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.

BUSINESS ANALYST SENIOR - TECHNICAL (ACCUMULATORS)

Position Description

This position is responsible to manage claims accumulator data to ensure it is collected, distributed and applied correctly to facilitate timely and accurate claims adjudication and reporting to members, providers, delegates and internal stakeholders. Act as UCare single point of contact for claims accumulators, including UCare and delegate accumulator data. Act as accumulator business and process owner collaborating with resources in IT, PRC, Pharmacy and CCO to identify and document issues, confirm root cause and develop and deploy solutions that ensure accuracy and optimize member experience. Collect and analyze data and report findings and recommendations. Plan, document requirements, and design and document business processes; make recommendations for change in order to improve member/provider experience and/or employee engagement and enhance department efficiency. Manage process and technology enhancements throughout the project life cycle including but not limited to defining requirements, authoring various project-related documents, managing communication and relationships, and assisting with project validation through test planning and execution. Work alongside business and technical teams to increase collaboration and optimize productivity and communication. Ensure requirements and solutions conform to departmental, corporate, industry and government standards as specified.

• Act as the single point of contact for accumulator processes, issues and opportunities. Act as business and process owner for accumulator data in HealthRules. Act as accumulators subject matter expert within and outside of CCO to understand and address up and downstream implications of accumulator process changes or enhancements.

• Collaborate with CCO Leadership to identify and implement repeatable and sustainable process improvement efforts involving enhancements to end-to-end accumulator processes, reporting and/or tools to increase department effectiveness and efficiency.

• Collaborate with business and technical stakeholders to perform analysis, define business requirements, and implement innovative solutions that solve business problems and support CCO Department Plan.

• Develop and maintain reporting and dashboard capabilities to enhance the visibility, quality and communication of departmental metrics.

• Develop and maintain inventory of accumulator artifacts, end-to-end process maps, documents and reports. Optimize availability and delivery of accumulator documents, training material and reports for staff and leaders.

• Develop and implement process controls. Collect baseline and post-implementation measures to ensure solutions deliver desired business benefit.

• Develop business requirements, complete business analysis for department technical projects outside of the accumulator domain.

• Provide support for other EDI and Technical team functions including, but not limited to EOB data reconciliation, issue analysis and process improvement.

• Committee, project and/or work group representation as agreed upon with Manager.

• Mentor and coach CCO staff and leaders on accumulator processes and technologies.Develop and maintain good working relationships with the staff of other departments including Provider Relations & Contracting, Healthcare Economics, Provider Assistance Center, Government Relations, Product, and Coverage Policy.

• Other projects and duties as assigned
Education
Bachelor's degree in business or technology; demonstrated experience may be considered in lieu of degree.

Required Experience

Five years of HealthPlan Operations experience. Five years of business or data analysis experience. Three years of project management experience. Three years of process improvement experience. Proven facilitation and communication skills. Strong analytical and critical thinking skills. SQL knowledge.
Preferred Experience

Previous experience working with and/or managing medical accumulator data. Microsoft Project; Visio; Technical writing.
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: 01/11/2021