UCare

Provider Contract Manager - Health Equity Network Advancement

6 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Nov 11, 2021
Closes
Dec 10, 2021
Ref
2656
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.

PROVIDER CONTRACT MANAGER - HEALTH EQUITY NETWORK ADVANCEMENT

Work Location: Work from home, 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 assisting with identifying and addressing opportunities to improve the cultural congruence between UCare's provider network and members served by UCare products. This position will develop, implement and manage provider contracting activities that will advance health equity by ensuring that whenever possible, UCare members can be served by providers of their cultural, geographic or demographic background.

• Collaborate with UCare's County and Tribal Government Relations Managers, Provider Network Analysts, Healthcare Economics, Equity & Inclusion team and others, to identify providers that serve specific cultural or demographic groups that are not already in UCare's provider network.

• Initiate and orchestrate recruitment, contracting, and related development efforts to ensure that providers from under-represented backgrounds are added to the UCare provider network as appropriate.

• Lead and coordinate contract negotiations and contracting processes for provider partners, including contract completion. Develop documentation that allows contractual terms to be implemented in the system timely and accurately. Ensure contracts and payment terms are negotiated in accordance with established contract administration policies and procedures, including state, federal, and other regulatory requirements.

• Coordinate regularly scheduled meetings with contracted providers to provide timely communication, effective education, enhanced provider relationships and collaboration around emerging equity opportunities. Effectively problem solve and triage issues, where appropriate. Work with providers to gather data on cultural representativeness of their provider panels.

• Participate on internal workgroups, including those related to UCare's health equity programs to address, opportunities, ongoing provider issues or operational changes.

• Other projects and duties as assigned.

Education

Bachelor's degree in health care management, business or related field; demonstrated experience may be considered in lieu of degree.

Required Experience

Three years of contract negotiation and health care experience in a health insurance plan or health care provider setting. Experience working collaboratively with diverse internal and external stakeholders. Knowledge of managed care operations.

Preferred Experience

Knowledge of Minnesota provider market, especially those non-traditional provider groups. Awareness of current and projected Minnesota population demographics.

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: 11/10/2021

Similar jobs

More searches like this

Similar jobs