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The incumbent is expected to spend 75% of his/her time working with internal UCare Staff. Serve as a liaison between PRC and other internal departments to ensure accurate translation and consistent communication between the teams that PRC interacts with. Coordinate processes for clinic closings, NCQA, new products, network expansion, department metrics, department policies and procedures, for the
Posted 1 day ago
Assist with entering, updating and maintaining provider data in Amisys. Ensure provider contracts are fully integrated into the Amisys system for proper payment of claims. Respond to internal customer requests and questions, making system adjustments as needed. Assist with the completion of large scale system updates for major care system entities and delegated entities. Set up Standard & Non Sta
Posted 1 day ago
Provide administrative support to the Senior Vice President and Chief Administrative Officer, Vice President and Chief Information Officer, and Vice President Human Resources and Organizational Effectiveness. Key liaison for internal and external customers. Manage all administrative functions, including scheduling, communications, project support, travel and conference attendance. Collaborate with
Posted 1 day ago
For an independent, non profit health plan provider of health coverage and services, the Senior Quality Assurance Analyst is responsible for following standards and best practices within the Quality Assurance program. The Sr. QA Analyst assists in the development and maintenance of regression and integrated test scenarios to sustain usability and mitigate risks, and will develop and establish qual
Posted 7 days ago
The Vice President of Marketing & Product Management reports to the Sr. Vice President of Public Affairs and Chief Marketing Officer and is a member of UCare's Leadership Team. The Vice President of Marketing & Product Management oversees all areas of marketing including brand strategy, advertising, digital, communications, social media and public relations. In partnership with the Associate VP of
Posted 9 days ago
This position is responsible for to create and maintain technical requirements and system design of EDI transaction solutions that follow established software development standards and policies. Firm understanding of ANSII ASC X12 file standards with emphasis on the healthcare related 837P, 837I, 835, and 834 transaction sets. Responsible for collaborating with EDI Operations Analyst, software eng
Posted 11 days ago
This position will be responsible for designing and building components of application and providing consultative guidance on all project assignments. The software engineer is a key member of a team in regard to aspects of design, development and mentoring of resources. The software engineer works as part of a project team to ensure that the business and technical architecture of the delivered sol
Posted 11 days ago
UCare
- Minneapolis, MN
This position is responsible to plan, document, coordinate, architect, and lead all activities related to the standards and integration of software programs, applications, and third party solutions as required to meet business requirements of the organization. This individual is also responsible for developing and maintaining an application integration architecture blueprint for the organization.
Posted 11 days ago
This position is responsible for the design, development, implementation, evaluation and reporting of one or more evidence based health improvement programs as they relate to the UCare strategic and annual quality plan. Accountability for leading teams, coordinating and collaborating with internal and external stakeholders, meeting project objectives and reporting to regulatory entities and leader
Posted 11 days ago
UCare
- Minneapolis, MN
This position is responsible to be the primary lobbyist at the Minnesota State Capitol and represent UCare at external public policy meetings and functions. Coordinate, communicate and advocate UCare's public policy positions internally and externally. Manage legislative relations activities including tracking bill introductions, monitoring legislative hearings and monitoring other public forums
Posted 11 days ago
This position is responsible to provide financial analysis support to the organization and management. Support the Medicare Part D Bidding process with pharmacy data, assumption development and pharmacy trend reporting. Use programming knowledge to improve and streamline Medicare Part C and D bidding processes. Lead the Part D reconciliations with CMS. Develop and apply pharmacy acumen across UCar
Posted 11 days ago
This position is responsible to perform analysis of business goals, objectives and requirements of the business. Design solutions for improving productivity and efficiency of both internal and cross departmental processes. Provide recommendations for system and process enhancements and improvements that support business and functional requirements and integration with technical systems, applicatio
Posted 11 days ago
Under general supervision, responsible for accurately applying knowledge of UCare's business, products, members and operations to effectively fulfill member service requests and inquiries. Ensure adherence to all policies and procedures and meet/exceed service levels by following established guidelines and standards. Achieve fluency in at least one core product or service line Answer, resolve, tr
Posted 11 days ago
This position is responsible to conduct day to day medical management and lead ongoing improvement in collaboration with CMO. Provide support and consultation for utilization management (medical, pharmacy, behavioral health), appeals, medical policy (development and maintenance), and quality improvement (Medicare Stars, NCQA). Ensure that UCare members receive care that is safe, timely, effective,
Posted 11 days ago
This position is responsible to coordinate material projects from start to finish. Ensure production of materials follow UCare processes for quality standards, approvals, and distribution. Confirm production schedules align with regulatory and UCare timeframes. Provide routine reporting of project status. Consult with internal stakeholders for printing and mailing needs on an ongoing basis. Ensur
Posted 11 days ago
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