Government Relations Regulatory Writer
7 days left
- 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 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. GOVERNMENT RELATIONS REGULATORY MATERIALS SPECIALIST Position DescriptionThis position is responsible to write and coordinate regulated Medicare and Medicaid member materials to ensure compliance with regulatory requirements and guidelines, and NCQA requirements. Develop, revise and maintain specific policies, procedures and work instructions. As needed, review and submit materials to regulatory agencies. Specific duties and responsibilities include: Write, edit, version and perform quality reviews on Medicare and Medicaid member materials owned by Government Relations. Understand the regulatory and NCQA requirements of each product for development of materials and content accuracy. Apply clear understanding of regulatory requirements and solid editing skills to ensure all materials are compliant.Coordinate with organization-wide subject matter experts and other content contributors on all review of content, and completion of materials owned by Government Relations Regulatory Materials, to ensure all regulatory and operational timelines are met.Understand the development of Medicare Advantage Plan Benefit Packages and the information in chapter 4 of CMS' Medicare Managed Care Manual, including ongoing benefit or materials modification, to ensure materials' accuracy against plan benefits. If requested, serve as the UCare representative on external member materials work groups, including the Minnesota MSHO Materials Workgroup and the Managed Care (State Public Programs) Materials Workgroup, coordinating all needed involvement of other UCare staff to create and review workgroup member materials. Member of internal member materials subgroups. Work collaboratively across departments on any material-related projects.Understand and meet NCQA requirements owned by Government Relations and coordinate across applicable Medicare and Medicaid materials, including those owned by other departments. Complete annual updates. Document and store all artifacts to demonstrate NCQA compliance. As needed, review and submit materials to regulatory agencies. Identify strategies to be used by the organization to streamline the materials review processes, including participating in the work group responsible for reviewing and creating efficiencies in the materials process maps. Develop and review specific policies, procedures and work instructions and, as needed, revise.EducationBachelor's degree preferred; experience with related disciplines and demonstrated capability through previous experience will be considered in lieu of degree.Required ExperienceHealth care or managed care (i.e., Medicare, Medicaid). One year of experience with creation or review of regulated member materials for a managed care organization or health insurance company (e.g., Evidence of Coverage (EOC), Annual Notice of Change (ANOC), Summary of Benefits (SB)). Project management experience.Preferred ExperienceExperience with creation of regulated member materials for a managed care organization or health insurance company.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.