Member Engagement Specialist
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. MEMBER ENGAGEMENT SPECIALIST Position DescriptionThis position is responsible to provide member outreach to identified members in an effort to improve HEDIS rates, withhold and Star measures. This position will support efforts to provide education to members and assist with setting up medical appointments, transportation, and related services in effort to close gaps in care. The position will also provide general education to members about preventive health plan benefits available to them and support efforts to meet NCQA, CMS and DHS guidelines. Specific duties and responsibilities include: Provide outbound telephonic engagement calls to members who meet criteria for HEDIS, withhold and Star measures. Document, schedule medical appointments and necessary services for members in obtaining preventive care and services.Enter members who wish to opt-out of further calls/mailings, etc into the 'Opt-Out' list.Engage in member facing interventions (e.g. member materials, IVR calls/scripts, newsletter articles, etc.).Present information on assigned members at assessment conferences and case reviews as appropriate. Enter member information in the clinical documentation system, Care Enhance Clinical Management (CCMS) software. Complete accurate, thorough and timely required documentation. Send member mailings regarding incentives and/or appointment reminders in the mail.Provide feedback on best practices regarding written and verbal engagement with members.Complete productivity tracking document as directed.Collaborate with teams to document, schedule and identify project timelines, milestones, resource allocation and problem-solving strategies.Collaborate to develop and implement strategies to improve HEDIS rates and CMS Star ratings.Use appropriate communication tools per contractual and care model requirements Collaborate with members and/or family members, primary care physicians, clinic staff, providers, and other relevant agencies to assure appropriateness of services that meet member needs and ensures desired outcomes. Maintain good working relationships and open communication with internal and external customers. Other projects and duties as assigned. EducationHigh school diploma or equivalent, graduate or education from an accredited college, university or vocational school. Required ExperienceCustomer service or sales and marketing experience in a call center, health insurance, physician group practice, or community agency. Proficient PC skills and Microsoft Office (with emphasis on Excel spreadsheets). Preferred ExperienceKnowledge of and experience in telephonic outreach coordination. Excellent computer word processing and database experience. 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.