UCare

Financial Analyst - Revenue

Employer
Location
Minneapolis, Minnesota
Posted
Mar 28, 2017
Closes
Apr 25, 2017
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.

FINANCIAL ANALYST - REVENUE

Position Description

This position is responsible to provide overall risk adjustment analytical and reporting support to the organization and management. Lead the revenue analysis and reporting requirements on a monthly, quarterly, and annual basis. Provide financial modeling and key data development support for strategic organizational projects, analysis, and ad hoc reports to support management decision making. Manage the development of evolving internal data structures. Maintain a strong understanding of CMS, DHS, and ACA Individual/Exchange related data sources for reporting and consolidation. Ensure strong internal and external risk adjustment partnerships through new education, information sharing, and reporting. 

·Develop and maintain updated risk adjustment and revenue models for monthly, quarterly and annual plan and provider analysis. Aggregate data from Member level to high level for leadership

·Monitor monthly key metrics for internal and external partners. Ensure timely distribution of results directly with colleagues while monitoring and measuring change effects.

·Lead the Risk Adjustment data requirements of UCare's Federal CMS bid. Constantly monitor CMS guidance for changes that affect UCare's products - proactively share changes with colleagues as SME.

·Support cross-functional Risk Adjustment projects, cyclical reviews, and compliance activities.

·Maintain a strong understanding of medical claim coding and payment processes including the differences between Medicaid, Medicare, and ACA Individual/Exchange coverage.

·Track provider coding performance to ensure accurate representation of UCare's population risk at a provider level. Communicate performance metrics to providers while offering optimization suggestions.

·Analyze questions posed by the regulatory and compliance areas.

·Inform revenue management about Data Warehouse trends and concerns. Manage fixes, enhancements, and new tables in the Data Warehouse.  

·Assist with the development of training documents, internal and external presentations and online informational and training modules. 

·Represent Health Care Economics on various UCare cross-departmental projects as an active contributor and supporting resource.

·Create and maintain procedures and current process documentation.  

·Ad hoc analysis and backup support as needed. Other projects and duties as assigned.

·Other projects and duties as assigned.

Education

B.A./B.S. in Finance, Economics, or Computer Science related field preferred; demonstrated analytical and programming experience may be considered in lieu of degree.

Required Experience

Three years of reporting, analysis, data or statistics based experience. Strong Excel and SQL skills. Data mining, consolidation and new report generation.

Preferred Experience

Health insurance industry and risk adjustment / revenue payment modeling experience. Five years of reporting, analysis, data or statistics based experience. Advanced Excel and SQL skills.

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