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 11 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.

QUALITY ANALYTICS MANAGER

Position Description

This position is responsible to provide leadership in the development of quality reporting and analysis related to HEDIS production, Medicare Star Ratings improvement activities, DHS quality measurement improvement efforts, provider value-based contracting, gaps in care analysis, and ad-hoc support of the QM and Stars Program Manager initiatives.

• Manage, select, train, develop, and evaluate staff. Collaborate with staff to determine career development opportunities. Monitor work flow and provide performance feedback. Build and maintain a team of highly effective analysts to support UCare's growing need for more advanced health care informatics.

• Manage the process to plan, develop and submit annual HEDIS measures, including the procuring and implementing certified HEDIS software, coordinating the compliance audit, coordinating with the QM Department on the chart review sample and chart chase logic, submitting the HEDIS measurement set to CMS, NCQA, and MDH, and leading a continual, cross departmental effort to improve HEDIS measurement processes.

• Provide data and analytic support for Medicare Star Ratings, QRS, Medicaid Star Ratings, and other organizational quality improvement activities. Develop opportunity analyses, provide action lists for key HEDIS and non HEDIS measures to internal and external stakeholders, and contribute to the development of measurement improvement strategy discussions. Provide analysis of the effectiveness of quality improvement programs and interventions

• Manage the development and reporting of key quality metrics at the provider and care system levels. Identify most meaningful quality metrics to include in value-based contracts and pay for performance programs. Develop and implement comprehensive reporting package and supporting analyses for providers.

• Staff key internal and external committees charged with identifying and managing population quality measurement, including Minnesota Community Measurement.

• Manage the process to provide reporting and analytical support to key QM initiatives such as State Public Programs measurement improvement efforts, Performance Improvement Plans, and DHS Quality incentives and withholds.

• Oversee maintenance of data mart of historical member-level quality measure results and benchmarks. Develop and maintain ETL and QA processes that incorporate results from certified HEDIS software vendors, NCQA, CMS, and other sources.

• Develop and maintain a collaborative working relationship with departmental leads and program managers (Quality Management, Pharmacy, Provider Relations, Health Promotions, STARS) to ensure analysis, data support and ad-hoc analysis is contributing to organizational priorities.

• Provide business requirements input to the ongoing development and enhancement of UCare's Data Warehouse. Work closely with the data warehouse team to plan the development and maintenance of the analytic environment.

• Maintain subject matter expertise on HEDIS, Star Ratings, QRS, and other similar quality measurement programs. Regularly review technical changes and regulatory guidance and analyze the expected impact for UCare.

• Other projects and duties, as assigned.

Education

BA/BS with an emphasis in healthcare, economics, statistics, or other related field.

Required Experience

Eight years of progressively complex experience in HEDIS submission and clinical data and analytics. Strong healthcare data and analysis background. Strong technical experience using SQL. Prior management or supervisory experience.

Preferred Experience

Experience with measurement design, statistics, and health care informatics.

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.