Health Improvement Specialist - Spanish Or Somali Speaking

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.
HEALTH IMPROVEMENT SPECIALIST - SPANISH OR SOMALI SPEAKING
Work Location: Office for Your Day
Position Description
As a Health Improvement Specialist - Quality, you will be responsible to provide culturally congruent member outreach to identified members to improve and support members and programs including regulatory reporting, population health strategy, access to benefits, HEDIS rates, DHS withhold measures, NCQA Accreditation and Star measures for all products. This position will also support efforts to provide health education to members and assist with setting up medical appointments, transportation, interpreter services, and related services in effort to close gaps in care and increase access to benefits and resources. Provide general education to members about preventive health plan benefits available to them and support efforts to meet NCQA, CMS and DHS guidelines.
• Provide culturally congruent outbound telephonic engagement calls and provide health education to members who meet criteria for population health programs, HEDIS, DHS withhold measures, and Star measures.
• Document call outcomes in UCare's case management system, schedule medical appointments and necessary services, including support services for members in obtaining preventive care and services, taking into account the member's unique needs, and working to facilitate culturally congruent services whenever possible.
• Connect members to community resources congruent with their needs identified in the population health strategy or when conducting telephonic outreach. Collaborate with members and/or family members, primary care physicians, clinic staff, providers and other relevant agencies to assure appropriateness of services that meet member needs and ensure desired outcomes.
• Enter members who wish to opt-out of further calls/mailings, etc. into the 'Opt-Out' list.
• Engage in development and implementation of member facing interventions (e.g. member materials - mailings, emails IVR calls/scripts, newsletter articles, etc.).
• Utilize UCare systems to send member mailings regarding rewards, supplemental benefits, and/or appointment reminders in the mail.
• Provide feedback on best practices regarding written and verbal engagement with members to leadership to help support member experience and interventions.
• Complete productivity tracking document as directed.
• Collaborate with teams to document, schedule and identify project timelines, milestones, resource allocation and problem-solving strategies.
• Collaborate to develop and implement strategies to improve population health goals, HEDIS rates, DHS withhold measures, NCQA Accreditation Ratings, and CMS Star ratings.
• Maintain good working relationships and open communication with internal and external customers and stakeholders.
• Other projects and duties as assigned.
Education
Bachelor's Degree, Community Health Worker Certification, AA degree or two years' experience in human services, public health, community outreach, or community health-base setting.
Required Experience
Two years of experience in a health or medical care setting such as a public health department, physician group practice, health plan, hospital, or community clinic. Proficient PC skills and Microsoft Office (with emphasis on Excel spreadsheets).
Preferred Experience
Bilingual in Spanish, Hmong, Somali, or Karen. Knowledge of and experience in telephonic outreach coordination. Excellent computer word processing and database experience. Experience working with diverse populations. Experience building relationship with tribal nations and/or other community-based organizations.
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: 11/30/2023