UCare

Medicare Government Programs Specialist

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Sep 08, 2022
Closes
Oct 02, 2022
Ref
3157
Category
Government
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.

MEDICARE GOVERNMENT PROGRAMS SPECIALIST

Work Location: Work from Home or Office for Your Day

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 work on projects related to regulatory requests including compliance concerns, requests for information, ad hoc and routine reporting, and other inquiries in addition to projects related to legislative and contract changes. Serve as a liaison between regulators and impacted internal departments. Coordinate work with Federal Government Relations Manager.

• Coordinate with CMS for Medicare managed care, and Medicare Supplement, communications, policy and operational issues. Work with CMS on policy and interpretation of regulatory requirements. Monitor and/or perform Part C and Part D activities, including coordinating with multiple departments related to annual required reporting and responding to CMS requests for information.

• Monitor, analyze, prioritize, distribute and clarify Medicare managed care and Medicare Supplement regulatory/sub-regulatory and informational guidance, including information from CMS, CMS's Health Plan Management System (HPMS), the Federal Register and trade associations. Proactively identify impact on Medicare products and Medicare Supplement (Medigap) products. Educate departments about Parts C/D and Medicare Supplement regulatory/sub-regulatory requirements and contractual obligations. With key departments, coordinate applicable response or operational implementation; clarify information if needed.

• Provide support in defining high priority and/or complex regulatory concerns and compliance issues, contract and legislative changes, and other ad hoc regulatory concerns through resolution. Work with Corporate Compliance to identify, and report to regulators, plan performance issues/concerns.

• Participate in information gathering for new and expansion Medicare Advantage applications, including internal planning, timeline activities, and necessary regulatory requirements. Oversee and manage Medicare Advantage applications, including submission to CMS.

• Provide policy analysis of proposed rules and other potential regulatory/legislative changes. Work with the manager to facilitate meetings to gather UCare's policy positions and inform trade associations.

• Serve as subject matter expert and super user for UCare's tool to store, manage and track regulatory guidance and incidents. Develop workflows. Create assessments. Distribute guidance. Run reports and manage workload. Train users and serve as resource for internal departments on the tool. Provide feedback and suggestions to designated C360 administrators on system functionality based on internal usage.

• Other projects and duties as assigned.

Education

Bachelor's degree preferred; demonstrated experience in the health care industry may be considered in lieu of degree.

Required Experience

Three years in health care compliance, health insurance and/or managed care. Medicare Part C or D program administration experience. Experience reviewing, analyzing and communicating regulatory guidance.

Preferred Experience

Knowledge and/or experience with dual integrated Special Needs Plans (D-SNPs) and Institutional or Institutionally Equivalent SNPs. Experience with Medicare Supplement products. Project 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: 09/07/2022

Similar jobs

More searches like this

Similar jobs