UCare

MH & SUDS Operations Business Analyst

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Aug 09, 2022
Closes
Sep 24, 2022
Ref
3115
Category
Business
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 600,000 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 200 Workplace for 13 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.

MH & SUDS OPERATIONS BUSINESS ANALYST

Work Location: Work from home

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 discover, analyze and document business requirements and lead projects to support daily operations and initiatives of the Mental Health (MH) and Substance Use Disorder Services (SUDS). Plan, document requirements, design business processes, and execute testing plans to ensure MH & SUDS objectives are met. Provide recommendations to align business systems and activities with clinical strategies and objectives. Support tracking, reporting, analyzing and summarizing operations data. Support the maintenance and testing of system changes, which includes workflow, validation, and automated processes. In addition, you will be responsible for running and reconciling reports. You will be responsible for the accuracy and timeliness of reported data, as well as communication and resolution of identified issues involving reports and data trends.

• Monitor call flow of phone lines for the department, report and resolve operational and performance concerns. Analyze real time and historical data to monitor trends and identify opportunities for improved performance, quality and efficiency for the department's phone lines.

• Plan, execute and complete operational projects. Regularly communicate status throughout the project lifecycle. Identify and address challenges to project sponsor and stakeholders. Complete root cause analysis of issues to help recommend solution options, consult with project sponsor about solutions, and implement identified solution(s).

• Provide Smartcomm application support in the creation, editing, publishing and release of materials used within the clinical documentation system. Ensure accurate and timely material exchange between pre-production and production environment through collaboration with clinical documentation system vendor.

• Build, develop and report on operational dashboards to support targeted studies of MH & SUDS programs, which will communicate data, trends, and analytics for a variety of stakeholder to ensure understanding and context of information.

• Compile and complete daily, weekly, and monthly analysis. Report summaries of dashboards to demonstrate trends and analysis for a variety of stakeholders. Manage the portfolio of operational reports, collaborating with leaders and users to evaluate current reporting needs and adjust accordingly.

• Collaborate with Health Services Data Analytics team and Health Care Economics Department to extract relevant data required for report creation and effective analysis of operational metrics.

• Maintain and execute basic and complex data gathering from Guiding Care, Tableau, Enrollment Rosters, and other reports to be used for all department dashboards.

• Analyze business processes, identify root cause, and provide insights and recommendations for process improvements. Create job aids for daily operational use based on recommended process improvements.

• Participate in system testing and validation for various operation systems.

• Lead small to medium sized projects by creating project plans, tracking and reporting initiatives, while coordinating timely outputs. Collaborate with stakeholders to document, schedule and identify project timelines, milestones, resource allocation and problem-solving strategies.

• Partner with the MH & SUDS leaders in the annual authorization grid development, system upgrades, regulatory needs and annual readiness.

• Support the department with onboarding of new staff and provide system navigation and classroom training.

• Other projects and duties as assigned.

Education

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

Required Experience

Three years of reporting and/or analytics experience. Three years of experience working in a health plan or health care industry. Demonstrate knowledge of federal and state regulatory requirements. Use and understanding of medical terminology, CPT, ICD-10 coding, PC, and keyboard skills. Proficient in Microsoft Office suite. Demonstrated ability to develop reports and dashboards from various data sources for multiple audiences.

Preferred Experience

Experience working with state and federally funded program in an HMO or MCO utilization management environment highly desirable. Project management, process improvement, and/or training experience. Experience with GuidingCare.

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: 08/08/2022

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