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SalaryWho 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.
From 2021 to 2024, 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
Our Cost Report Auditors complete audits and desk reviews in accordance with government requirements for Centers for Medicare & Medicaid Services (CMS) to ensure accurate reporting of statistical and financial data reported on Medicare Cost Report. This role has a direct impact on confirming the US Tax funded Medicare program is working efficiently and is cost effective.
- Lead and participate in completing Uniform Desk Review/Audit Program within interim and monthly production goals.
- Prepare audit adjustment reports and detailed sets of work papers based on Government Auditing Standards and CMS requirements, analysis, and audit/desk review of provider’s Cost Report.
- Analyze expense and revenue data for reasonableness and compliance, review provider pricing policies for consistency in charges, and examine statistical data for cost allocations.
- Participate in work groups, providing input on work paper guidelines, techniques, and requirements.
- Work with and learn current CMS regulations and WPS audit procedures.
- Defend reimbursement or audit decisions made during desk review and audit based on documented regulations.
How do I know this opportunity is right for me? If you:
- Thrive in a fast-paced environment that is deadline driven.
- Are extremely detailed oriented and can identify inaccuracies easily.
- Feel comfortable defending your decisions with data and facts.
- Excel at math and problem solving.
- Want to work in an environment with strong work life balance with flexible work hours.
- Are interested in working remotely in the comfort of your home – no driving time, gas costs, or wear and tear on your vehicle.
What will I gain from this role?
- Work experience with a management team that is committed to maintaining a high performing work culture.
- Learn basic auditing principles that can spark career growth.
- A thorough introduction to healthcare reimbursement.
- Working remotely in the comfort of your home – no driving time, gas costs, or wear and tear on your vehicle.
- Experience in an environment that serves our Nation’s military, veterans, Guard and Reserves along with their families. In addition, we also serve Medicare beneficiaries and providers.
- 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
- Demonstrated understanding of accounting principles, auditing theories, or math concepts obtained through formal education and/or work-related experience.
- Medicare Cost Report experience.
- Healthcare experience.
- Accounting or Finance background.
Compensation:
$46,000 ~ $48,000
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience and may fall outside the posted range. We ARE open to negotiation and consideration of experience, specifically experience with Medicare Audits.
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
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)
- Please review Remote Worker FAQs for additional information
Benefits
- Remote 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: (https://www.wpshealthsolutions.com/careers/fulltime_benefits.shtml)
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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)
