UCare

Financial Analyst Sr. - Encounters

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jul 14, 2021
Closes
Aug 03, 2021
Ref
2457
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 12 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.

FINANCIAL ANALYST SENIOR - ENCOUNTERS

Position Description

This position is responsible to oversee UCare/BPO encounters processes on a weekly, monthly, and quarterly basis per a defined and regimented schedule. Reconcile between systems and data sources to ensure accuracy and completion of encounter submissions. Subject matter expert on encounters including datasets for submission, reporting and remediation. Lead the strengthening of cross-departmental encounter partnerships as a member of all encounter project work teams. Create, perform, and test encounters datasets and processes. Proactively identify and adapt to new regulatory changes that impact encounters process.

• Lead encounters reporting efforts for UCare's lines of business and any BPO arrangements. Develop, improve, and monitor reports and analysis related to encounter submission performance and other assigned projects.

• Monitor completeness of UCare encounter submissions and BPO submissions through a monthly reconciliation process. Work with Information Technology (IT) to ensure submission process is compliant and deadlines met. Identify variances through reporting and resolve through the Encounter Scrum team.

• Support any annual or ad hoc audits. Support Risk Adjustment AD with external audit requests. Maintain audit ready documentation for UCare Encounter processes/submissions/reconciliation.

• Serve as liaison with the IT department. Partner with the Encounter Scrum Business Analyst to define project direction and participate in project meetings with technical, business and project management staff. Act as business SME with the Encounter Scrum Team.

• Facilitate creative discussions to develop solutions to project requirements. Communicate project updates as necessary to the Risk Adjustment AD and technology teams.

• Support financial, operational and strategic initiatives through CMS and DHS data sweeps, ad hoc and standard reports. Maintain documentation on standard report processes and procedures.

• Annual review of contract changes along with maintaining a strong understanding of encounter submission requirements (DHS, CMS, MDH & Exchange) per associated contract. Work with UCare internal staff to ensure any proposed changes to encounter submissions are remediated. Help implement changes and improvements developed by the SCRUM team.

• Maintain a thorough understanding of data structure within UCare's claims adjudication system, and product lines including BPO arrangements.

• Other projects and duties as assigned.

Education

B.A./B.S. in Finance, Economics or Data Science related field preferred; demonstrated analytical and project management experience may be considered in lieu of degree.

Required Experience

Three years of reporting, analysis, data, or statistics-based experience. Excel skills. SQL skills. Strong attention to detail. Data mining, consolidation, and new report generation. Professional desk documentation creation.

Preferred Experience

Reporting, analysis, data, or statistics-based experience in a mid to large size organization. Exposure to Access skills. Health insurance industry experience. Risk adjustment or statistical background.

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: 07/13/2021

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