WPS Health Solutions
WPS Health Solutions

62 Wps Health Solutions Business Systems Analyst Jobs Hiring Near You

Data Analyst

Columbus, OH · On-site +1

... data and systems. * Proficient with business intelligence/analytical tools and programming ... Review additional benefits: ( Who We Are WPS, a health solutions company, is a leading ...

Business Systems Analyst

Washington, DC · On-site +1

$130K - $145K/yr

We don't just develop solutions--we support efforts that strengthen communities and serve the ... Health, Dental, and Vision Coverage * Life Insurance * 401(k) Retirement Plan with Company Match

New

Adept at collaboration, analysis, understanding and communicating complex issues and solutions to help maximize the benefit of IT system investments. * Analyze current business processes and systems ...

Adept at collaboration, analysis, understanding and communicating complex issues and solutions to help maximize the benefit of IT system investments. Analyze current business processes and systems to ...

Symplr/Cactus Qualifications: * 5+ years of experience as a Business Systems Analyst, preferably in the healthcare payer/health plan space. * Strong experience working with provider data

Collaborating with developers and other team members to implement solutions. Leading small to ... A Mid-level Business Systems Analyst should have strong analytical, problem-solving, and ...

... visualizing data and systems. Proficient with business intelligence/analytical tools and ... Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal ...

Data Analyst

Richmond, VA · On-site +1

... visualizing data and systems. Proficient with business intelligence/analytical tools and ... Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal ...

... visualizing data and systems. Proficient with business intelligence/analytical tools and ... Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal ...

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WPS Health Solutions Jobs Information

What are the key skills and qualifications needed to thrive as a Business Systems Analyst, and why are they important?

To thrive as a Business Systems Analyst, you need strong analytical skills, business process knowledge, and typically a bachelor's degree in information systems, business, or a related field. Familiarity with requirements gathering tools, workflow modeling software, and data analysis platforms like SQL or Tableau is commonly required. Exceptional communication, problem-solving abilities, and stakeholder management are crucial soft skills for success in this role. These skills ensure effective alignment between business needs and technical solutions, enabling organizations to optimize systems and achieve their goals.

How do Business Systems Analysts typically collaborate with cross-functional teams during a project?

Business Systems Analysts frequently act as a bridge between technical teams, such as developers or IT specialists, and business stakeholders, like managers or end users. They gather and translate business requirements into technical specifications, facilitate meetings to clarify needs, and ensure all parties are aligned throughout the project lifecycle. Effective collaboration often involves regular communication, documentation updates, and coordinating user acceptance testing to ensure solutions meet business objectives. This collaborative environment helps foster a shared understanding and drives successful project outcomes.

What are Business Systems Analysts?

Business Systems Analysts are professionals who act as a bridge between business needs and IT solutions. They analyze an organization's processes, systems, and technology to identify improvements that will increase efficiency and effectiveness. Their responsibilities often include gathering requirements, documenting processes, recommending solutions, and facilitating communication between stakeholders and technical teams. Business Systems Analysts play a key role in ensuring that technology projects align with business goals and deliver value.

What is the difference between Business Systems Analyst vs Business Analyst?

AspectBusiness Systems AnalystBusiness Analyst
Primary FocusAnalyzing and improving IT systems and software solutionsAnalyzing business processes and requirements for overall organizational improvements
Required SkillsTechnical knowledge, systems analysis, software testingBusiness process modeling, stakeholder communication, requirements gathering
Work EnvironmentIT departments, software development teamsBusiness units, project management teams
CertificationsCBAP, CCBA, or relevant IT certificationsCBAP, PMI-PBA, or business analysis certifications

While both roles involve analyzing and improving business processes, the Business Systems Analyst primarily focuses on IT systems and software solutions, working closely with technical teams. The Business Analyst has a broader scope, concentrating on overall business needs and processes across departments. Understanding these differences helps in choosing the right career path or job role.

What are the most popular categories at Wps Health Solutions?
Infographic showing various Business Systems Analyst job openings at Wps Health Solutions in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 12% Physical, 18% Hybrid, and 70% Remote job distribution.
Provider Enrollment Analyst/Credentialing

Provider Enrollment Analyst/Credentialing

WPS Health Solutions

Columbus, OH • On-site, Remote

$20.50/hr

Other

Medical, Dental, Retirement, PTO

Posted 2 days ago


Job description

Description U.S. Citizenship is required for this position due to CMS guidelines.

Role Snapshot

The Provider Enrollment Analyst will approve, deny, or return applications submitted by Medicare providers. This work is important in helping providers enroll in the Medicare program.

Additional Information:

  • Start Date: July 14, 2026
  • Starting Base Pay: $20.50 per hour
  • Training Schedule: (7 Weeks): Monday through Friday, 8:00-4:35pm CST
  • Scheduled Shift: Monday through Friday, 6:00am-6:00pm, Flex Scheduling, max of 10 hours per day and 40 hours minimum per week
  • Work Location: Remote

In this role you will:

  • Utilize on-line Medicare files/systems to verify research, update, and document enrollment information.
  • Respond to provider/customer enrollment telephone and written inquiries.
  • Ensure all provider enrollment data is properly controlled and tracked to ensure applications are approved or denied within standards of timeliness established by department and Centers for Medicare and Medicaid Services (CMS).
  • Enter data into on-line national database and internal provider files (PECOS).
  • Research and verify proper fees and inspections have been completed on certain suppliers.

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

  • Possess confidence in your skills navigating a computer to process applications efficiently through multiple operating systems.
  • Prioritize effectively, stay on task, and work independently.
  • Are comfortable critically examining, analyzing and reviewing work items in detail for accuracy.
  • Possess strong communication skills, both verbal and written.
  • Enjoy research and problem-solving.

What will I gain from this role?

  • Helping our providers enroll in Medicare to support the senior community.
  • Having the opportunity to earn more by being a top performer.
  • Enjoying flexible work hours.
  • Opportunity to work remotely in the comfort of your home - no driving time, gas costs, or wear and tear on your vehicle.
  • Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries.
  • Working in a continuous performance feedback environment.

Minimum Qualifications

  • High school diploma or equivalent
  • U.S. Citizenship required.
  • 1 or more years of business experience, including working in the insurance industry, claims processing, health care credentialing, billing or medical reimbursement.

Preferred Qualifications

  • Associate degree in business administration, insurance, healthcare, or related fields.
  • 2 or more years of business experience, including working in the insurance industry, claims processing, health care credentialing, billing or medical reimbursement.
  • Experience interpreting government regulations and applying to current processes.
  • Course work in insurance, medical, customer service and/or financial.
  • 1 or more years of computer and navigation experience; preferably working with dual monitors.
  • Good work ethic and good attendance.
  • Ability to communicate effectively over the phone.
  • Experience working in a production-based environment.

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)

Benefits

  • Remote 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 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 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 prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.

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.