WPS—A health solutions company · 9 hours ago
Medicare Outreach & Education Specialist
United States
Full-time
Remote
Mid Level
$60K/yr - $95K/yr
3+ years expWPS is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. The Medicare Outreach & Education Specialist is responsible for developing and delivering educational content to the provider community regarding CMS regulations, creating educational materials, hosting events, and analyzing data to improve provider education and reduce billing errors.
GovernmentHealth CareHealth Insurance
No H1B
U.S. Citizen Only
Responsibilities
Develop and deliver educational content to the provider community regarding current and upcoming CMS regulations
Create and develop educational materials, host events, and analyze data to improve provider education and reduce billing errors
Provide education to Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and be informed about changes
Assist providers in developing best practices to avoid coverage and billing errors to reduce error rates and protect the Medicare Trust Fund
Focus on ensuring a positive customer experience through relationship building with providers, CMS, and other stakeholders
Conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives
Collaborate with clinical and administrative teams to understand provider challenges and develop targeted solutions
Serve as a resource for providers regarding updates in guidelines, policies, billing procedures and regulatory requirements
Coordinate with internal teams to ensure identified issues are communicated and shared with Provider Outreach & Education staff
Establish and maintain a POE Advisory Group to assist contractors in creation, implementation, and review of provider education strategies and efforts
Qualification
Required
Bachelor's Degree in Communications, Health Education, Nursing OR related field OR equivalent combination of education and experience
3 or more years of experience in a role supporting Medicare
1 or more years specifically in Medicare communications
Demonstrated experience developing educational materials and presentations
Extensive knowledge of Medicare Part A, Part B and/or Home Health and Hospice program guidelines and PO&E processes
Solid knowledge and understanding of medical billing, coding, and insurance processes
Proficient with Microsoft Office Suite and using various modes of technology to deliver training (i.e., YouTube Channel, WebEx, etc.)
Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences
Strong interpersonal and relationship-building skills
Ability to travel for onsite training and education sessions - Travel will be approximately 15% in the future
Preferred
CMS knowledge of the Home Health and Hospice program
Strong facilitation, presentation and training experience to large groups of people
MAC contractor experience with FISS, MCS and MAS systems
Benefits
Remote and hybrid work options available
Performance bonus and/or merit increase opportunities
401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (**100% vested immediately**)
Competitive paid time off
Health insurance, dental insurance, and telehealth services start **DAY 1**
Professional and Leadership Development Programs
Company
WPS—A health solutions company
WPS, a health solutions company, is an independent, not-for-profit, local company based in Madison, Wisconsin.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
HealthX Ventures
2025-10-20Series Unknown
Leadership Team
Frank Gumina
Chief Legal and Administrative Officer
Rochelle Myers
Chief Growth Officer and Head of New Ventures
Recent News
2025-11-22
2025-08-04
Company data provided by crunchbase