UCare

Provider Contract Coordinator (Temporary) - 12 Month Assignment

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jan 11, 2019
Closes
Jan 28, 2019
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 (TEMPORARY) - 12 MONTH ASSIGNMENT

Position Description

Assist with entering, updating and maintaining provider data in Provider Relations and Contracting (PRC) databases. Ensure provider contract and site level information is entered and updated in PRC databases and create unilateral contract amendments. Respond to internal and external customer requests and questions, making system adjustments as needed. Assist with the completion of large scale system updates for major care systems entities.

·Setup and update Standard & Non-Standard Contracts in PRC databases, including contracted entity and site location changes. Generate unilateral amendments to the contract, audit database set up and compare contractual obligations as listed in the provider contract document.

·Use Amisys and Cactus to ensure entities and site locations are correct and accurate.

·Use Medicaid verification and OIG Exclusion verification systems prior to set up of new entities or ownership changes to ensure that they do not have any sanctions against them.

·Use National Plan & Provider Enumeration system prior to setup to ensure NPI's are valid.

·Participate with internal and external committees and PRC database user groups in collaboration with manager. Keep manager informed of changes that will impact UCare. Research and recommend methods to improve or implement necessary changes in a prompt and efficient manner

·Participate in and maintain long term projects to increase the efficiency and accuracy of the data in PRC databases.

·Assist with the completion of large scale contracted entity and site level updates as needed.

·Daily external provider contact via emails and phone calls.

·Daily internal customer issues and concerns via service forms, emails and phone calls.

·Ensure department turnaround time guidelines are met and accurate.

·Other projects and duties as assigned.

Education

Two year degree or equivalent in computer systems & technology preferred; demonstrated experience may be considered in lieu of degree.

Required Experience

Two or more years of experience in a managed health care environment.  Must possess working knowledge of managed care operations.  Advanced PC experience.    

Preferred Experience

Experience as a Systems or Business Analyst.  System knowledge of Amisys software.  System knowledge of Maccess (EXP) software.  System knowledge of Cactus software.  Microsoft Office Excel experience. System knowledge of SharePoint.  System knowledge of Medicaid Verification and OIG Exclusion verification. System knowledge of National Plan & Provider Numerations.

THE UCARE DIFFERENCE

UCare is proud to be a recognized Star Tribune Top Workplace for the 9th 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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