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.
MBE OPTIMIZATION ANALYST
Work Location: Office for Your Day
As the Membership Billing & Enrollment (MBE) Optimization Analyst, you will be responsible for assessing MBE's current business operations and developing recommendations and strategies to improve the efficiencies and the member experience within our Medicaid and Dual plans. You will partner collaboratively across the organization to help improve critical end-to-end processes, ensuring decisions and/or recommendations are communicated timely to stakeholders. Work alongside business and technical teams to increase collaboration and optimize productivity and communication. Ensure requirements and solutions conform to departmental, corporate, industry and government standards as specified.
• Collaborate with Business Analysts, Business Owners, Project Team Members, Vendors, and Subject Matter Experts to understand the business problem and needs of both MBE Operations and the HealthRules platform. Gather and document requirements as well as translate these requirements into high quality solutions.
• Responsible to identify and implement business and operational processes to improve efficiencies, reduce cost and increase customer satisfaction.
• Make recommendations to MBE leadership about ongoing improvements to departmental processes, policies, and procedures to increase quality and to ensure the insurance operations and transactional process meet UCare and customer expectations.
• Participate in formal and informal project teams and lead inter-departmental initiatives, as assigned.
• Lead communications across MBE business teams, while also ensuring other internal stakeholders are informed of changes that will impact their business. Coordinate with change management resources to ensure a successful roll out of new and/or improved processes.
• Other projects and duties as assigned.
Bachelor's degree in business or information technology; demonstrated work experience may be considered in lieu of degree.
Five years of data analysis, health plan operations or IT experience. At least two years of business analysis experience that included successful requirements knowledge including HealthRules/HealthEdge/Axiom platforms. Intermediate to advanced MS Access and MS Excel skills. Microsoft Office Suite Proficiency. Process improvement experience. Intermediate VBA and SQL skills.
Health Plan Operations knowledge, specifically Medicaid and Dual plans. Business process management. Strong critical thinking and analytic 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: 9/19/2023