1 to 15 of 25 
UCare - 
Minneapolis, MN
Effectively respond to and manage provider service requests and inquiries by accurately applying knowledge of UCare's business, products, provider business practices and operation. Successfully influence business results by establishing and maintaining effective provider relationships, ensuring a high degree of productivity and quality. Build fluency in multiple product lines. Answer, resolve, tr
Full Time / High School or Equivalent Required
Posted 1 day ago
UCare - 
Minneapolis, MN
This position is responsible to support the team by providing daily business support for EDI activities, research questions and issue resolution; maintaining implementation companion guides; supporting the development of interfaces; performing data audits to validate information exchanged with the providers; and running reports as needed. The analyst will also be responsible to collaborate with bu
Full Time / Bachelor's Degree Required
Posted 1 day ago
This position is responsible to provide overall risk adjustment analytical and reporting support to the organization and management. Lead the revenue analysis and reporting requirements on a monthly, quarterly, and annual basis. Provide financial modeling and key data development support for strategic organizational projects, analysis, and ad hoc reports to support management decision making. Mana
Full Time / Bachelor's Degree Required
Posted 1 day ago
UCare - 
Minneapolis, MN
This position is responsible to perform quality assurance testing of newly created or revised configuration. Create test plans and test scenarios. Perform testing on new business initiatives, benefits, reimbursement strategies and other projects to ensure system functions according to the business requirements. Log test results and investigate and resolve any outstanding defects. Provide support t
Full Time / Bachelor's Degree Required
Posted 1 day ago
This position is responsible to develop, document, maintain and deliver training for Customer Services. Identify and research improvement opportunities and define the impact of proposed modifications. Identify development opportunities, document department workflows and ensure training materials are updated and align with business needs and regulations. Assist Learning and Development Specialist S
Full Time / Bachelor's Degree Required
Posted 4 days ago
UCare - 
Minneapolis, MN
Responsible to ensure daily and monthly Medicare and Medicaid enrollment files run and error reports are worked timely and accurately. Process MSHO, Connect and Connect+Medicare enrollment forms, fax and mail to DHS, maintain file of forms received, verifying information on membership file. etc. Manage all other lines of business. Manage the daily feeds from IKA and the monthly feeds from the Stat
Full Time
Posted 4 days ago
This position is responsible to oversee care system product training related to Clinical Services for internal staff and external customers, and for the management of positive working relationships with external customers. This includes acting as a key contact for care system and county inquiries about different UCare products and care coordination processes, and participating as a key contributor
Full Time / Bachelor's Degree Required
Posted 4 days ago
UCare - 
Minneapolis, MN
Research, resolve, examine and process paper and/or electronic claims submitted for payment. Interact with internal customers to obtain needed information for claim processing. Process claims reviewing Policies and Procedures, Coordination of Benefits, and applying appropriate plan provisions, CMS Regulations and DHS guidelines for payment determination. Ensure accurate and timely processing of cl
Full Time / High School or Equivalent Required
Posted 4 days ago
This position is responsible to apply knowledge of UCare's business, products, members and operations to accurately and effectively fulfill member service requests and inquiries. Ensure adherence to policies and procedures and meet service level expectations by following established guidelines and standards. Achieve fluency in at least one core product or service line. Answer, resolve, track and
Full Time / High School or Equivalent Required
Posted 6 days ago
This position is responsible to apply knowledge of UCare's business, products, members and operations to accurately and effectively fulfill member service requests and inquiries. Ensure adherence to policies and procedures and meet service level expectations by following established guidelines and standards. Achieve fluency in at least one core product or service line. Answer, resolve, track and
Full Time / High School or Equivalent Required
Posted 6 days ago
This position is responsible for conducting audits; providing independent, objective assessments; designing tests to confirm compliance with applicable state and federal laws and regulations, contractual agreements, as well as internal policies and procedures. This position is also responsible for assisting internal departments by identifying where compliance risks may exist; recognizing areas for
Full Time / Bachelor's Degree Required
Posted 6 days ago
The Utilization Review Specialist's primary responsibilities are to evaluate member specific clinical information against objective, standardized criteria to determine medical necessity, appropriateness and efficiency of specific services the organization has targeted for prior authorization. Specific duties and responsibilities include Complete the continuum of utilization review processes withi
Full Time
Posted 13 days ago
UCare - 
Minneapolis, MN
This position is responsible to provide case management and education of members with asthma via telephonic follow up. This position also assists to improve HEDIS rates, improve health outcomes and support NCQA accreditation. Specific duties and responsibilities include Provide outbound telephonic outreach to members who meet criteria for the asthma program. Provide ongoing telephonic case managem
Part Time
Posted 13 days ago
This position is responsible to provide outbound telephonic engagement calls to identify members in an effort to improve HEDIS rates and disease management program participation. This position will assist enrolling members into health coaching/disease management programs. Specific duties and responsibilities include Provide outbound telephonic engagement calls to members who meet criteria for dis
Full Time / High School or Equivalent Required
Posted 16 days ago
Manage research and analysis for overall marketing operations, as well as key cross functional teams through staff leadership and project coordination. Responsibilities include management of UCare competitive market analyses, and enrollment forecasting for annual budget and bid submissions. Also manages quantitative and qualitative market research projects critical to product design, new product a
Full Time / Bachelor's Degree Required
Posted 16 days ago
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