Application Analyst CareConnect, Tapestry

Ampcus Incorporated

Los Angeles, CA

JOB DETAILS
SALARY
$88.79–$93.79 Per Hour
SKILLS
Accounts Payable, Adjudication, Analysis Skills, Apache Tapestry, Billing, Business Administration, Business Services, Claims Processing, Communication Skills, Compensation and Benefits, Configuration Management, Consulting, Content Management Systems (CMS), Contract Analysis, Contract Management, Cross-Functional, Data Analysis, Data Visualization Tools, Database Report Tools, Epic Certification, Epic Tapestry, Fee Schedule, Health Plan, Healthcare, Leadership, Medicare, Microsoft Office, Operational Support, Operations, Patient Care Authorizations, Pricing, Problem Solving Skills, Provider Contracting, Regulations, Regulatory Requirements, Schedule Development, Systems Administration/Management, Systems Maintenance, Time Management
LOCATION
Los Angeles, CA
POSTED
18 days ago

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.

 

Job Title: Application Analyst – CareConnect, Tapestry

Location(s): Los Angeles, CA
(Remote)


Key Requirement:
Seeking candidates with strong benefits-related configuration experience within Tapestry/Epic environments.

Job Summary:
The Tapestry Application Analyst supports Medicare Advantage Operations by managing and maintaining Tapestry system configuration related to claims processing, provider contracts, fee schedules, pricing, authorizations, responsibility mapping, and regulatory business rules. This role works closely with configuration leadership, IS teams, operational departments, and external vendors to ensure compliant and accurate system functionality aligned with CMS and California regulatory requirements.

Primary Responsibilities:

  • Configure and maintain Tapestry claims processing functionality and business rules.
  • Support AP claim lifecycle configuration and provider contract setup.
  • Manage fee schedules, authorization requirements, pricing methodologies, and responsibility mapping.
  • Collaborate with Configuration Manager on daily configuration operations.
  • Ensure system configurations align with organizational policies, CMS requirements, and regulatory standards.
  • Partner with internal technical teams and external vendors for implementation and issue resolution.
  • Analyze benefit plan designs and adjudication workflows.
  • Participate in implementation of new programs, projects, and system enhancements.
  • Perform data analysis and present findings to operational and technical stakeholders.
  • Support cross-functional initiatives involving business and IT teams.

Required Qualifications:

  • Bachelor’s degree in Business Administration, Healthcare, or equivalent experience preferred.
  • Minimum 3 years of experience in:
    • Health Plan/IPA claims adjudication configuration.
    • Benefits configuration.
    • Provider contract configuration and analysis.
  • Epic certifications in at least 2 of the following:
    • Benefits Engine for Tapestry.
    • Tapestry Accounts Payable Administration.
    • Tapestry Claims and Contracts Administration.
    • Tapestry Eligibility and Enrollment Administration.
    • Tapestry Essential.
  • Strong knowledge of:
    • Medical claims adjudication.
    • Benefit plan design.
    • Contract pricing.
    • Medical policy and authorization workflows.
  • Experience implementing configuration changes for new programs/projects.
  • Proficiency with Microsoft Office Suite and data visualization/reporting tools.
  • Strong analytical, communication, organizational, and time management skills.
  • Ability to work independently and within cross-functional teams in fast-paced environments.

Preferred Qualifications:

  • Experience with coding and billing.
  • Experience working with both business and technical stakeholders across multiple levels of management.

Schedule:

  • Monday–Friday, 8:00 AM – 5:00 PM PST.


Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.

About the Company

A

Ampcus Incorporated

Ampcus Inc is a global technology and business consulting firm specializing in Digital Transforrmation, Big Data, Analytics, Cyber Security, Testing, IV&V, Infrastructure Management and Enterprise Solutions. Ampcus Inc is an SBA 8(a) certified Women and Minority Owned global Provider of broad range of consulting Services. From strategy to execution, our disciplined yet flexible approach starts and ends with our clients. By listening hard and working harder, their goals become our goals. We are an ISO 9000, ISO 20000, ISO 27000 and CMMi Level certified company.

Ampcus consultants have significant business, engineering and technology experience. Our consultants have over 20 years of business experience and an average of over 10 years of engineering and technology experience. This means that the project teams understand how systems work and how the technology impacts the business processes of organizations.

We believe that success of an engagement is determined by strong project management, clear communication and mutual commitment working collaboratively. Our methodology begins by listening to the customer needs, then working with their teams to gain a clear understanding of the requirements, while providing a knowledge transfer of best practices for the organization. As a recognized leader providing customized software services, management and engineering solutions to companies around the world, our ability to deliver is a "granted"​ that makes companies put their trust in us to answer their day-to-day business challenges and put them on a path for greater success. We are the choice for our clients because we look at our clients business from a growth perspective.

Industry: Information Technology and Services

Specialties: Digital Transformation, Big Data and Analytics, Infrastructure Management Services, Testing and IV&V, Cyber Security, Active Directory and E-mail Infrastructure, Project Management, Training, and ERP, CRM. EAI, BI

COMPANY SIZE
500 to 999 employees
INDUSTRY
Staffing/Employment Agencies
WEBSITE
http://www.ampcus.com