Description

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Oversee the daily responsibilities of the Epic Tapestry system for the health plan and managed care
• Knowledgeable in all areas of the Epic Tapestry system, including the benefits engine, enrollment/eligibility, tapestry link, triplets, AP claims, and vendor contracts
• This position will work and supervise a technical team and is accountable for effectively delivering accurate systems configurations that meet the health plan and clinic requirements
• This person will actively prepare the system for the annual enrollment periods from an Epic Tapestry perspective

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Four-year degree (BA, BS) or comparable or four years of equivalent work experience in healthcare
• Epic Tapestry AP Claims Certification
• Epic Benefits Engine for Tapestry (Internal/Claims) Certification
• 4+ years of experience with healthcare applications, system design, configuration, training, or support, which includes: 2+ years of supervisory/management experience and/or related leadership role AND 2+ years of experience in an analyst role supporting Epic Tapestry
• Proven excellent verbal and written communication skills
• Ability to effectively communicate with senior management
• Proven solid ability to translate administrative and operating requirements specific to EPIC Tapestry System and EPIC Benefits Engine into clear, specific actionable system configurations and the ability to implement those configurations
• Ability to test, train and audit Provider, Vendor Contract, and Benefit system configurations to assure functional accuracy
• Demonstrated solid understanding of application integration and interfaces
• Demonstrated solid understanding of application upgrades or system patching
• Microsoft Office Suite experience
• Ability to delegate tasks and manage projects
• Demonstrated competent working knowledge of Capitated benefit plans and contracts
• Demonstrated knowledge of claims processing, vendor contracting, and benefit plan building
• Ability to utilize reports to make data-driven decisions and monitor staff performance
• Proficient in conflict resolution, group interaction, and team building
• Ability to read and interpret industry documents
• Ability to be flexible, detail-oriented, and able to work within tight deadlines
• Ability to exhibit exceptional customer service to internal and external customers
• Ability to train other staff on Tapestry and Benefit issues
• Proficient in conflict resolution, group interaction, and team building
• Proven excellent understanding of healthcare business and software and the ability to explain technical concepts to non-technical professionals

Preferred Qualifications:

• Epic Tapestry Enrollment and Eligibility certification
• Epic Tapestry Accounts Payable certification
• Badges - Benefits Engine for Patient Access
• Badges - Benefits Engine for Resolute
• 6+ years of experience in a Managed Care environment
• Epic Tapestry Contracts Administration experience
• Epic Referrals and Authorizations experience
• Premium Billing Administration experience
• Demonstrated excellent demonstrated planning, execution, communication, relationship and project management skills
• Demonstrated customer service orientation and ability to work as a member of a multi-disciplinary team
• Demonstrated positive "can do" attitude and a professional demeanor

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.


Requisition #: 2322023

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Requirements