UCare

Pricing Configuration Manager

7 days left

Employer
Location
Minneapolis, Minnesota
Posted
Apr 27, 2017
Closes
Jun 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.

PRICING CONFIGURATION MANAGER

Position Description

This position is responsible to manage the Pricing Team.  Oversee the analysis, design, implementation and contribute to maintenance of pricing configuration and third party pricing tools.  Identify, evaluate and implement processes to improve efficiency, effectiveness and quality of pricing configuration.  Ensure pricing configuration and department operations adhere to state and federal guidelines. Support the strategy and business needs of UCare.

·Recruit, develop, mentor and evaluate staff.  Establish, communicate and enforce performance standards.

·Identify training and coaching needs of staff.  Develop and implement training / mentoring plans to best meet departmental and individual needs or goals.

·Develop, implement and maintain policies and procedures, work instructions, and other documentation to establish clear expectations for staff. 

·Direct staff work flow and performance to ensure adherence to service level objectives, policies and procedures.  Address with staff any recognized deficiencies.

·Ensure timely and accurate pricing configuration to support provider contracts, state and federal guidelines and UCare pricing policy.

·Identify, implement, monitor and report on strategies to improve the operational efficiencies and quality of department workflows.

·Participate as key departmental liaison or lead for interdepartmental committees and work groups, as assigned.

·Provide regular status reporting of departmental activities.

·Other projects and duties as assigned.


Education

Bachelor's degree in business or related field; demonstrated work experience may be considered in lieu of degree.

Required Experience

Three years supervisory/managerial experience. Two years' experience in Medicaid, Medicare, and managed care organization.  Project management experience.  Experience with business process improvement.

Preferred Experience

Amisys configuration experience.  One year claims processing experience.

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

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