UCare

Provider Contract Coordinator

7 days left

Employer
Location
Minneapolis, Minnesota
Posted
May 13, 2017
Closes
Jun 03, 2017
Category
Healthcare
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 CONTRACT COORDINATOR

 

Position Description

This position is responsible to collaborate with internal UCare staff to generate, manage and organize the ongoing maintenance of provider contracts and duties associated with provider contracting.  Coordinate the production and maintenance of UCare provider contracts and related compliance and business continuity functions.  Provide project management support for department Assistant Directors, Managers and Contract Principal. Specific duties and responsibilities include:  

Coordinate the preparation and revision of letters, contracts, addendums and documents related to potential or current providers.

Audit, information submitted on the approved forms for document generation and load into Amysis. Use mail merge to update fields into UCare's approved provider contract templates. Meet with PRC - Contracting staff and the Network Operations Manager as necessary to clarify and communicate issues and concerns related to provider contract documents, templates or forms. Assist in the coordination of the retro contract process.  

Coordinate and manage the online provider change forms and assign work according to PRC assignments. 

Responsible for all compliance program documentation.   

Support audits, compliance projects, process evaluation and improvement and routine reporting. 

Maintain provider information in contract tracking database to ensure data integrity.

Ensure Network Operations Manager is informed of contract project status and deviation from goals. 

Update Network Operations Manager, and other appropriate departments of important developments, potential problems, and related information necessary for effective management of contracts. 

Utilize contract templates under the direction of Provider Relations and Contracting management, Legal and Compliance Departments. 

Maintain potential, contracted, denied and correspondence provider files. 

Maintain strict confidentiality. 

Other projects and duties as assigned. 

Education

Associate degree in a related field preferred; demonstrated experience may be considered in lieu of degree.

Required Experience

Three years of contract management, documents management administrative experience. 

Preferred Experience

Health insurance or managed care industry 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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