Supervisor of Health Services

Supervisor of Health Services

Join to apply for the Supervisor of Health Services role at WPS—A health solutions company
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Our Health Services Supervisor is responsible for overseeing the Health Services Utilization and Case Management nursing teams. This supervisor will manage inventory, support staff mentoring and training, and drive workflow efficiencies within the teams. The role works closely with the Health Services Manager, supporting implementation of departmental and company initiatives while serving as a key daily resource for the nursing teams.

Roughly $95,000 to $115,000. The base pay may vary within the posted range based on your job‑related knowledge, skills, and experience.

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, Madison, WI) will be expected to work onsite 2 days a week on a regular basis.

• Ensure utilization management reviews are completed in accordance with department standards.
• Coaching and mentoring nursing staff conducting medical necessity reviews, prior authorizations, and appeals.
• Oversee case management activities to ensure timely and appropriate member interventions to meet individual needs and maximize health outcomes.
• Collaborate with physicians, providers, and internal departments to coordinate care for complex cases.
• Monitor team performance, productivity, quality of care, and compliance with metrics and accreditation standards (e.g., URAC, NCQA).
• Provide training and professional development opportunities for nursing staff.
• Serve as a clinical resource for staff, handling escalated provider and member inquiries.
• Conduct staff quality audits and support the development of clinical guidelines and utilization review protocols.
• Participate in quality improvement initiatives and contribute to the development of department goals and performance targets.
• Assist with system testing, configuration, training, and implementation of new systems or upgrades.

• Registered Nurse (RN) with current licensure in the state of Wisconsin OR current Compact License.
• Active RN license, in good standing.
• Associate's Degree in Nursing.
• 5 or more years of clinical experience in a healthcare setting (hospital, clinic, home care, skilled nursing facility, etc.).
• Solid knowledge and understanding of medical/clinical review processes.
• Strong analytical, problem‑solving, and organizational skills with the ability to manage multiple cases simultaneously and meet strict deadlines. This includes:
  • Excellent reading comprehension, written and verbal communication skills, with the ability to communicate complex medical information clearly and concisely.
  • Proficiency in Microsoft Office tools with experience working in electronic health records.

• 1 or more years of experience in a supervisory or leadership role.
• Bachelor’s degree in nursing (BSN).
• Certified Managed Care Nurse (CMCN).
• Health insurance background in TPA, POS, PPO, or Medicare supplement plans.

• High speed cable or fiber internet.
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream (verifiable at ).
• Review Remote Worker FAQs for additional information.

• 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, dental, and telehealth services starting DAY 1.
• Professional and leadership development programs.
• Additional benefits details at

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 plans for small to large businesses. WPS processes claims and provides customer support for Medicare beneficiaries and manages benefits for millions of active‑duty and retired military personnel across the U.S. and abroad.

With nearly 80 years of experience, WPS is proud to be military and veteran ready.

WPS’s culture celebrates innovation, open communication, and a rewarding employee experience. We endorse employee engagement as an investment in our workforce, encouraging authentic and inclusive perspectives that fuel agility and innovation. Our culture has earned local and national recognition.