Manager of Quality Management Systems

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18 Locations
In-Office or Remote
Insurance
The Role

Role Snapshot
Our QMS Manager collaborates with senior leadership on the development and implementation of an integrated quality strategy that drives operational excellence across the division. Responsible for strengthening the Quality Management System (QMS) to meet CMS, ISO, and other regulatory standards, the role leads process improvement initiatives aimed at enhancing performance and regulatory readiness. This QMS Manager directs the Quality Assurance department, ensuring consistent quality outcomes through audits, reviews, and performance evaluations. They serve as a central driver of continuous improvement and organizational effectiveness.

Salary Range
$100,000 ~ $120,000
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
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 in Madison, WI) will be expected to be able to work Hybrid 2 days a week on a regular basis.
How do I know this opportunity is right for me?  If you:

  • Can ensure alignment of the QMS with ISO 9001, CMS regulatory requirements, contractual obligations, and organizational quality priorities.
  • Enjoy overseeing the operational execution, maintenance, and continual evaluation of core QMS processes, including document control, CAPA, SLAs, and performance measurement systems, ensuring compliance with ISO, CMS, and other regulatory standards.
  • Can lead the Quality Assurance (QA) Department, directing QA/QC functions to meet CMS, contractual, and organizational quality expectations.
  • Have managed the execution of QA/QC activities, including audits, work-product reviews, focused evaluations, and quality monitoring to ensure consistent and effective quality outcomes.
  • Like to drive QMS improvement initiatives, including operational efficiency, workflow optimization, automation, and modernization of quality systems to enhance performance and maintain ISO and CMS compliance.
  • Can analyze and report on quality performance data, including QMS metrics, audit trends, regulatory indicators, and operational results to support leadership decision-making and ensure regulatory oversight.
  • Want to serve as the primary liaison with shared services, operational divisions, CMS-facing teams, and external auditors (e.g., ISO registrars) on audit readiness, certification requirements, performance thresholds, and regulatory obligations.

Minimum Qualifications

  • Bachelor’s degree in Business Administration, Accounting, or related field, or equivalent combination of education and experience.
  • 7 or more years of experience in quality management, quality assurance, or regulatory compliance.
  • 3 or more years in a senior level or managerial role.
  • ISO 9001 Internal Auditor certification and QMS Auditor certification required; Lead QMS Auditor training and certification preferred.
  • Strong knowledge of ISO 9001 QMS in service-based, regulated environments (e.g., healthcare), including governance and certification.
  • Strong leadership and communication skills with the ability to build partnerships with senior leaders, guide teams, and collaborate with stakeholders and auditors.
  • Proficiency in quality assurance and control practices, audits, work-product reviews, and compliance monitoring that includes:
    • Familiarity with CMS/Medicare program requirements or relevant regulatory frameworks.
    • Strong analytical skills, including data interpretation, trend analysis, and root cause identification.
    • Experience designing and implementing quality training programs.
    • Ability to lead complex quality improvement projects with measurable ROI, including digital system transitions and workflow optimization.

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)
  • Please 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/)

Who We Are

WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, 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 has been making healthcare easier for the people we serve for nearly 80 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 including fingerprinting 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.

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The Company
Green Bay, WI
2,082 Employees
Year Founded: 1946

What We Do

WPS Health Solutions is celebrating 75 years in business as a highly regarded government contractor and leader in the insurance industry. In 2021, the Wisconsin State Journal named WPS as a Top Workplace in the Madison area. WPS has several divisions committed to delivering high-quality service to our customers. - WPS Health Insurance and WPS Health Plan offer affordable health plans for individuals, small businesses, and large businesses, plus benefits administration. - WPS Government Health Administrators administers Part A and Part B Medicare benefits—services we have provided since the program’s inception—for millions of seniors in multiple states. - WPS Military and Veterans Health serves millions more beneficiaries who are active in the U.S. military, veterans, and their families. - EPIC Specialty Benefits has offered voluntary nonmedical benefits, such as term life, disability, dental, and vision, for more than 35 years. WPS also actively partners with nonprofit organizations to help make lasting changes in the communities we serve, with an emphasis on health issues, especially for military and veterans, women, and children.

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