ABOUT UCARE

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.

Position Description

As a Federal Government Relations Specialist, you will be responsible to work on projects related to regulatory requests including compliance concerns, legislation and regulatory guidance, Requests for Information (RFI), routine and ad hoc reporting, and other inquiries. You will serve as a liaison between regulators and impacted internal departments. You will coordinate your work with the Federal Government Relations Manager. Under manager’s direction, submit new and expansion Medicare Advantage applications.

• Coordinate with CMS for Medicare managed care and Medicare Supplement, communications, policy and operational issues. Work with CMS on policy and interpretation of regulatory requirements. Monitor and/or perform Part C and Part D activities, including coordinating with multiple departments related to annual required reporting and responding to CMS requests for information.

• Monitor, interpret, prioritize, distribute and clarify Medicare managed care and Medicare Supplement regulatory/sub-regulatory and informational guidance, including information from CMS, CMS’s Health Plan Management System (HPMS), the Federal Register and trade associations. Proactively identify impact on Medicare products and Medicare Supplement (Medigap) products. Educate departments about Parts C/D and Medicare Supplement regulatory/sub-regulatory requirements and contractual obligations. With key departments, coordinate applicable response or operational implementation; clarify information if needed.

• Provide support in defining high priority and/or complex regulatory concerns and compliance issues, contract and legislative changes, and other ad hoc regulatory concerns through resolution. Work with Corporate Compliance to identify, and report to regulators, plan performance issues/concerns.

• Participate in information gathering for new and expansion Medicare applications, including internal planning, timeline activities, and necessary regulatory requirements. Oversee and manage Medicare applications, including submission to CMS.

• Provide policy analysis of proposed/final rules and other potential regulatory/legislative changes. Work with the manager to facilitate meetings to gather UCare’s policy positions and inform trade associations.

• Participate in trade association meetings. Take and distribute notes internally. Work with business areas to gather comments.

• Serve as subject matter expert and super user for UCare’s C360 tool to store, manage and track regulatory guidance and incidents. Develop workflows. Create assessments. Distribute guidance. Run reports and manage workload. Train users and serve as resource for internal departments on the tool. Provide feedback and suggestions to designated C360 administrators on system functionality based on internal usage.

• Other projects and duties as assigned.

Education

Bachelor’s degree preferred; demonstrated experience in the health care industry may be considered in lieu of degree.

Required Experience

Three years in health care compliance, health insurance and/or managed care. Medicare Part C or D program administration experience. Experience reviewing, interpreting and communicating regulatory guidance.

Preferred Experience

Knowledge and/or experience with Special Needs Plans (SNPs) and Institutional or Institutionally Equivalent SNPs. Experience with Medicare Supplement products. Project management experience.

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 .