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Global Talent Acquisition - Senior Sourcing Leader and Strategist for Consultants & IT with Optum at UnitedHealth Group / 31k+
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
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