Medicare Business Management Specialist

Profile

u003ch3 style=u0022text-align: center;u0022u003eu003cstrongu003eMedicare Business Management Specialistu003c/strongu003eu003c/h3u003enu003cpu003eu003cstrongu003eWho We Areu003c/strongu003eu003c/pu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eWPS Health Solutionsu003c/au003e 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 u003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003e75 yearsu003c/au003e of making health insurance easier for those we serve.u0026nbsp; Proud to be military and veteran ready.u0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eOur Cultureu003c/strongu003eu003c/pu003enu003cpu003eWPSu0026rsquo; 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.u0026nbsp;u003c/pu003enu003cpu003eIn 2021 and 2022, WPS Health Solutions was recognized for several awards including:u003c/pu003enu003culu003enu003cliu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eMadison, Wisconsinu0026rsquo;s Top Workplaces u003c/au003eu003c/liu003enu003cliu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eTop Workplace national cultural excellence awards for Remote Work and Work-Life Flexibilityu003c/au003eu003c/liu003enu003cliu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eAchievers 50 Most Engaged Workplacesu0026reg; with the further honor of Achievers u0026ldquo;Elite 8u0026rdquo; winner in the category of Culture Alignmentu003c/au003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eRole Snapshot u003c/strongu003eu003c/pu003enu003cpu003eThe Business Management specialist will support the Government Health Administrators (GHA) division and the Centers for Medicare and Medicaid Services (CMS) contracts.u0026nbsp; Assist the Director of Business management in conducting ongoing assessments of operational and financial interdependencies necessary to drive performance and financial results relative to bid, budget, and forecast.u0026nbsp; Assist in coordinating contract management activities including Change Request, Technical Direction letters, Unified Program Integrity Contractor (UPIC) efforts, and Joint Operating Agreements.u003c/pu003enu003cpu003eu003cstrongu003eHow do I know this opportunity is right for me?u0026nbsp; If you: u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eWant to partner with operational teams to develop a deep understanding of workload and cost drivers that effect contract efficiencies and successes.u003c/liu003enu003cliu003eWould enjoy working as a liaison between operations, Contract Coordination Unit (CCU), finance, program management, contract administration and other WPS stakeholders.u003c/liu003enu003cliu003eHave the ability to understand the potential financial implications that operational decisions will have on the financials and to discuss those impacts with internal leaders and external government customers.u003c/liu003enu003cliu003eAnticipate financial impact from operational issues, evaluate their significance and work with management to develop solutions.u003c/liu003enu003cliu003eCan manage cross functional projects with the ability to set and drive timelines and high-quality, clear, concise, and supported deliverables for government customers. u003cstrongu003eThat includes:u003c/strongu003enu003culu003enu003cliu003eMonitoring and driving Request for Equitable Adjustment (REA) development to support quality settlement/negotiation of draft and final change orders and the impact to program Pu0026amp;L.u003c/liu003enu003c/ulu003enu003c/liu003enu003cliu003eWant to aid and support to Operations and Finance Teams with operational budgeting, forecasting, and financial reporting on GHA contracts.u003c/liu003enu003cliu003eWant to prepare critical contractually required documents, including Funding Level Notifications, Limitation of Cost Notifications, Requests for Equitable Adjustment, Contract Modification review/execution, and Consents to subcontract.u003c/liu003enu003cliu003eAnticipate issues, evaluate significance, and work with management to develop workable solutions.u003c/liu003enu003cliu003eCan provide guidance and maintain an awareness of draft and final Change Requests and impact of associated Levels of Effort/funding needs.u003c/liu003enu003cliu003eCan Coordinate Joint Operating Agreement (JOA) efforts, working with external and internal business partners to create/revise JOAs as needed and during semi-annual review period, required CMS and internal reportingu003c/liu003enu003cliu003eWould enjoy Coordinating Unified Program Integrity Contractor (UPIC) efforts. u003cstrongu003eThat Includes:u003c/strongu003enu003culu003enu003cliu003eCollaborating with internal business areas to ensure timely responses to law enforcement/non-law enforcement requests.u003c/liu003enu003cliu003eEnsuring terms of current UPIC Joint Operating Agreements are met.u003c/liu003enu003cliu003eMaintaining ongoing communication with UPIC main point of contact regarding inquires, requests, responses, and issues.u003c/liu003enu003cliu003eParticipating in monthly workgroup meetings with UPIC and follow-up agenda items.u003c/liu003enu003cliu003eCompleting required Centers for Medicare u0026amp; Medicaid Services (CMS), UPIC, and internal reporting.u003c/liu003enu003c/ulu003enu003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eWhat will I gain from this role?u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eThe ability to drive innovation and revenue growth opportunities by working with operational partners to identify areas where WPS may be able to provide additional value-added services to our government customers such as unsolicited proposals, value engineering proposals or process improvements.u003c/liu003enu003cliu003eThe ability to drive operational teams to proactively recognize workload and productivity variances and develop plans to address the variances.u003c/liu003enu003cliu003eWorking closely with division business areas to coordinate, finance and other areas to develop forecast projections.u003c/liu003enu003cliu003eExperience working in an environment that serves our Medicare beneficiaries.u003c/liu003enu003cliu003eThe ability to learn about management of Federal Government contracts through training, specifically related to the Federal Acquisition Regulation (FAR) and Cost Accounting Standards (CAS).u003c/liu003enu003cliu003eWork in a continuous performance feedback environment.u003c/liu003enu003cliu003eContinuous education related Federal Government Contracts Management.u003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003eMinimum Qualifications u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eBacheloru0027s Degree in Finance, Accounting, or related field or equivalent post high school and/or related work experience.u003c/liu003enu003cliu003e2 or more years of related work experience.u003c/liu003enu003c/ulu003enu003cpu003eu003cstrongu003ePreferred Qualifications u003c/strongu003eu003c/pu003enu003culu003enu003cliu003e5 or more years in Operational Finance, Business Management, or Project Management or Contract liaison working in complex environments.u003c/liu003enu003cliu003eProven leadership skills with ability to motivate others and work collaboratively with teams.u003c/liu003enu003c/ulu003enu003cpu003eThis role is open to remote work for this opportunity, there will be quarterly travel to Madison, WI and or Omaha, NE. We are open to considering individuals in the following commutable remote states:u003cbr /u003eu003cstrongu003eApproved States:u003c/strongu003eu0026nbsp;Illinois, Iowa, Minnesota, Nebraska, Wisconsinu0026nbsp;u0026nbsp;u0026nbsp;u003c/pu003enu003cpu003eu003cemu003e**Currently, WPS strongly encourages employees to be fully vaccinated for COVID-19. However, if the court reinstates the vaccination requirement for federal government contractors, as a condition of continued employment with WPS, you would either need to be fully vaccinated or have an approved accommodation. u003c/emu003eu003c/pu003enu003cpu003eu003cstrongu003eBenefitsu003c/strongu003eu003c/pu003enu003culu003enu003cliu003eu003cstrongu003eThe base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.u003c/strongu003eu003c/liu003enu003cliu003eRemote and hybrid work options availableu003c/liu003enu003cliu003ePerformance bonus and/or merit increase opportunitiesu003c/liu003enu003cliu003e401(k) with u003cstrongu003edollar-per-dollar match up to 6% of salary u003c/strongu003e(100% vested immediately)u003c/liu003enu003cliu003eCompetitive paid time offu003c/liu003enu003cliu003eHealth, Dental insurance, Teladoc starts u003cstrongu003eDAY 1u003c/strongu003eu003c/liu003enu003cliu003eReview additional benefits u003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003ehereu003c/au003eu003c/liu003enu003c/ulu003enu003cpu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eu003cstrongu003eSign up for u003c/strongu003eu003cstrongu003eJob Alertsu003c/strongu003eu003c/au003eu003c/pu003enu003cpu003eu003cstrongu003eFOLLOW US!u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eLinkedInu003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eFacebooku003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu003ca href=u0022****target=u0022_blanku0022 rel=u0022noopeneru0022u003eTwitteru003c/au003eu003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003enu003cpu003eu003cstrongu003eu0026nbsp;u003c/strongu003eu003c/pu003e,EqualOpportunityEmployerDescription:Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities,PayTransparencyPolicyStatement: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),MatchScore:1.0,HasApplied:false,ApplicationJobBoardName:null,ApplicationJobBoardId:null,DateApplied:null,Salaried:true,CompensationAmount:null,PublishingStatus:1,Links:[],BehaviorCriteria:[],MotivationCriteria:[],EducationCriteria:[],LicenseAndCertificationCriteria:[],SkillCriteria:[],WorkExperienceCriteria:[],JobBoardMemberships:[{JobBoardId:cdefa8ae-f907-5c13-2775-f0106d0aa34a,PublishedInternal:true,PublishedExternal:false,ExternalPostedDate:null,InternalPostedDate:2022-07-20T19:33:49.662Z},{JobBoardId:e6da0c90-f987-63dc-99a9-fb8c9014f57e,PublishedInternal:false,PublishedExternal:true,ExternalPostedDate:2022-07-20T19:33:49.662Z,InternalPostedDate:null}],AssessmentUri:null,AssessmentStatus:null,OpportunityIsClosed:false,TravelRequired:null,TravelDescription:null,SupervisorName:null,Assessments:[],ApplicationId:null,CompensationAnnualMinimum:77700.00,CompensationAnnualMaximum:144500.00,CompensationHourlyMinimum:37.36,CompensationHourlyMaximum:69.47,CompensationCurrency:USD});

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