Medicare Outreach & Education Specialist
WPS Health Solutions, Jacksonville, Florida, United States, 32290
Role Snapshot
The Medicare Outreach & Education Specialist plays a crucial role in our Medicare Program by developing and delivering educational content to the provider community regarding current and upcoming CMS regulations. This specialist creates and develops educational materials, hosts events, and analyzes data to improve provider education and reduce billing errors, all while working in a fast‑paced, remote environment. The education is provided to Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and stay informed about changes. The role assists providers in developing best practices to avoid coverage and billing errors, reducing error rates and protecting the Medicare Trust Fund. The Outreach and Education Specialist focuses on ensuring a positive customer experience through relationship building with providers, CMS, and other stakeholders. Salary Range
$60,000 - $95,000. 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 of this range. Work Location
Remote work is available 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. Opportunity Fit
Possess experience working with Medicare. Thrive in developing and maintaining positive relationships with healthcare providers, clinics, and medical staff. Enjoy planning, developing, coordinating, and delivering educational sessions, workshops, and training materials tailored to provider needs. Can analyze error data, geographical data, track Medicare regulations, WPS policy guidelines, coverage issues, and keep abreast of upcoming legislation to determine areas for additional education needs. Like to conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives. Have collaborated with clinical and administrative teams to understand provider challenges and develop targeted solutions. Would enjoy serving as a resource for providers regarding updates in guidelines, policies, billing procedures, and regulatory requirements. Can coordinate with internal teams (e.g., Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to ensure identified issues are communicated and shared with Provider Outreach & Education (POE) staff. Can establish and maintain a POE Advisory Group (POE AG) to assist contractors in creation, implementation, and review of provider education strategies and efforts. Minimum Qualifications
Bachelor's Degree in Communications, Health Education, Nursing, or related field, or equivalent combination of education and experience. 3 or more years of experience in a role supporting Medicare. 1 or more years specifically in Medicare communications. Demonstrated experience developing educational materials and presentations. Extensive knowledge of Medicare Part A, Part B, and/or Home Health and Hospice program guidelines and POE processes. Solid knowledge and understanding of medical billing, coding, and insurance processes. Proficient with Microsoft Office Suite and using various modes of technology to deliver training (e.g., YouTube Channel, WebEx). Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences. Strong interpersonal and relationship‑building skills. Ability to travel for onsite training and education sessions – travel will be approximately 15% in the future. Preferred Qualifications
CMS knowledge of the Home Health and Hospice program. Strong facilitation, presentation, and training experience with large groups. 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. 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/fulltime_benefits.shtml. Who We Are
WPS is a health solutions company, a leading not‑for‑profit health insurer and federal government contractor headquartered in Madison, Wisconsin. We offer 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 made healthcare easier for the people we serve for nearly 80 years and is proud to be military and veteran ready. Culture Drives Our Success
WPS’ culture is built on open and empowering employee experience, recognizing the benefits of employee engagement as an investment in our workforce. We foster an environment where people bring their authentic selves to work every day, adapt to change, and innovate on high‑performing teams. Equal Opportunity Employer
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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The Medicare Outreach & Education Specialist plays a crucial role in our Medicare Program by developing and delivering educational content to the provider community regarding current and upcoming CMS regulations. This specialist creates and develops educational materials, hosts events, and analyzes data to improve provider education and reduce billing errors, all while working in a fast‑paced, remote environment. The education is provided to Medicare providers, coders, billers, and compliance staff to help them understand the Medicare program and stay informed about changes. The role assists providers in developing best practices to avoid coverage and billing errors, reducing error rates and protecting the Medicare Trust Fund. The Outreach and Education Specialist focuses on ensuring a positive customer experience through relationship building with providers, CMS, and other stakeholders. Salary Range
$60,000 - $95,000. 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 of this range. Work Location
Remote work is available 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. Opportunity Fit
Possess experience working with Medicare. Thrive in developing and maintaining positive relationships with healthcare providers, clinics, and medical staff. Enjoy planning, developing, coordinating, and delivering educational sessions, workshops, and training materials tailored to provider needs. Can analyze error data, geographical data, track Medicare regulations, WPS policy guidelines, coverage issues, and keep abreast of upcoming legislation to determine areas for additional education needs. Like to conduct outreach activities that increase provider engagement and awareness of organizational services, programs, and initiatives. Have collaborated with clinical and administrative teams to understand provider challenges and develop targeted solutions. Would enjoy serving as a resource for providers regarding updates in guidelines, policies, billing procedures, and regulatory requirements. Can coordinate with internal teams (e.g., Claims, Appeals, Systems, Medicare Internal Processes, Provider Enrollment) to ensure identified issues are communicated and shared with Provider Outreach & Education (POE) staff. Can establish and maintain a POE Advisory Group (POE AG) to assist contractors in creation, implementation, and review of provider education strategies and efforts. Minimum Qualifications
Bachelor's Degree in Communications, Health Education, Nursing, or related field, or equivalent combination of education and experience. 3 or more years of experience in a role supporting Medicare. 1 or more years specifically in Medicare communications. Demonstrated experience developing educational materials and presentations. Extensive knowledge of Medicare Part A, Part B, and/or Home Health and Hospice program guidelines and POE processes. Solid knowledge and understanding of medical billing, coding, and insurance processes. Proficient with Microsoft Office Suite and using various modes of technology to deliver training (e.g., YouTube Channel, WebEx). Excellent written and verbal communication skills with the ability to present complex information clearly and effectively to diverse audiences. Strong interpersonal and relationship‑building skills. Ability to travel for onsite training and education sessions – travel will be approximately 15% in the future. Preferred Qualifications
CMS knowledge of the Home Health and Hospice program. Strong facilitation, presentation, and training experience with large groups. 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. 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/fulltime_benefits.shtml. Who We Are
WPS is a health solutions company, a leading not‑for‑profit health insurer and federal government contractor headquartered in Madison, Wisconsin. We offer 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 made healthcare easier for the people we serve for nearly 80 years and is proud to be military and veteran ready. Culture Drives Our Success
WPS’ culture is built on open and empowering employee experience, recognizing the benefits of employee engagement as an investment in our workforce. We foster an environment where people bring their authentic selves to work every day, adapt to change, and innovate on high‑performing teams. Equal Opportunity Employer
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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