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Provider Contract Coordinator

Employer
UCare
Location
Minneapolis, Minnesota
Start date
Dec 3, 2021
Closing date
Jan 7, 2022

View more

Category
Healthcare
Employment Status
Full Time

Job Details

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 COORDINATOR

Work Location: Work from 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 collaborate with internal UCare staff to generate, manage and organize the ongoing maintenance of provider contracts and duties associated with provider contracting. Coordinate the production and maintenance of UCare provider contracts and related compliance and business continuity functions. Provide project management support for department.

• Coordinate the preparation and revision of letters, contracts, addendums and documents related to potential or current providers.

• Audit, information submitted on the approved forms for document generation and load into claims payment platform(s). Use mail merge to update fields into UCare's approved provider contract templates. Meet with PRC - Contracting staff and leader to clarify and communicate issues and concerns related to provider contract documents, templates or forms. Assist in the coordination of the retro contract process.

• Coordinate and manage the online provider change forms and assign work according to PRC assignments.

• Responsible for all compliance program documentation.

• Support audits, compliance projects, process evaluation and improvement and routine reporting.

• Maintain provider information in contract tracking database to ensure data integrity.

• Communicate project status to leader, including deviation from identified goals.

• Communicate important developments, potential problems, and related information necessary for effective management of contracts.

• Utilize contract templates under the direction of Provider Relations and Contracting management, Legal and Compliance Departments.

• Maintain potential, contracted, denied and correspondence provider files.

• Maintain strict confidentiality.

• Other projects and duties as assigned.

Education

Associate degree in a related field preferred; demonstrated experience may be considered in lieu of degree.

Required Experience

One year of document management administrative experience.

Preferred Experience

Health insurance or managed care industry experience. Three years of document management administrative experience. One year plus contract management experience.

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: 11/18/2021

INTERNAL ONLY

Company

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 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. 

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.  

Company info
Website
Telephone
612-676-6500
Location
500 Stinson Blvd.
Minneapolis
Minnesota
55413
US

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