UCare

Membership Billing & Enrollment Operations Manager

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Jan 12, 2022
Closes
Feb 10, 2022
Ref
2753
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.

MBE OPERATIONS MANAGER

Work Location: Standard or hybrid

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 provide oversight of department operations; ensure fulfillment of business objectives with a member centric focus while providing leadership direction to supervisors within the department. Oversight of enrollment, enrollment reconciliation, coordination of benefits, broker payments, member billing, collection of premiums, management of receivable balances and billing reconciliation for all lines of business to ensure accurate recording of activity in financial statements.

Monitor and maintain department procedures and internal controls in compliance with contractual and regulatory requirements. Manage an environment where member experience and process accuracy are the primary focus of staff efforts and output. Monitor the training of employees, monitor and coach staff and represent the department in cross-functional projects or initiatives. Maintain cost and operationally effective department processes.

• Provide direct leadership of department Supervisors. Provide direct feedback, coaching and development as needed.

• Recruit, interview, select and retain high quality engaged team of professionals. Monitor onboarding, ongoing development and continuous engagement across the team. Mentor and coach to the next level. Establish and communicate clear expectations and performance standards and provide feedback in a timely manner.

• Manage the development, communication and monitoring of performance standards. Oversee benchmark activities to establish performance and staffing standards.

• Manage production related activities; including accurate and timely enrollment related activities, accurate and timely premium billing, delinquency processing payment posting and cash reconciliation within all Federal/State regulatory requirements.

• Manage department processes and procedures for providing member data to all internal and external partners.

• Analyze data to identify trends and develop, manage, and monitor strategies to improve operations with a member centric approach. Implement and oversee improvement projects including, but not limited to: scope, assignments, timelines,

• Perform and participate in external and internal audits to ensure regulatory and contract compliance representing the department with external agencies as needed.

• Develop and maintain department policies and procedures consistent with the goals and objectives of the organization.

• Participate as a key department liaison or project lead with interdepartmental committees and work groups as assigned. Communicate relevant information arising from these groups to staff. Assist with vendor management.

• Other duties and projects as assigned.

Education

Bachelor's degree in health related field or liberal arts; demonstrated experience may be considered in lieu of degree.

Required Experience

Five years progressively complex experience an operations environment. Five years of direct report leadership experience.

Preferred Experience

Health plan leadership experience. Health plan member enrollment, premium billing, reconciliation, regulatory, and operations 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: 1/10/2022

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