UCare

CCO Intake Analyst

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Sep 10, 2021
Closes
Oct 02, 2021
Ref
2543
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 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.

CCO INTAKE ANALYST

Work Location: In the office, work-at-home 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 to lead, manage and analyze CCO intake processes including claims configuration requests, escalations, and HealthRules issues. Triage and partner with CCO leaders and resources to ensure timely and appropriate processing of work requests; identify opportunities for improvement; develop and implement process efficiencies and develop, analyze and report on operational metrics. Facilitate and manage various team and cross-team meetings and act as liaison to various UCare stakeholders for CCO inquiries, work requests and escalations.

• Review, triage, route/assign, manage and provide weekly reporting and trending of Escalations from CCO Intake inbox

• Administrator of the CCO Issue Log. This entails ensuring that items are properly logged, progress notes are entered in a timely manner by the issue owners and the log is ready for review and use by various stakeholders and related meetings.

• Develop, analyze and report on related operational metrics, observed trends and identification of root causes related to Escalations and CCO Issues to CCO Leadership and other relevant stakeholders.

• Manage CCO Intake processes and collaborate with CCO Leadership, staff and CCO Business Partners to seek to continuously improve related processes and oversee the implementation of those improvements.

• Facilitate various meetings, hosted by CCO, such as the HealthRules Workgroup and Provider Experience team meetings. Responsibilities include agenda creation, meeting facilitation, meeting minute creation and distribution, and action item follow up.

• Serve as single point of contact for Provider Assistance Center, Provider Services, Provider Relations & Contracting and Member Services inquiries and escalations.

• Assist in triaging and management of the Configuration backlog of ServiceNow requests.

• Assist in facilitating the RTB Configuration stand-up meetings and maintain related scrum board.

• Other project and duties as assigned.

Education

Associate or Bachelors Degree; demonstrated experience may be considered in lieu of degree.

Required Experience

Two years experience working in Health Plan Operations. Presentation and facilitation skills. Meeting management experience. Organizational skills. Strong written and verbal communication skills.

Preferred Experience

Experience with HealthRules and/or Amisys Payer Systems. Claims operations experience (intake, adjudication, research and adjustments, quality assurance/audits, encounter data reconciliation, claims automation).

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: 09/09/2021

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