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Customer Care Center Rep

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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85195069 292760091 Description Role Snapshot The Customer Care Center Rep ...
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plays a critical role delivering exceptional service to our members, brokers, and providers. The role provides detailed responses to health plan inquiries and resolves issues with compassion and efficiency. The Customer Care Center Rep is the first point of contact for those seeking assistance with benefits, eligibility, and claims questions. Success is accomplished by navigating multiple systems to research and resolve inquiries with a clear, accurate, and easy to understand response. Additional Information Start Date:...
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Proposal Manager

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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85142034 292737229 Description Role Snapshot The Proposal Manager leads the ...
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development, coordination, and delivery of high-quality, competitive proposals that support our Federal Business Development (BD) strategy and the pursuit of federal healthcare contracts. The role partners closely with capture manager, subject matter experts, pricing, and operations teams to ensure a proposal is compliant with all RFP requirements and oversees proposal production and delivery activities. The Proposal Manager is a critical, foundational member on the strategy team and will lead and execute projects and...
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Contact Center Technology Manager

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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85132288 292735044 Description Role Snapshot Our Contact Center Technology ...
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Manager is responsible for developing and executing the strategy, implementation, and maintenance of the organization's Contact Center Technology platforms, including on-premises and cloud environments. This role ensures secure, reliable, and scalable telecommunications system operations, aligning with WPS business objectives while mitigating risks related to security, performance, compliance, and vendor dependencies. They will help support operations staff and oversee third-party vendor relations, resources, and...
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Applied Math
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5
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Senior Compliance and Ethics Specialist

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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85132289 292735045 Description Role Snapshot The Senior Compliance, Ethics ...
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and Privacy Specialist serves as the Office of Foreign Assets Control (OFAC)/Bank Secrecy Act (BSA)/ Anti-Money Laundering (AML) Compliance Officer and is responsible for managing the OFAC Compliance Program. The Senior Specialist will support all lines of business and perform the functions required by the Compliance program including conducting internal investigations of potential violations of the Code of Conduct, investigating and reporting privacy incidents, developing and presenting training, reviewing conflict of...
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Applied Math
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5
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Community Liaison (part-time)

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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85086373 292714705 Description Role Snapshot The Community Liaison is ...
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accountable for building and maintaining positive relationships between WPS and the communities it serves to promote the health plan's mission, services, and brand image. Key responsibilities for this part-time position include prioritizing and representing WPS at community events across the state, developing and managing community partnerships, analyzing community needs and sentiment, and supporting community health initiatives. Hourly Pay Range $60.00-$75.00 per hour The base pay offered for this position may vary within...
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5
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Director, Customer Experience

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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85020404 292628716 Description Role Snapshot The Director of Customer ...
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Experience (CX) is responsible for shaping, leading, and optimizing how customers interact across all touchpoints. This strategic leadership role will be responsible for developing and delivering the vision and roadmap for customer experience. Focus will be placed on operational execution, ensuring alignment across business functions, measuring outcomes, and continuous improvement. This role will define key processes, goals, and performance metrics in alignment with CMS requirements, with a focus on meeting CMS standards....
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Applied Math
5
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5
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4
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IT Product Manager for Data Logistics

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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84968971 292608507 DescriptionU.S. Citizenship is required for this position ...
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due to Department of Defense restrictions. Role Snapshot Our IT Product Manager for Data Logistics leads strategic product initiatives that modernize secure mail handling, imaging, and digitization of business-critical documents. This Manager oversees the full product lifecycle, aligning delivery with business goals through Agile (SAFe)practices like Program Increment Planning (PI Planning) and backlog refinement. They will partner with engineering, operations, and compliance teams. The IT Product Manager drives...
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Applied Math
5
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5
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Medicare Customer Service Rep

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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84957945 292603076 Description Role Snapshot Our Medicare Customer Service ...
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Rep plays a critical role in providing responses to telephone inquiries from medical providers or representatives related to a wide range of Medicare topics involving Part A (hospital insurance) and/or Part B (medical insurance). They are accountable to educate customers on coverage, claim submission, and use of self-service offerings. Success is accomplished by navigating multiple systems to research and resolve inquiries with a clear, accurate, and easy to understand response. Additional Information Start Date:...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

Cost Report Auditor

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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84911069 292582839 Description Role Snapshot The Cost Report Auditor I is ...
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responsible for conducting audits and desk reviews of Medicare Cost Reports in accordance with the Centers for Medicare & Medicaid Services (CMS) regulations. This role ensures the accuracy and integrity of statistical and financial data submitted by healthcare providers and supports the effective use of U.S. tax dollars in the Medicare program. The auditor plays a key role in upholding government auditing standards and ensuring cost-effective healthcare delivery. Salary Range $47,000 - $51,000 The base pay offered for...
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Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
6
apply
Detailed Job Information

Medicare File Coordinator

Wisconsin Physicians Service Insurance Corp
Grove City, OH
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84911067 292582823 Description Role Snapshot Our Medicare File Coordinator ...
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coordinates and performs maintenance and testing as required by policy changes, Shared System Maintainer mandates, or Centers for Medicare and Medicaid Services (CMS) directives within specified timeframes. This includes updating and maintaining system files to report and test issues. Research and provide written responses to internal and external customer inquiries or system issues pertaining to Shared System or files. Researches and responds to interdepartmental referrals, reviews and updates processes and coding...
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From:
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Certifications / Licenses:
Workkeys
Applied Math
5
Graphic Literacy
5
Workplace Documents
5
apply
Detailed Job Information
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