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 the Vendor Payment Solutions Analyst, you will provide support to the Vendor Payment Solutions Product Owner Team for both CES and PPS products and will assist with the testing, documenting, and coordinating of routine updates and maintenance, break/fix issue resolution, inquiries, enhancements, and new implementations. You will also be responsible for the coordination, communication, and timely implementation of all routine and customized requests. You will develop and maintain tracking and process documentation, as well as being responsible for the maintenance of the team’s Point site.

• Assist in the development of test scenarios for changes and/or projects. Support the timely resolution of open testing bugs and issues.

• Assist with the support and testing of the Optum PPS Bi-weekly updates, the bi-weekly LCD/NCD updates, and the quarterly CES Knowledge Base updates.

• Assist with completing impact analysis with report requests, analyzing reports, and submitting claims reprocessing or adjustment requests as appropriate.

• Develop and maintain documentation, communicate changes as appropriate.

• Ensure that documentation is maintained for historical purposes for all edit changes including any input from other teams/departments affecting decisions.

• Analyze, test, and support department or portfolio projects as they relate to CES and PPS.

• Collaborate with Optum AMS Teams and participate in weekly calls to review ticket inventory, issue resolution, and overall support.

• Coordinate all CES/PPS file loads and updates with the AMS teams and internal stakeholders.

• Develop and maintain good working relationships with the staff of other teams and departments including but not limited to the Configuration and Claims Operations (CCO) Configuration Team, Healthcare Economics, Customer Services’ Provider Assistance Center, Provider Services, Coverage Policy and Government Relations.

• Research and respond to service requests in a prompt and timely manner.

• Coordinate key project activities. Drive project efforts and facilitate project-related meetings. Partner and communicate with upstream and downstream stakeholders to ensure seamless and predictable outcomes.

• Develop and maintain reports and dashboards that effectively communicate service level performance of both internal and delegated functions.

• Other projects and duties as assigned.

Education

Bachelor’s degree preferred; demonstrated experience may be considered in lieu of degree.

Required Experience

Five or more years’ experience in health care or managed care. Two or more years of in-depth experience with Optum PPS/CES applications.

Preferred Experience

Five or more years of experience as a Business Systems, Technical or Functional Analyst. Five years' experience with Optum PPS/CES applications. Business process documentation and process improvement expertise. Experience with service level reporting and dashboards.

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 .