Plan Benefit Package
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 PBP/Benefits Specialist will review applicable Plan Benefit Package (PBP) guidance from the Centers of Medicare & Medicaid Services (CMS) concerning the Medicare Advantage (MA) benefit filing process. Test and provide feedback on CMS software used in the MA benefit filing process. Work collaboratively across UCare functions, ensuring benefit payment set up represents benefits filed with CMS. Research and analysis in support of benefit filing alignment with benefit payment for Medicare business. Maintain SharePoint sites in support of research and analysis.
The position requires experience in health care or managed care. Medical claim knowledge is also desired. Bachelor’s degree in Business preferred. Candidates with related disciplines with demonstrated capability through previous experience will be considered in lieu of degree. Our ideal candidate will have knowledge of UCare operations.
The knowledge, skills, and abilities required to be successful in this role include:
- Microsoft Windows operating systems, including Microsoft Office.
- Strong Excel skills.
- Knowledge of Medicare Coverage Guidelines.
- Knowledge of medical insurance.
- Background in claim payment systems and processes and/or Medicare enrollment and processes are a plus.
- Strong problem solving, analytical, written and verbal communication skills.
- Self starter with ability to manage, plan and organize.
- Ability to see the big picture and how decisions impact entire organization.
- Ability to handle multiple duties simultaneously.
- Critical thinker.
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.