Negotiable
Undetermined
Remote
Remote
Summary: The role of Epic Tapestry Analyst involves designing, building, implementing, and optimizing Epic Tapestry workflows specifically for Managed Care, Utilization Management, and Referrals & Authorizations. The candidate will ensure compliance with payer and regulatory standards while collaborating with various stakeholders to enhance workflow efficiency. Strong expertise in Epic Tapestry and related processes is essential for success in this position. The role is remote, allowing for flexibility in work arrangements.
Key Responsibilities:
- Design, build, configure, and implement solutions within Epic Tapestry Managed Care.
- Configure and optimize Utilization Management (UM) workflows, including Service Authorizations, Referrals, UM Profiles, Auto Status Assignment Logic, Referral Triggers, Workqueues, and Letters.
- Translate complex business, operational, and clinical requirements into Epic system configurations.
- Collaborate with business owners, operational teams, and IT stakeholders to improve workflow efficiency and system functionality.
- Lead and execute unit testing, regression testing, and User Acceptance Testing (UAT) while troubleshooting and resolving build-related issues.
- Partner with operational teams to ensure Epic configurations align with payer guidelines, regulatory requirements, and organizational standards.
- Support workflow optimization, process improvements, and production issue resolution.
Key Skills:
- Epic Tapestry (Managed Care) – Advanced
- Epic Tapestry (Managed Care) – Intermediate
- Epic Testing – Advanced
- Strong experience with Utilization Management (UM), Referrals & Authorizations, Workqueues, and Service Authorization workflows
- Experience with system configuration, workflow analysis, testing, and production support.
Salary (Rate): £50 yearly
City: undetermined
Country: undetermined
Working Arrangements: remote
IR35 Status: undetermined
Seniority Level: undetermined
Industry: IT
Job Description
We are seeking an experienced Epic Tapestry Analyst with strong expertise in Managed Care, Utilization Management (UM), and Referrals & Authorizations. The ideal candidate will be responsible for designing, building, implementing, and optimizing Epic Tapestry workflows to support operational and clinical requirements while ensuring compliance with payer and regulatory standards.
Key Responsibilities
- Design, build, configure, and implement solutions within Epic Tapestry Managed Care.
- Configure and optimize Utilization Management (UM) workflows, including Service Authorizations, Referrals, UM Profiles, Auto Status Assignment Logic, Referral Triggers, Workqueues, and Letters.
- Translate complex business, operational, and clinical requirements into Epic system configurations.
- Collaborate with business owners, operational teams, and IT stakeholders to improve workflow efficiency and system functionality.
- Lead and execute unit testing, regression testing, and User Acceptance Testing (UAT) while troubleshooting and resolving build-related issues.
- Partner with operational teams to ensure Epic configurations align with payer guidelines, regulatory requirements, and organizational standards.
- Support workflow optimization, process improvements, and production issue resolution.
Mandatory Skills
- Epic Tapestry (Managed Care) – Advanced
- Epic Tapestry (Managed Care) – Intermediate
- Epic Testing – Advanced
- Strong experience with Utilization Management (UM), Referrals & Authorizations, Workqueues, and Service Authorization workflows
- Experience with system configuration, workflow analysis, testing, and production support.
Required Epic Certifications
- Epic Tapestry Claims or Enrollment & Eligibility
- Epic Referrals & Authorizations
- Epic Cadence
Preferred Skills
- Experience working with payer operations and managed care workflows.
- Strong analytical, troubleshooting, and problem-solving skills.
- Excellent communication and stakeholder collaboration experience.
- Experience supporting healthcare organizations in complex Epic implementation or optimization projects.