UCare

Provider Data & Analytics Manager

7 days left

Employer
Location
Minneapolis, Minnesota
Posted
Feb 11, 2017
Closes
Mar 05, 2017
Category
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.

 

ABOUT UCARE

At UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.

WORKING AT UCARE

Working at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do.

PROVIDER DATA & NETWORK ANALYTICS MANAGER

Position Description

This position is responsible to manage UCare's provider network data and reporting requirements for both internal and external stakeholders.  Support efforts to evolve an efficient provider data infrastructure (e.g., business rules, processes, technology, etc.) required to respond to regulatory requirements and guide strategic decision-making.  Develop and manage a team of provider data analysts that support creation of required provider materials (e.g., Primary Care Network Listings, health insurance exchange provider/network filings, Health Service Delivery tables, and other provider directories).

·Develop, implement and modify as necessary plans to strengthen UCare's provider data management standards, processes, and tools.  Efforts should include both near-term and long-term strategies.

·Maintain an annual provider data management plan to ensure UCare is able to meet required timelines for regulatory (CMS, DHS, MDH, and MNsure) and business focused initiatives.

·Manage staff and deliverables associated with regulatory and business focused provider data initiatives.

·Develop and regularly report on key network metrics.  Escalate network gaps and concerns if needed.  Identify enhancement opportunities as needed.

·Lead cross-functional provider data initiatives using project management skills and tools to advance goals, objectives, and improvement opportunities.

·Participate in cross-functional committees as needed to support evolving provider data needs and improvement opportunities at UCare.

·Facilitate ongoing identification and impact assessment of data accuracy gaps within systems and portals.  Advance recommendations to address known gaps and serve as business lead for efforts/projects to close gaps.

·Directly support, maintain and execute updates to UCare's Care Coordination assignment tool (ALT PROV) and Provider Care System Data Mart tool to align with current provider contracts.

·Provide business intelligence support for provider contracting and network development.

·Collaborate with appropriate internal stakeholders to further develop provider reporting measurements of cost and quality data.

·Other projects and duties as assigned.

Education

Bachelor's degree in business, marketing, health care /public administration, project management or related field required.

Required Experience

Eight years of experience in a health plan or health care organization with managerial responsibility for provider related functions (network analysis, contracting, reimbursement, etc).  Must have proven ability to work in a matrix environment and possess the ability to lead cross-departmental teams.  Working knowledge of health plan functions including:  product management, operations, marketing/sales, compliance, information systems, data analysis and clinical required.  Deep knowledge of the local Minnesota health care market place.

Preferred Experience

Experience with provider data and required provider data materials. Knowledge of state and federal health care programs. 

THE UCARE DIFFERENCE

UCare is proud to be a recognized Star Tribune Top Workplace for the 7th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.


Rewards

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.
www.ucare.org/careers/
EOE/AA

More jobs like this