Job Information
WPS HEALTH SOLUTIONS Director Network Development and in MADISON, Wisconsin
JOB REQUIREMENTS: Description Who 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. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition Role Snapshot You will lead the WPS Network and contracting activities, providing oversight for advancing the current provider network, developing, and advancing provider relationships, modeling, and negotiating agreements, and managing vendor relationships to ensure WPS delivers the highest value, competitive, and innovative provider solutions in the Wisconsin market. Developing provider network and contracting strategies to ensure members and customers have access to high value health care. Analyzing, modeling, presenting, and negotiating provider contracts including mentoring a team to improve unit cost, utilization, and quality metrics. Providing ongoing management and oversight of third-party networks, vendors, and provider contracts for unit cost, utilization, member satisfaction, and quality performance Establishing and managing relationships with key providers, third-party networks, and vendors. Resolving inefficient or problematic issues and processes that hinder WPS and providers operations. Representing WPS in WI provider community, attend external meetings, including finalist presentations to employer groups, community or provider activities, or other related functions. Ensuring compliance with all regulatory requirements related to provider networks How do I know this opportunity is right for me? If you: You love working with providers to ensure individuals have access to... For full info follow application link. Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/52DCEEAF377E482F Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.