Description Who We Are WPS Health Solutions 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 75 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' 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. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition This position can be hired at the Professional or Senior Level Role Snapshot An Provider Outreach and Education Specialist impacts the Medicare Program by developing and delivering education to a variety of provider communities such as but not limited to independent providers, group practices, facilities, associations, societies, etc., who utilize the Medicare Program for payment. Ensuring a positive customer experience by fostering relationships with members of the provider communities, CMS, Medicare Administrative Contractors (MACs), and internal units. This role performs in the top tier of Medicare contractors as measured by CMS evaluations of operating performance. Learn and maintain knowledge of the Medicare Program such as reading and interpreting guidelines, IOM, communications, coding and billing, etc. Strong knowledge of evaluation and management services and associated coding Develop educational materials to host both virtual live events and in-person presentations, share content through various techniques such as YouTube videos, news articles, resources on website, self-service tools, etc. Foster collaborative partnerships with internal units to identify education needs and develop effective plans for continued improvement Foster collaborative partnerships with external entities such as provider communities, CMS, Medicare Administrative Contractors (MACs), and other entities that assist in dissemination of Medicare provider education materials Researches, analyzes, recommends, and facilitates education plan to reduce/prevent billing errors Prioritize and work on multiple projects within a fast-paced, ever changing work environment How do I know this opportunity is right for me? If you: Enjoy being the face of the company and creating a positive customer experience for the provider communities we serve fostering satisfaction Enjoy working with people, collaborating, and building relationships in a remote work environment Has a strong understanding and working knowledge of evaluation and management services and the associated coding and billing rules within the Medicare Program Effectively research challenges, determine impactful educational solutions, and analyze data before and after education for direct impact - while enjoying the process of learning and continuous improvement Enjoy sharing your knowledge with others using effective education strategies and with creativity Having fun utilizing various modes of technology to create and publish educationa