Business Analyst - Rate Development
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. BUSINESS ANALYST - RATE DEVELOPMENT Position DescriptionThis position is responsible to research, document, and perform analyses of business goals, objectives and needs of the business regarding payment rates and payment methodologies applied to provider services. Provide recommendations for change to payment rates or payment methodologies in order to improve and support business goals. Serve as liaison between the business and Health Care Economics relating to payment rates and payment methodologies. Collaborate with UCare departments to triage and troubleshoot payment related solutions. Ensure requirements and solutions conform to departmental, corporate, industry and government standards as specified.·Research and document payment methodologies and payment rates for UCare offered products. ·Support third party pricing software solutions through review and analysis of known issues documents as well as release notes. ·Research and document compliance inquiries related to payment rates and payment methodologies. ·Complete financial analysis and modeling of new and proposed payment rates and payment methodologies.·Research and analyze State and Federal legislation relating to payment rates and payment methodologies.·Assist in the development of fee schedules.·Develop and maintain positive working relationships with internal and external customers. ·Assist departments with payment related support and ensure solutions continue to meet business requirements.·Actively participate in workgroups and committees related to provider pricing as assigned by the Payment Integrity Manager.·Other projects and duties as assigned. EducationBS/BA with and emphasis in finance/accounting or related field; demonstrated experience may be considered in lieu of degree.Required ExperienceFive years of pricing or payment methodology experience. Intermediate abilities with Excel.Preferred ExperienceKnowledge of the Managed Care industry and SQL skills.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.