UCare

Product Owner - Vendor Payment Solutions

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Oct 01, 2020
Closes
Nov 03, 2020
Ref
2111
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.

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.

PRODUCT OWNER - VENDOR PAYMENT SOLUTIONS

Position Description

This position is responsible to guide initiatives to maximize the business value delivered, and manage the Optum Prospective Payment System (PPS), Rate Manager, WebStrat, PSI and Claims Editing System (CES) at an enterprise level. Must possess an in-depth knowledge of the vision, goals and desired objectives of the systems and UCare's initiatives. Drive resolution of defects and promote system enhancements, working collaboratively with business units, IT and external parties (e.g., Optum, HealthEdge.). Evaluates system changes and helps drive upgrade decisions, utilization of new functionality, and process and product enhancements. Communicates to stakeholders the impact of changes and serves as the Business Owner for the applications.

• Serve as the primary business owner of the Optum PPS, CES, WebStrat, PSI and Rate Manager suite of applications/technologies representing the needs and perspectives of all UCare business stakeholders.

• Maintain and manage a log of all system defects and enhancements, working collaboratively with business units, IT and external parties (e.g., HealthEdge, Optum, etc.) to define ROI/benefits, plan and oversee execution of updates and routine maintenance, and optimize system performance. Meets with Optum CES and PPS AMS teams weekly to oversee configuration, maintenance activities, represent business interests and prioritize work.

• Oversee the evaluation of each release, documenting changes, assessing impacts, and seeking feedback from UCare stakeholders. Develop and communicate maintenance and upgrade plans.

• Serve as the Business Owner for all Optum PPS, CES and Rate Manager system changes. Including; engage in both technical and business discussions and any related project teams.

• Engage in the Optum User Community by attending user calls and events.

• Serve on UCare's HealthRules Working Group and HealthRules System Management Team, gathering input from UCare users, sharing relevant feedback from the Optum PPS, CES and Rate Manager community, and integrating needs into system plans.

• Mentor and coach CCO Leaders, Technical Business Analysts, Configuration Analyst, UAT and QA Analysts on system capabilities and changes.

• Provide timely and comprehensive communication of Optum PPS, CES and Rate Manager changes, release notes, issues and enhancements to UCare stakeholders.

• Oversee and monitor Optum PPS, CES and Rate Manager-related business processes, including the AMS teams. Identify, recommend and execute improvements. Ensure AMS teams are meeting objectives and delivering according to contractual agreements. Measure and track savings associated with the use of Optum Suite and AMS teams.

• Participate on the CCO Leadership Team. Ensure transparency and communication of vendor payment changes, issues and wins.

• Oversee internal and external Service tickets and change requests, including incidents, planned maintenance and requested changes.

• Provide oversight for data and code set loads and migrations to ensure consistency across environments and systems.

• Other projects and duties as assigned.

Education

Bachelor's degree in health care, business administration or related field; demonstrated experience may be considered in lieu of degree.

Required Experience

Five years' experience in a managed care organization or other health insurance environment. Five years of Optum PPS, CES, and/or Rate Manager product experience. People management experience. Solid operational experience and knowledge of commercial, Medicare and state program products and services.

Preferred Experience

Negotiation, conflict management and facilitation skills. Vendor relationship management 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.

Similar jobs

More searches like this

Similar jobs