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 14 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.
PROVIDER PAYMENT INTEGRITY ANALYST
Work Location: Work from Home
This position is responsible for provider reimbursement development and analysis of provider impact relating to provider reimbursement and payment methodology. Communicate results to internal and external customers.
• Develop and maintain a thorough understanding of UCare provider contracts, benefit packages, and claim processing procedures.
• Actively participate in the Payment Policy Workgroup.
• Support UCare's Payment Policy initiatives by performing research, maintaining existing policies, drafting of new policies, assist in draft of provider communication and implementation.
• Analyze current and future contract arrangements for the financial impact to UCare as well as the Provider related to fee schedules.
• Develop and analysis of new and existing fee schedules.
• Develop and maintain positive working relationships with internal and external customers.
• Develop and maintain documentation and procedures for standard projects.
• Assist in analysis of performance by contract for rate setting and budgeting purposes.
• Other projects and duties as assigned.
BS/BA with an emphasis in finance/accounting or related field; demonstrated experience may be considered in lieu of degree.
Three years of related experience in pricing or provider payment methodology experience. Intermediate skills with Excel.
Experience in Finance or Accounting. Knowledge of the Managed Care industry and intermediate SQL skills.
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: 5/22/2023