Sales and Member Operations 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. SALES AND MEMBER OPERATIONS SPECIALIST Position Description
This position is responsible to provide administrative and project support for the individual UCare Choices Sales Team. This position is also responsible to assist with member walk-in inquires related to coverage and premium concerns across all lines of business.·Schedule and coordinate sales talks and seminars both on and offsite including; room reservations, refreshment orders, enter sales talk and seminar schedules for direct mail use, update sales database with responses, preparing check requests and submitting invoices related to sales talks and seminars and set-up and take down of on-site meetings. This also includes securing legal review and approval of all contracts for sales talks held off site and ensuring they are returned to the vendor.·Maintain sales database by entering enrollments received and closed leads; updating records using information on meeting evaluations; entering new leads into the system from direct mail and other sources; and changing records flagged by Accounting as "bad debt." ·Maintain sales materials inventory including sales kits, provider/pharmacy directory, enrollment-by-phone forms, plus more. Coordinate printing of materials with Press Sure Print using the secure site to upload daily label files for Sales Kits and follow-up letters. Record the number of labels for each area and generate a monthly chart of sales kit counts to send to members of management and purchasing. Manage sales mailings and requests for materials. Coordinate the clinic brochure distributions, cut-off postcards, and refer-a-friend mailings.·Research, resolve and communicate effectively with walk-in members regarding concerns or issues related to coverage or premiums. Educate member on policies and procedures related to members' health care program.·Understand eligibility and coverage of enrollees through knowledge of contracts, policies and procedures. Verify member eligibility by using the State's system Mn-ITS, as needed.·Serve on the Workplace Safety Response Team and act as first responder to escalated member issues. Determine risk factor and following safety guidelines.·Other projects and duties as assigned.Education
Two-year degree in health related, liberal arts or communication field, including a course in medical terminology; demonstrated experience may be considered in lieu of degree. MN Life/Health Insurance licensure or the ability to obtain licensure is required.Required ExperienceTwo years administrative/clerical experience. Proficiency in Microsoft Word and Excel. Customer service experience. Health insurance (HMO), physician group practice, or community agency experience. Preferred ExperiencePrevious sales or marketing experience. Knowledge of medical claims and/or medical billing processes. Knowledge of Amisys and MACESS type software packages.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.