Pricing Configuration Business Analyst
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. PRICING CONFIGURATION BUSINESS ANALYST Position DescriptionThis position is responsible to perform analysis of business goals, objectives and requirements of the business. Design solutions for improving productivity and efficiency of both internal and cross-departmental processes. Provide recommendations for system and process enhancements and improvements that support business and functional requirements and integration with technical systems, applications and activities. Lead initiatives to implementation. Document and manage requirements and other project/process-related materials; managing communications; validating solutions and collaborating with related departments to triage and troubleshoot post-implementation issues. Serve as a Liaison between the PEC Pricing Team and other business partners and technical areas. ·Interact with business stakeholders and subject matter experts to understand issues and needs. ·Collaborate with business teams to define project direction and scope, create project plans and facilitate project meetings.·Gather and translate business requirements and work with PEC pricing team to translate into functional requirements.·Communicate project direction, scope and negotiate with stakeholder teams to work through constraints and alternatives. ·Communicate project updates as necessary to business and management teams and other stakeholders.·Assist in testing configuration and other technical solutions and creating system documentation and user manuals.·Perform data extraction and in-depth analysis to identify and troubleshoot production processing issues. ·Participate in external application user groups and communicate best practices to PEC pricing management.·Stay current with all available technical options, development procedures and innovative solutions for key business initiatives.·Other projects and duties as assigned.EducationBachelor's degree in business or health care preferred; demonstrated work experience may be considered in lieu of degree.Required ExperienceFive years of experience working in a managed health care environment. Working knowledge or managed care operations, system development and testing. Advanced PC experience.Preferred ExperienceExperience as a Systems or Business Analyst. Previous configuration experience. System knowledge of Amisys software. System knowledge or Macess Software. Microsoft Office software experience. Previous experience with CMS, DHS or payer reimbursement methodologies and /or payment policies. Advanced skills in data manipulation and analysis (Microsoft Excel, Access, SQL).THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 8th 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.