Business Systems Analyst

Business Systems Analyst
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' 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:

• Madison, Wisconsin's Top Workplaces
• USA Top Workplaces and the cultural excellence awards for Remote Work and Work-Life Flexibility
• Achievers 50 Most Engaged Workplaces® with the further honor of Achievers "Elite 8" winner in the category of Culture Alignment
• DAV Patriot Employer
• VETS Indexes 4 Star Employer
• BBB Torch Award for Ethics from Better Business Bureau of Wisconsin

Role Snapshot
As aBusiness Systems Analyst, you will work closely with a wide variety of stakeholders across the enterprise.You will serve as a subject matter expert in specific areas, utilize strong decision-making skills, run reports, analyze operational workflows, and improve processes and systems. You will gather business requirements and translating them into the proper technical solution for a team of highly skilled developers to improve efficiencies, fulfill CMS requirements, and implement process changes to achieve desired business results.
How do I know this opportunity is right for me? If you:

• Approach problems with a sense of curiosity and are not afraid to ask why and dig to the root of a problem.
• You act as a supporting liaison and/or subject matter expert for operations and participate on work teams to manage system changes/upgrades.
• Work well with internal/external stakeholders and maintain a customer-centric mindset.
• You understand internal applications, processes and downstream impacts to appropriately guide and recommend changing processes while sharing knowledge with staff to improve team understand and overall quality.
• You collaborate with innovation leaders and management teams on process improvements, regulatory requirements and reporting to assist with operation efficiencies to ensure adherence to Service Level agreements (SLA's)
• Research and assist with resolving complete processing issues.

What will I gain from this role?

• An understanding of provider billing data and how it impacts the Medicare Trust Fund.
• Working in an innovative and process improvement minded environment that champions change
• 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.

Minimum Qualifications

• Bachelor's degree in related field or equivalent post high school and/or related work experience.

Preferred Qualifications

• 3 or more years of related work experience within the Medical / Healthcare Business Systems Analyst arena.
• Experience using Agile methodologies.
• Expertise with MS tool sets: PowerPoint, Excel, Word.
• Experience in claims processing, health insurance, or similar industries

Salary Range

• $50,000 ~ $60,000
• The base pay offered for this position may vary based on your experience, knowledge, skills 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 https://speedtest.net)

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 here

Sign up for Job Alerts
FOLLOW US!
Instagram
LinkedIn
Facebook
WPS Health Blog
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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)