Claims Director

May 16, 2012
May 22, 2012
Executive, Management
Employment Status
Full Time

Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota’s leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We’re an organization that’s going places. Be part of a team that cares about you, be part of UCare.

The Claims Director is responsible for ensuring that all claims related processing performance is timely, accurate & efficient & meets all regulatory requirements for both state & federal programs. In addition, this position is responsible for the recovery of inaccurately paid claims as a result of errors, coordination of benefits or change in provider reimbursement. The Claims Director will lead and implement any process improvements, working collaboratively with Information Systems, Configuration, Provider Relations and Contracting, and Customer Service to improve workflows and maximize the use of technology. This position also serves as an external contact for claims related issues.


Our selected candidate will have at least 5 years claims operations leadership experience in a managed care organization or other health insurance environment, along with demonstrated knowledge of claims processing, provider reimbursement structures and medical benefits.  Solid experience & knowledge of Medicare and Medicaid strongly preferred. A Bachelor's degree in health care management, business administration or equivalent is required. A Masters degree preferred.


Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You’ll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis—just minutes from major freeways and retail centers. At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

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