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.

PROVIDER SERVICES SUPERVISOR

Work Location: In the office or hybrid (in the office 3 or more days per week)

The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting at UCare, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.

Position Description

This position is responsible for overseeing daily operations of the Triage Team. Serve as the first point of contact for the team and other departments regarding the triage processes. Provides day-to-day supervision for all members of the Triage Team and participates in recruiting, hiring, training, developing, coaching and mentoring individual team members. This position engages in the planning, implementation, and evaluation of the Triage area to ensure UCare's efforts in delivering an excellent provider experience.

• Coach, mentor, and supervise the Triage Team to ensure positive provider experience by effectively resolving systemic payment and service issues in a timely manner.

• Recruit, interview and hire staff. Schedule and oversee onboarding experience.

• Establish work assignments, set goals for performance, conduct one on ones and ensure team understand their duties or delegated tasks.

• Maintain positive and professional working relationship with staff and other departments to ensure departmental or cross-departmental issues are resolved in a timely manner.

• Document and provide performance feedback in a timely manner. Maintain timekeeping and personnel records.

• Evolve UCare's provider issue resolution process. Regularly evaluates progress and reports progress.

• Identify issues where provider education and/or communication is needed.

• Represent Provider Services on various work groups and committees, as assigned and attend external provider meetings when needed.

• Ensure adherence to legal compliance and UCare's policies and procedures.

• Serve as a backup for any team member and assists manager and director.

• Other projects and duties as assigned.

Education

Bachelor's degree; demonstrated experience may be considered in lieu of degree.

Required Experience

Three years of experience in health care billing and/or payment setting. Examples include health plan claims processing, provider assistance center, provider network management or account management. Demonstrated ability to successfully work in matrixed/cross-departmental environments. Demonstrated staff supervisory experience.

Preferred Experience

Provider services experience. Knowledge of health care claims processing and systems. Knowledge of State Public Programs, Medicare, and commercial health plan products. Project management, mentoring/training, supervision and critical thinking experience. SharePoint and Microsoft software proficiency.

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: 07/15/2021