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.   This position leads quality reviews for the KelseyCare Advantage Operations Department, including Appeals & Grievances, Enrollment, Premium Billing, Eligibility, Intake, and Regulatory Teams. It addresses system issues, troubleshoots problems, and collaborates with IT and management to resolve them. The role supports process improvements and ensures effective use of health plan information and CMS guidelines. Responsibilities include analyzing eligibility data, reviewing CMS transaction reports, loading weekly files, identifying errors, and optimizing workflows. The position monitors appeals and grievances for timeliness and accuracy, ensures documentation consistency, and trains new Appeals & Grievances Coordinators. It handles complex cases, including multiple complaints, missed grievances, and appeals submitted to CMS. The role aids in creating, analyzing, and submitting reports for CMS audits and compliance monitoring, identifying trends in appeals and grievances. It supports training development, coordinates system updates, and collaborates with the Operations Trainer on documentation. This position also presents cases during CMS audits and recommends process improvements. 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: - High School diploma or equivalent - 3+ years of experience with Healthcare Appeals and Grievances - 2+ years of Medicare Advantage experience - Knowledge of CMS Regulations including Appeals and Grievances, Enrollment, and Member Services. - Knowledge of CMS regulations - Knowledge and ability to Interpret/Apply CMS Coverage Rules regarding Appeals - Knowledge of Appeals and Grievances reporting and audit requirements - Demonstrated analytical skills including file format manipulation and data comparison Preferred Qualifications: - Epic Managed Care experience - Experience in Health Plan Operations in Healthcare Industry - Knowledge of CMS Audits - Proven ability to analyze and report on appeals and grievance trends and quality error rates 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 hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.

Do you enjoy digging for answers online? Do friends say you're the most organized person they know? Do you like the variety of back office work and talking to people? Turn those strengths into a career! Join us as a Property Analyst, where you’ll transform online research into polished reports for U.S. real estate clients - all from the comfort of your home! We are looking to hire for our next paid training class that starts on Tuesday, May 12th, 2026 with the schedule of 8:30am-5pm EST. What to expect with the interview process? If you meet the minimum requirements, including the location requirement, you will be invited to take a 10-minute assessment online that is a small sample of the type of work we do. This helps to give you a preview of the job, while also demonstrating if it is a good fit. If you pass the assessment, you will be invited to a 15-minute 1on1 phone screening with HR to explain the job in more detail. You will then have a 45-minute hiring manager interview via video call. Essential Department-Specific Functions - Summarize and compile reports using our proprietary software - Utilize our proprietary production environment for product fulfillment - Coordinate with our internal Client Experience team to ensure client needs are met - Search property management records - Make multiple phone calls and send emails with requested orders to ensure we meet our client’s deadlines - Examine documents for completeness, accuracy, or conformance to product standards - Use computers to enter, access, or retrieve data - Maintain detailed records, reports, and files - Use library or online Internet research techniques - Data entry - Write business correspondence - Understand Homeowners’ Associations and the Florida Estoppel Statute (training will be provided) - Utilize Adobe Acrobat to compile and edit reports - Maintain productivity and quality KPIs, as assigned based on training milestones - Other duties, as assigned When will you work? This is a full-time remote position, and typical hours of work and days are Monday through Friday, 8:30 a.m. to 5 p.m. Eastern Time. Occasional evening may be required as job duties demand. Applicable overtime laws will apply.

• Responsible for supporting the Epic Specialty application in various tasks ranging from troubleshooting, system enhancements/build, validation, testing, and training. • Performs ongoing maintenance and configuration updates to Epic Radiant and Specialty applications. • Under minimal supervision, responsible for Radiant and or Specialty application(s)/module(s) of Epic. • Provides Tier-II support to team and/or collaborate with counterparts from other applications to successfully meet the development and implementation objectives for assigned Epic applications. • Provides Tier-II support to end-users both remotely and in-person. Monitors, investigates, troubleshoots, and resolves incoming tickets. • Collaborates with all Epic team(s) and Operations for ongoing software maintenance and optimization. • Under minimal supervision, serves as Project Lead for key initiatives as assigned. • Develops, documents, and adheres to internal procedures; utilized in conjunction with related applications and systems. • Establishes, documents, and adheres to change-control procedures for the system. • Works with Clinicians to interpret and document current workflows and anticipating future workflows that are optimized for any planned application changes. • Under minimal supervision, creates test scripts and timelines for application and workflow changes. Performs testing of Clinical Information System configuration and processes.

• Execute IT General Controls and IT application control testing, producing high quality deliverables according to departmental and professional standards while ensuring walkthrough and testing are completed timely and within budget • Assist and support the Senior Manager in building the IT SOX testing program and develop positive cross-functional relationships with control owners • Identify control gaps and potential issues, discuss viable solutions with the business to address gaps, and obtain management action plans for remediation • Apply audit sampling and testing techniques in line with industry and departmental standards • Determine whether controls in scope for testing support key SOX objectives and expectations on risk mitigation • Utilize tools such as Excel and data analytics packages (e.g., SAS) to effectively and efficiently execute control test procedures • Communicate periodic updates and test results to internal and external stakeholders • Perform and document issue validation and close audit findings • Maintain internal audit competency through ongoing professional development including actively pursuing internal audit certifications • Perform other duties and/or special projects as assigned