WPS Government Health Administrators (WPS GHA) has served Medicare beneficiaries since 1966, providing almost 50 years of service to the Centers for Medicare & Medicaid Services (CMS) and the Medicare program. Our mission is to provide service and value considered by our customers to be the very best. We remain committed to providing the best in service to Medicare beneficiaries and providers through emphasis on uncompromising business ethics and long-term sustained performance excellence. It has long been our goal to serve our Medicare customers more effectively while lowering our costs and improving productivity.
WPS GHA currently serves:
Medicare Administrative Contractor (MAC) Jurisdiction 5 (J5) - providing both Part A and Part B Medicare benefit administration for Iowa, Kansas, Missouri, and Nebraska, as well as Part A Medicare benefit administration for J5 National providers
MAC Jurisdiction 8 (J8) - providing both Part A and Part B Medicare benefit administration for Indiana and Michigan
As a subcontractor for other CMS contracts
Some important facts to know about the WPS GHA division include:
Performs in the top tier of Medicare contractors as measured by CMS evaluations of operating performance
Ranks in the top tier of Medicare contractors for system security posture as measured by CMS audits - invited to speak at CMS 2015 system security conference to share best practices with other Medicare contractors
Receives consistently high website satisfaction scores for www.wpsgha.com, the WPS GHA website available 24 hours a day, 365 days a year
Is ISO 9001-2008 certified
Serves more than 140,000 providers and over 6.6 million Medicare beneficiaries
This job provides direction and leadership to operational unites ensuring all Centers for Medicare and Medicaid Services (CMS) contractual requirements are met.
Characteristics and Responsibilities
Leadership and Personnel Management (55%)
Lead operations and technology departments within Government Health Administration (GHA) division to meet all CMS contract requirements and standards.
Develop and monitor staff to ensure skill levels meet or exceed current job requirements.
Provide oversight to management team to ensure necessary tools and resources are available.
Ensure WPS meets CMS system security requirements. Participate in audits related to systems and operations.
Prepare budget documents, projections, and productivity needs to ensure alignment of resource needs with budget levels.
Problem-solve situations for effective solutions.
Make decisions as needed to ensure efficient daily operations.
Prepare overall GHA project needs for budget
Participate in strategic planning to determine objectives and ensure plans are meeting set objectives.
Develop contracts and work requirements for partners.
Drive and maintain consistency towards GHA strategic plan.
Develop and implement the GHA Information Technology (IT) Strategy Annual plan.
Develop new business proposals.
Customer Relationship Management (15%)
Build and maintain positive working relationships with CMS and partners.
Monitor resolution of identified issues and appropriate corrective actions are taken.
Provide support to corporate initiatives beyond GHA division.
10 or more years of progressively responsible business experience, which includes 7 or more years of proven leadership/managerial experience
Proven experience in building strong collaborative teams in a dynamic culture
Strong experience in identifying efficiency gaps and implementing process improvement solutions to correct those gaps
Experience in planning and overseeing a budget
Bachelor’s Degree in Business Administration, Finance, Economics, Information Technology or related field; OR equivalent post high school education and/or workrelated experience in relevant management or technology field
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
WPS—Join our team and set yourself up for success!
Please visit our website at www.wpsic.com/careers and click View WPS Career Opportunities. We look forward to receiving your application soon!
WPS Health Solutions is looking for solution-driven people. Bring your start-up mentality to our innovative work environment where you can make a difference every day. You also get the stability of a ...company with roots that lead back more than 70 years. Create meaningful solutions while we help you take the next steps in your career and your life.
Wisconsin residents can count on WPS Health Solutions to help protect their health, financial security, and peace of mind. WPS provides health insurance, life insurance, and benefit plan administration to private and government customers with service and value considered by our customers to be the very best.
WPS is one of the largest health benefits providers in Wisconsin. From traditional PPO plans and self-funded administration to consumer-driven options like our health savings account-qualified high-deductible and health reimbursement account plans, WPS offers a broad array of products to meet the needs of group and individual customers. In addition, more than 30,000 Wisconsin seniors choose us for supplemental insurance that helps fill the gaps left by Medicare, and more than 24,000 more have enrolled in our Medicare prescription drug plans.
WPS rounds out its product offering through our wholly owned subsidiaries, Arise Health Plan and EPIC Specialty Benefits. Arise, based in Green Bay, offers HMO and point-of-service plans to the group and individual markets. EPIC insures more than 80,000 group members and provides group ancillary insurance products, such as term life, accidental death & dismemberment, short-term and long-term disability, dental, and vision benefits.
WPS is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.