UCare

CCO Vendor Management Analyst

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Nov 23, 2021
Closes
Dec 06, 2021
Ref
2669
Category
Management
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 VENDOR MANAGEMENT ANALYST

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 to lead the oversight of CCO delegated services. Design, build, and maintain CCO vendor and delegate contact directory, scorecards, and delegate process documentation. Monitor and report on compliance. Recommend process improvements.

• Collaborate with CCO leaders and staff to provide recommendations for changes to vendor measurements and processes.

• Develop and maintain repository of vendor and delegate process documentation.

• Facilitate regular vendor and delegate meetings. Document and distribute meeting minutes. Follow up on agreed-upon actions.

• Coordinate key project activities. Drive project efforts and facilitate project-related meetings. Partner with upstream and downstream stakeholders to ensure seamless and predictable outcomes.

• Lead vendor monitoring activities within CCO. Support the Vendor Management department's delegate and vendor audit and monitoring activities.

• Design, develop and maintain CCO vendor and delegate contact directory and vendor scorecards.

• Collaborate with CCO Audit & Compliance Team to document and maintain delegate and vendor SOX controls and audit findings.

• Analyze vendor incidents in order to identify and recommend process improvements.

• Develop reports and dashboards that effectively communicate service level performance of both internal and delegated functions.

• Other projects and duties as assigned.

Education

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

Required Experience

Three years of healthcare industry experience. Proven written and verbal communication skills. Facilitate and meeting management skills.

Preferred Experience

Vendor and/or delegate relationship management experience. Experience with healthcare payer operations (Claims, Customer Service, and/or Billing). Business process documentation and improvement expertise. Experience with service level reporting and dashboards.

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: 11/22/2021

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