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.
Provides overall consistency in the deliverables for the System Support team by overseeing the testing and training efforts for the team. Offers subject matter expertise in the Epic Tapestry and Epic Benefits Engine module to the team for improved and efficient build. Utilize analytical skills to provide quality control for Tapestry and Benefit build. May be responsible for maintenance, training and support as directed by management. Monitors system issues, uses analytical skills to troubleshoot issues including end user difficulties. Maintains process documents for the System Support team to ensure all processes are well documented. Provide Tapestry and Benefits support to other teams such as Resolute team for benefit issue resolution and Epic upgrade build/testing.
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:
- Testing coordination for the System Support team.
- Training for System Support staff.
- Oversee complex Tapestry and Benefit issues and offer the most efficient resolution.
- Provide quality control for Tapestry and Benefit build.
- Maintain process documents for System Support team.
- Provide Tapestry support to other internal teams such as Resolute for Benefit issue resolution
- Benefits build and support (including Benefit CRMs, plan build and testing)
- Eligibility Load tasks (Maintain/develop work queue including loading, batch error review, edits, etc.
- System Support projects and system upgrade related tasks
- Other duties as assigned
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 in business or other related field) or comparable Information Systems
- 3+ years of experience with healthcare applications, system design, configuration or support
- Application experience or KSC experience (will substitute experience year-for -year to meet education requirements)
- Demonstrated knowledge of claims processing, vendor contracting, and benefit plan building
- 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
- Microsoft office including Excel and MS Access
- Valid Texas Driver's License
Preferred Qualifications:
- Epic Tapestry Certification
- Epic Benefits Certification
- 3+ years of experience in a Managed Care environment
- Solid analytical and reporting skills
- Demonstrable knowledge of clinical data sets (CPT, HCPS, ICD-9)
- Excellent written and verbal skills. Ability to read and interpret industry documents
- Flexible, detail oriented, and able to work within tight deadlines
- Exhibit exceptional customer service to internal and external customers
*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 $72,800 to $130,000 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Skills Required
- Four-year degree in business, information systems, or a related field, or comparable experience
- 3+ years of experience with healthcare applications, system design, configuration, or support
- Application experience or Kelsey-Seybold Clinic experience may substitute year-for-year for education requirements
- Knowledge of claims processing, vendor contracting, and benefit plan building
- Ability to translate administrative and operating requirements into Epic Tapestry and Benefits Engine configurations
- Ability to test, train, and audit provider, vendor contract, and benefit system configurations
- Microsoft Office proficiency, including Excel and Microsoft Access
- Valid Texas driver's license
- Epic Tapestry Certification
- Epic Benefits Certification
- 3+ years of experience in a managed care environment
- Analytical and reporting skills
- Knowledge of clinical data sets, including CPT, HCPCS, and ICD-9
- Excellent written and verbal communication skills
- Ability to read and interpret industry documents
- Flexibility, attention to detail, and ability to meet tight deadlines
- Exceptional customer service skills
What We Do
Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.