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.

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

ABOUT UCARE

UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE

Working at UCare is more than 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. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 10 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

COVERAGE POLICY PROGRAM ANALYST

Position Description

This position is responsible to collaborate with coverage policy team members to identify, analyze, design, and implement efforts for coverage policy development. This position requires awareness of various stakeholder needs and an in-depth understanding of multiple factors contributing to, and impacting new policy development. Serve as a subject matter expert for internal departments and provides information and education on coverage policies, benefits and associated information. Research and resolve, or escalate complex coverage inquiries and issues. Play a key role in coverage policy communication, and in monitoring and tracking coverage policies post-implementation.

• Collaborate with Coverage Policy Team on all aspects of coverage policy development including: planning sessions, problem/issue definition, stakeholder analysis, data analysis, solution generation, requirements documentation, policy implementation, and execution.

• Monitor and track post-implementation performance of benefit and coverage policy changes to ensure outcomes are met in a manner that is consistent with business and regulatory requirements.

• Anticipate and identify issues that could inhibit achieving policy goals and objectives (shared).

• Support communication of coverage policies to internal departments. Identify training opportunities and provide training on coverage topics, coverage database or other information.

• Develop and maintain Coverage Policy Sharepoint site.

• Develop and maintain Coverage Policy tools, database.

• Support/collaborate with Government Relations staff in development and maintenance of Plan Development Package (PDP).

• Serve as a secondary resource for triaging and troubleshooting coverage questions and post-implementation issues.

• Other projects and duties as assigned.

Education

Bachelor's degree in Business Healthcare Administration or other relevant field; demonstrated experience may be considered in lieu of degree.

Required Experience

Three years of experience in a health care or managed care setting [managed care, regulatory agency or health insurance] with three years' hands-on healthcare reporting and business analysis experience. Knowledge of relationships between health plans and providers, including working knowledge of healthcare plans (commercial and Medicare). Strong skills in Excel, and PowerPoint. Familiarity with ICD-10, CPT, HCPCS and other code sets as they relate to healthcare plan benefits and claims payment administration. Excellent verbal and written communication skills, including the ability to graphically present complex data. Ability to work on multiple projects, deliver work products on schedule, and respond to new requests with fast turn-around, as needed.

Preferred Experience

Project management experience. Ability to work in a matrix environment. Microsoft Access experience.

THE UCARE DIFFERENCE

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, 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.