Member Engagement Specialist - Disease Management
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 UCAREAt 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 UCAREWorking 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. MEMBER ENGAGEMENT SPECIALIST - DISEASE MANAGEMENT Position DescriptionThis position is responsible to provide outbound telephonic engagement calls to identify members in an effort to improve HEDIS rates and disease management program participation. This position will assist enrolling members into health coaching/disease management programs. Specific duties and responsibilities include: Provide outbound telephonic engagement calls to members who meet criteria for disease management programs.Perform daily administrative duties to identify members eligible for disease management programs. Collaborate with teams to document, schedule and identify project timelines, milestones, resource allocation and problem-solving strategies. Complete referrals to the Disease Management (DM) team if a member opts to participate in a DM program. Enter members who wish to opt-out of further calls/mailings, etc. into the “Opt-Out” list.Collaborate with Disease Management Supervisor and Health Care Economics (HCE) to update member contact lists. Provide outbound telephonic engagement calls to members with identified gaps in care to assist in obtaining preventive care and services. Implement strategies to reach and maintain DM program goals, improve HEDIS rates and support NCQA accreditation. Complete productivity tracking as directed. Collaborate with members and/or family member, primary care physicians, clinic staff, providers, and other relevant agencies to assure appropriateness of service that meets member needs and ensures desired outcomes. Enter member information in the CareEnhance Clinical Management (CCMS) software. Complete accurate, thorough and timely required documentation. Support and maintain enrollment in CMS chronic condition improvement program. Maintain good working relationships and open communication with internal and external customers. Other projects and duties as assigned. EducationTwo years of post-high school at an accredited college, university or vocational school with a focus on health, social service, psychology or related coursework. Required ExperienceTwo years of customer service or sales and marketing experience in a call center, health insurance, physician group practice, or community agency. Proficient PC skills and in Microsoft Office (with emphasis on Excel spreadsheets).Preferred ExperienceKnowledge of and experience in telephonic outreach coordination. Excellent computer word processing and data base experience.THE UCARE DIFFERENCEUCare 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.
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.