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.
CONFIGURATION & CLAIMS OPERATIONS OPTIMIZATION ANALYST SR.
Work Location: Work from Home
As the Configuration and Claims Operations (CCO) Optimization Analyst Senior, you will be responsible to support CCO with business transformation efforts by assessing CCO's current business operations and developing recommendations and strategies to improve the efficiency and customer experience. Partner collaboratively across the organization to help improve critical end-to-end processes that need improvement. Ensure 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 Sponsors, Business Owners, Project Team Members, Vendors, and Subject Matter Experts to understand the business problem and needs. 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 CCO 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 Communication across CCO 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 or duties as assigned.
Bachelor's degree; demonstrated work experience may be considered in lieu of degree.
At least five years of experience in a managed care organization or other health insurance environment, with at least three of those years in a Health Care Claims Operations role and with HealthRules system experience. At least two years of business analysis experience that included successful requirements documentation. Knowledge of commercial, Medicare and state program products and services. Intermediate to advanced Excel skills and proficiency with using all programs in the Microsoft Office Suite. Process improvement experience.
Experience working with claims, provider service, configuration or related operational functions. Business process management or improvement experience. Understanding of claims and other operational data sets.
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: 11/13/2023