UCare

Provider Contract Coordinator Supervisor

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jan 06, 2021
Closes
Jan 26, 2021
Ref
2223
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.

PROVIDER CONTRACT COORDINATOR SUPERVISOR

Position Description
This position is responsible to lead UCare's provider contract coordinator team to meet department and organizational goals related to management and execution of provider contracts. Oversight of provider contract intakes, preparation and execution; contract tracking, maintenance of contract records and files as well as the contractual processing of provider demographic changes. Ensure all tasks are performed in accordance with regulatory and operational standards. Manage strategic projects and special initiatives. Responsible for ongoing development and maintenance of the contract management software systems and programs.

• Recruit, coach, mentor and manage a high-performing team of professionals to effectively manage provider contracts and related systems.

• Ensure providers entering UCare's contracted networks meet all UCare and Regulatory standards.

• Manage the development and maintenance of approved contract templates and executed agreements. Ensure contract terms are translated into the provider agreement, in a timely and accurate manner.

• Assist Provider Relations and Contracting Associate Director in identification, development and implementation of new contract policies and procedures.

• Collaborate with Provider Relations and Contracting Associate Director to ensure contracts meet legal and regulatory standards.

• Serve as company lead/owner of the Service Now Provider Contract Management system, including workflow development, document storage, contract processing and training. Ensure optimal use of program related to staff efficiency and accuracy.

• Develop and manage monthly, quarterly and annual departmental metrics for operations team and support attainment of individual and departmental goals.

• Develop and manage staff productivity standards.

• Participate on assigned UCare committees and work groups to represent departmental interests and support projects. Regularly engage department staff to meet committee and project objectives.

• Support strategic and operational efforts (i.e. NCQA, UCare expansion, Growth Products, internal/external audits) as related.

• Other projects and duties as assigned.

Education
Bachelor's degree in health management, operations or related field; demonstrated experience may be considered in lieu of degree.
Required Experience
Five years of experience in health delivery setting, health insurance, HMO or community service agency. Experience with network strategy and contracts. Demonstrated ability to successfully work in matrixed/cross-department environment. Demonstrated staff supervisory/management experience. Experience with workflow creation and process improvement identification/implementation.
Preferred Experience
Previous involvement with Medicare, Medicaid and commercial insurance programs/products, either from the provider or payer perspective. Health plan provider contract and process management experience. Knowledge of reimbursement methodologies/rules. Knowledge of regulatory requirements, as it relates to provider contracting and record retention.

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.

JOB POST DATE: 01/05/2021

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