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.
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.
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.
SENIOR ANALYST - SUPPLEMENTAL BENEFITS & SPECIAL PROJECTS
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.
As the Senior Analyst - Supplemental Benefits & Special Projects, you will be responsible for UCare's annual Medicare Plan Benefit Package (PBP) submission to the Center for Medicare & Medicaid Services (CMS). In partnership with Product Managers and Health Care Economics staff, you will develop and file the PBPs and coordinate responses to inquiries from CMS. In addition, you will participate in the development, evaluation and improvement of supplemental benefits across UCare's products, in partnership with UCare's Product Managers and support special projects as assigned.
• Prepare for and file the annual Medicare Plan Benefit Packages (PBPs). This includes, but not limited to:
o Downloading of PBP software
o Monitoring/reviewing and incorporating all CMS guidance concerning the PBP and Medicare Advantage benefit filing process
o Comprehensive testing of the PBP software
o Establishing plan structure in CMS' Health Plan Management System (HPMS) to support product filings
o Coordinating with Health Care Economics
o Maintenance of the Medicare Advantage Plan and MSHO PBPs used for benefit filing documentation
o Providing feedback to CMS
o Coordinating with Government Relations on document alignment for upload
o Completing PBPs for upload via HPMS
• Develop and maintain subject matter expertise regarding supplemental benefits for Medicare, Medicaid and commercial health plan products. Focus areas will include assessment of competitive landscape, regulatory requirements, bid development, and the annual readiness process.
• With guidance from the Supplemental Benefits & Special Projects Manager, collaborate with Product Managers and staff from other UCare departments to develop UCare's supplemental benefits for Medicare, Medicaid and commercial products.
• Collaborate with UCare's Health Promotion team to ensure optimal implementation of new and revised supplemental benefits, resolve escalated supplemental benefits issues, and evaluate benefit performance.
• With guidance from the Supplemental Benefits & Special Projects Manager and the Vice President of Product Development, support special projects pertaining to UCare's products, growth goals or other priorities. Responsibilities will vary by project, but may include resarch, writing and presentations.
• Serve as an active member of departmental and cross-functional committees and workgroups, including the Medicare Bids and Benefits Workgroup, Product Teams, and others as assigned.
• Other projects and duties as assigned.
Bachelor's degree in business, health care/public administration, or other relevant field. Demonstrated work experience may be considered in lieu of degree.
At least five years of experience in a health care payment or delivery organization, such as physician group practice, health insurance, or HMO. Working knowledge of health plan functions, including: operations, marketing/sales, compliance, information systems, data analysis and clinical. Experience managing complex projects or assignments.
Experience with Medicare Plan Benefit Packages (PBPs) or other government filings strongly preferred. Knowledge of state, federal and commercial health care products and regulations. Understanding of project management concepts and methodologies.
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: 12/19/2022