Financial Analyst Sr. - Risk Adjustment & Revenue
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. FINANCIAL ANALYST SENIOR - RISK ADJUSTMENT & REVENUEPosition DescriptionThis position is responsible to serve as the key liaison for risk adjustment and revenue knowledge sharing with innovative provider partnerships. Guide partners through analytics with focus on the financial benefits of optimization efforts. Maintain a strong understanding of CMS, DHS, and ACA Individual/Exchange related data sources for reporting and consolidation. Ensure strong internal and external risk adjustment partnerships through new education, information sharing, and reporting. Assist with vendor management, education, contracting, and value analysis.·Consolidate and process data inputs from a variety of systems, resources, and people to form cohesive and action orientated presentations. Deliver presentations to provider partners.·Monitor frequently changing risk adjustment models for all LOBs while sharing model updates or nuances with internal stakeholders and external partners. Communicate revenue and risk adjustment ideas and insights. ·Liaison with key care systems for revenue and risk adjustment communications. Develop and maintain close partnerships with provider partners through collaboration with Provider Relations and Contracting, risk adjustment vendors, and other team members.·Participate in new and innovative provider partnerships from planning to execution. Maintain roster of important work efforts and key player assignments. Schedule, follow-up, and influence provider partners using subject matter expertise mixed with polished communication credentials. ·Gather and share meaningful metrics with provider partners related to revenue, risk adjustment, and population. Communicate performance metrics to providers while offering optimization and best practice suggestions.·Build and maintain a strong understanding of medical claim coding and payment processes including the differences between Medicaid, Medicare, and ACA Individual/Exchange coverage. ·Represent Health Care Economics on various UCare cross-departmental projects as an active contributor and supporting resource. ·Create and maintain procedures and current process documentation. ·Ad hoc analysis and backup support as needed. Other projects and duties as assigned. ·Other projects and duties as assigned.EducationB.A./B.S. in Healthcare related field or Finance, Economics, or Computer Science related field; demonstrated analytical and communication experience may be considered in lieu of degree.Required ExperienceFive years of presenting data analysis, reporting, analysis, or statistics based information. Strong Microsoft suite skills (especially Excel and PowerPoint). Health provider experience - either internally or externally. Polished and professional communication aptitude.Preferred ExperienceHealth insurance industry, risk adjustment / revenue payment modeling experience, and / or provider coding department experience. Five years of reporting, analysis, data or statistics based experience.THE UCARE DIFFERENCEUCare 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.
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.