• Exposure to evaluation of business processes
• Master's degree in relevant field

Your Team

The InSight Data & Analytics Team exists to utilize innovative data and analytics strategies to identify and prevent fraud, waste, and abuse of the Medicare trust fund. We support internal clinical departments in detecting problematic billing behavior amongst providers and beneficiaries. We also support program management departments in identifying statistical trends and insights from business data. The team consists of 1 Data Analytics Manager and 4 other Healthcare Informatics Analysts.

This role is 100% remote work in any of our approved states.
Approved States: Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

Benefits

• The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills and experience
• Remote and hybrid work options available
• Performance bonus and/or merit increase opportunities
• 401(k) with dollar-per-dollar match up to 6% of salary (100% vested immediately)
• Competitive paid time off
• Health, dental insurance, Teladoc starts DAY 1
• Review additional benefits here

Sign up for Job Alerts

FOLLOW US!

LinkedIn

Facebook

Twitter

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)