Enrollment Specialist - Snbc

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.
Rewards
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.
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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.
ENROLLMENT SPECIALIST - SNBC
Work Location: Work from Home
Position Description
As an Enrollment Specialist - SNBC, you will be responsible for researching and configuring monthly SNBC enrollment reports and to provide enrollment support to the SNBC team. You meet this need through the use of data analytics, identifying member clinic affiliations, investigating MMIS entries and attaching information into GuidingCare (UCare's Care Management System). Collaborate with counties and care systems to ensure accuracy in assignment of cases and clinics; including coordinating and responding to clinic change requests for SNBC members.
• Configure enrollment report through complex data analytics. Search MMIS and MnCHOICES and attach most recent entries and documents in Guiding Care for each member.
• Collaborate with Connect Intake and/or Billing and Enrollment to ensure any enrollment discrepancies are resolved within the month of enrollment.
• Serve as the primary resource for enrollment and clinic questions for the SNBC Team.
• Assign Care Coordinators in GuidingCare and open programs to support the SNBC team.
• Ensure welcome letters and change in Care Coordinator letters are sent to members within 10 business days of enrollment.
• Support collaboration between MnCHOICES and GuidingCare by uploading and attaching documents and establishing member profiles.
• Support internal transfers between Unable to Reach/Refusal team and ongoing Care Coordination team monthly.
• Assist Care Navigators and Connect Intake team, as needed, to ensure business requirements are met.
• Other projects and duties as assigned.
Education
High school graduate or equivalent. Two-year degree in health related or insurance field with medical terminology course preferred.
Required Experience
Three years of experience in a community health organization. Intermediate experience with Excel. Customer service experience.
Preferred Experience
Experience working with state and federally funded programs. Experience working for a health maintenance organization (HMO) serving members with Medicare and/or Medicaid coverage. Experience in working with culturally diverse populations, underserved populations, or the frail elderly. Bilingual in Hmong, Spanish, Russian, Somali or Vietnamese.
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: 11/20/2023