Note: The job is a remote job and is open to candidates in USA. WPS is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin, providing health insurance, claims processing, customer support, and benefits management services. The Provider Network Reimbursement Analyst conducts data analyses, develops data visualizations, monitors performance indicators, and presents actionable insights to support operational and strategic decision-making. The role also develops and recommends provider network reimbursement rates and processes and researches claim and provider issues to recommend resolutions.
Responsibilities
- Conduct data analysis to support operational and strategic recommendations for the organization
- Develop and maintain data visualization tools, including dashboards and reports, that enhance communication and engagement and support decision-making
- Document data definitions, methodologies, and reporting processes
- Monitor key performance indicators (KPIs) and provide actionable insights
- Present data analysis findings at internal and external meetings and collaborate on resulting actions
- Oversee data analysis and reporting timelines to ensure requests are completed on time and meet business requirements
- Serve as a resource for researching claim and provider issues, identifying root causes, and presenting recommendations for resolution
- Other job-related responsibilities may be assigned as required
Skills
- Bachelor's degree or equivalent in Business, Economics, or Healthcare Informatics
- Three (3) or more years in healthcare analytics, operations or business intelligence/data analytics developing visualization tools (for example, Power BI, Qlik Sense, Tableau, etc)
- Demonstrated experience with data summarization and development and presentation of data analyses
- Ability to evaluate data sources and identify the most efficient data extract and analysis tools
- Proficient with relational databases and data query tools (for example, SAS, SQL, etc)
- Strong problem solving, critical thinking, and analytical skills
- Excellent written and verbal communication skills with the ability to influence and build relationships across various stakeholders
- 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/)
Benefits
- Remote and hybrid work options available
- Performance bonus and/or merit increase opportunities
- 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
- Competitive paid time off
- Health insurance, dental insurance, and telehealth services start DAY 1
- Professional and Leadership Development Programs
Company Overview