Manager of Provider Outreach and Education (POE)

Role Snapshot
Our Manager of Provider Outreach and Education (POE) oversees a team dedicated to delivering targeted, data-driven educational initiatives to Medicare providers. They aim to reduce confusion, inquiries, errors, and improper payments by ensuring educational efforts align with CMS and contractual requirements. This POE Manager collaborates with internal teams to prioritize and measure the effectiveness of outreach, preventing provider issues and enhancing system stability before they affect customer service or payment accuracy.

Salary Range
95,000 ~ $110,000
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

Work Location
We are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin

** Employees living within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to work Hybrid 2 days a week on a regular basis.

How do I know this opportunity is right for me? If you:

• Love leading, coaching, and developing a team of outreach and education staff, ensuring performance, knowledge, accountability, and professional growth.
• Can ensure provider education meets CMS requirements with targeted, outcome-driven outreach.
• Like to identify education priorities and target outreach efforts based on data such as inquiry volume, repeat contacts, improper payment trends, provider feedback, and policy changes.
• Have designed education materials that define provider behaviors being influenced and how those behaviors can be successfully measured.
• Enjoy partnering with internal teams to identify emerging issues and coordinate proactive education responses.
• Monitor and assess the effectiveness of educational efforts, adjusting strategies based on results.
• Can drive innovation in provider education through new delivery methods, tools, and technologies.
• Want to provide the team with the necessary technology, tools, and support to deliver effective education in a remote environment.
• Can promote a culture of data-driven decision-making, feedback, and continuous learning.

Minimum Qualifications

• Bachelor's degree in Health Administration, Business Administration or other related field, or equivalent post high school education and/or work-related experience.
• 7 or more years of experience developing and delivering education, training, outreach in a healthcare setting.
• 3 or more years in a leadership or managerial role.
• Extensive knowledge and understanding of Medicare guidelines (Part A, Part B).
• Experience working with or interpreting improper payment data (e.g., CERT findings, error categories, dollar impact) to inform education or outreach priorities.
• Expertise in designing or leading targeted education efforts based on performance data, risk indicators, or provider behavior, rather than a one-size-fits-all approach.
• Strong experience in leading teams through process changes, with the ability to introduce new approaches while maintaining staff engagement and operational stability this includes:
  
  
  
  • Proficiency with dashboards, reporting tools, or data visualization (e.g., Excel, Power BI, or similar tools) to communicate trends and results to leadership or stakeholders.
  • Proven ability to collaborate effectively with customer service, policy, operations, IT, or analytics teams to align education strategies with broader organizational goals.
  • Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences.
  
  
  
  

Preferred Qualifications

• 5 or more years in a leadership or managerial role.
• Certified Evaluation and Management Coder (CEMC) or Certified Professional Coder (CPC).
• MAC contractor experience with FISS, MCS and MAS systems.

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 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
• Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, 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 has been making healthcare easier for the people we serve for nearly 80 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 open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique 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.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services