Manager of Provider Outreach and Education (POE)

WPS Health Solutions New • Madison, WI

3d • $95,000 - $110,000 • Remote

About The Position

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.

Requirements

• 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.
• 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 )

Nice To Haves

• 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.

Responsibilities

• 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.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager