What are the responsibilities and job description for the Policy Research Analyst - Senior OR Specialist position at WPS Health Solutions?
Who We Are
is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer 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. WPS Health Solutions has been making health care easier for the people we serve for more than . Proud to be military and veteran ready.
Culture Drives Our Success
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 and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
From 2021 to 2023, WPS Health Solutions was recognized for several awards:
Role Summary:
This position can be filled at the Senior level OR higher Specialist level of our Policy Research Analyst position.
Our Senior Policy Research Analyst will work within our Government Healthcare Administration line of business on a small, specialized team. They will utilize available medical information to conduct analysis, investigate healthcare, and research literature to provide written summaries of evidence. They will also actively participate with our Contractor Medical Directors (CMDs) in the development of Medicare policy.
How do I know this opportunity is right for me? If you:
- Like performing medical research and doing critical analysis of medical literature on various topics.
- Have an analytical mindset and enjoy taking a deep dive into data and researching best practices.
- Possess excellent written and verbal communications skillsets.
- Are interested in performing work independently while still being part of a larger team.
- Utilize excellent writing skills to summarize the research analysis conducted and grade the quality of the evidence reviewed and strength of its recommendations.
- Assist Contract Medical Directors (CMD) in development of healthcare policies.
- Enjoy communicating with external stakeholders and workgroup members related to medical policy development.
- Can respond to Centers for Medicare & Medicaid Services (CMS) mandates from federal government as they relate to healthcare and policy.
- Can update and maintain knowledge of current medical practices related to Medicare Coverage.
Specialist Level:
- Conduct statistical analysis, coordinate reports, and prepare reports that support research based clinical coverage guidelines.
- Provide project support during the development of written policy backed by clinical research.
What will I gain from this role?
- Developing a deeper understanding of written policy related to Medicare coverage.
- Having your voice heard and making an impact in the Medicare world.
- Assisting with development, maintaining, and researching Medicare Coverage that protects the Medicare Trust Fund while providing services medically necessary to beneficiaries.
- 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.
You need to have:
- Masters of Public Heath (MPH) or Masters of Public Administration (MPA) or
- Bachelors in Research Analysis or equivalent work experience.
- Senior Level: 1 or more years of medical research analysis experience.
- Specialist Level: 2 or more years of medical research analysis experience.
We also prefer:
Senior Level:
- 2 or more years of medical research analysis experience.
- Experience working within the medical insurance industry.
- Experience bringing innovative ideas to fruition for process improvement.
Specialist Level:
- 5 or more years of medical research analysis experience.
- Direct work with CMS, or Medicare systems and policies.
- Excellent communication and presentation skills.
- Experience with research tools, applications and literature databases.
Salary Range: $80,000 ~ $100,000
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience. and may fall outside the posted range.
Remote Work Requirements
- Wired (Ethernet cable) internet connection from your router to your computer
- High speed cable or fiber internet
- Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at )
Work Location
We are a remote-first organization and offer remote work in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin
Benefits
- Remote work Is encouraged 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 insurance, dental insurance, and telehealth services start DAY 1
- Employee Resource Groups
- Professional and Leadership Development Programs
- Review additional benefits
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Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer.
