Business Systems Analyst II - EPIC Tapestry

Business Systems Analyst II with hands-on Epic Tapestry AP Claims experience, particularly claims rule configuration or build experience. The person will support the full ticket lifecycle, including requirements gathering, BRDs, design, build, unit testing, UAT, and production implementation. The team is collaborative, organized, and fast-paced, with frequent reprioritization based on regulatory, financial, or operational needs. The role is primarily remote but labeled hybrid, and Houston-area candidates are preferred because occasional onsite and after-hours support may be required.

Founded in 1996, Texas Children's Health Plan is the nation''s first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children''s Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children''s Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children''s without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Required:

• H.S. Diploma or GED
• 7 years'' experience in healthcare operations and/or information systems implementation
• Bachelor's degree will substitute four (4) years of work experience.
• Master's degree will substitute for two (2) years of work experience.
• Receive and review tickets submitted by health plan customers.
• Meet with stakeholders to understand the business request.
• Gather and document business requirements.
• Create Business Requirements Documents.
• Obtain customer approval of requirements.
• Design and build system changes.
• Configure claims rules or related Epic functionality.
• Conduct unit testing.
• Coordinate user acceptance testing with the customer.
• Move approved changes into production.
• Support regulatory, claims, payment operations, and finance-related requests.
• Assist with application support, projects, recurring processes, and operational issues.

Knowledge and Skills:

• Epic Tapestry experience

• AP Claims module experience

• Claims rule-building or configuration experience

• Health plan claims knowledge

• Business requirements, testing, and production implementation experience

• Receive and review tickets submitted by health plan customers.

• Meet with stakeholders to understand the business request.

• Gather and document business requirements.

• Create Business Requirements Documents.

• Obtain customer approval of requirements.

• Design and build system changes.

• Configure claims rules or related Epic functionality.

• Conduct unit testing.

• Coordinate user acceptance testing with the customer.

• Move approved changes into production.

• Support regulatory, claims, payment operations, and finance-related requests.

• Assist with application support, projects, recurring processes, and operational issues.

Knowledge and Skills:

• Epic Tapestry experience
• AP Claims module experience
• Claims rule-building or configuration experience
• Health plan claims knowledge
• Business requirements, testing, and production implementation experience