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.

COMPLIANCE SPECIALIST - PROGRAM SUPPORT

Work Location: 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 for providing support to the Corporate Compliance Program, which includes updating, maintaining, monitoring, and reporting on compliance training, UCare Code of Conduct, Program communications, documentation, and policies and procedures. In addition, you will support the incident intake function, by monitoring various compliance incident reporting mechanisms, assigning, and tracking incidents. You will assist with supporting Compliance360 and other Compliance Program activities, as necessary.

• Maintain, gather, and make recommendations on updates to the UCare Code of Conduct working with the LMS resource and department leadership.

• Serve as main point of contact for Case360 user access support.

• Develop and maintain corporate compliance training in partnership with Corporate Learning & Development to ensure it is relevant, effective and meets regulatory requirements. Deploy annual training, track, escalate overdue training and report on completion of training. Develop ad hoc training as needed.

• Develop and maintain Program policies and procedure(s) in partnership with the business owner. Conduct an annual assessment of all UCare corporate policies and procedures, including mapping policies to the UCare Code of Conduct and/or Employee handbook.

• Work with business owners and liaisons on tracking progress on corporate policies and procedures, auditing, reporting and training on policies and procedures. Provide recommendations and training on developing policies and procedures, as needed.

• Assist with preparing reports and presentations for the Compliance Associate Director, as needed, for various committees including the Compliance Oversight Committee and the Compliance Committee of the Board.

• Develop and maintain Compliance Program communications on a variety of compliance and ethics topics, including supporting Compliance Awareness Week activities and events, and the communications strategy.

• Monitor compliance incidents reported through a variety of sources, including the Compliance Hotline, email box and other methods for reporting compliance, Fraud, Waste and Abuse (FWA) concerns. Gather pertinent information, including reaching out to the reporter if needed, and document the information in the appropriate tracking system. Exercise initiative and sound judgment in responding to reported compliance incidents, including FWA leads, promptly and in accordance with established policies and procedures. If unable or unqualified to assist, promptly refer the incident to the appropriate Compliance or Special Investigations Unit (SIU) staff for handling.

• Assign reported compliance concerns to appropriate staff for investigation. Assist Compliance and SIU leadership in following up on investigations and assuring appropriate documentation is maintained.

• Maintain Program documentation including the Department plan, Compliance Strategic plan and Business Continuity Plan (BCP), Compliance Program Description; and support Request for Proposal (RFP) responses.

• Build and leverage cross-functional relationships, influence and support a culture of compliance and ethics.

• Other projects and duties as assigned.

Education

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

Required Experience

Three years compliance experience or combined compliance/training experience.

Preferred Experience

Compliance experience within a health insurance or provider organization. Experience with Compliance360, SharePoint and Teams collaboration sites, and learning management system.

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: 10/17/2022