Epic Tapestry Analyst

ClinDCast LLC

  • Albany, AL
  • 30+ days ago
  • Full-time
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Skills

  • Acceptance Testingunmatched
  • Adjudicationunmatched
  • American National Standards Institute (ANSI)unmatched
  • Analysis Skillsunmatched
  • Apache Tapestryunmatched
  • Business Analysisunmatched
  • Centers for Medicare and Medicaid Services (CMS)unmatched
  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Compensation and Benefitsunmatched
  • Consultingunmatched
  • Contract Managementunmatched
  • Customer Relationship Management (CRM)unmatched
  • Documentationunmatched
  • Electronic Data Interchange (EDI)unmatched
  • Epic Caboodleunmatched
  • Epic Certificationunmatched
  • Epic Clarityunmatched
  • Epic Reporting Workbenchunmatched
  • Epic Systemsunmatched
  • Epic Tapestryunmatched
  • Fee Scheduleunmatched
  • Financeunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • HL7 (Health Level 7)unmatched
  • Health Informaticsunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Identify Issuesunmatched
  • Maintain Complianceunmatched
  • Managed Careunmatched
  • Medicaidunmatched
  • Medicareunmatched
  • Operations Managementunmatched
  • Problem Solving Skillsunmatched
  • Product Planningunmatched
  • Production Supportunmatched
  • Provider Contractingunmatched
  • Provider Relationsunmatched
  • Regulationsunmatched
  • Reimbursementunmatched
  • Requirements Managementunmatched
  • SQL (Structured Query Language)unmatched
  • System Testunmatched
  • Systems Administration/Managementunmatched
  • Systems Maintenanceunmatched
  • Testingunmatched
  • Unit Testunmatched
  • Utilization Managementunmatched
  • Validation Testingunmatched
  • Workflow Analysisunmatched

Description

The Epic Tapestry Analyst is responsible for the design, configuration, implementation, optimization, testing, and ongoing support of the Epic Tapestry (Managed Care/Payer) application. This role partners with payer operations, claims, enrollment, revenue cycle, contracting, and IT teams to ensure efficient management of health plan operations, benefits, eligibility, authorizations, claims adjudication, and reimbursement workflows. 


Key Responsibilities


  •  Configure, build, maintain, and optimize Epic Tapestry application components. 
  •  Support benefit plans, products, packages, coverage rules, eligibility, and enrollment workflows. 
  •  Configure claims adjudication logic, reimbursement methodologies, fee schedules, and payment policies. 
  •  Build and maintain authorizations, referrals, and utilization management workflows. 
  •  Support payer contracts, coordination of benefits (COB), and provider reimbursement processes. 
  •  Gather and analyze business requirements and translate them into Epic system solutions. 
  •  Perform system configuration, testing, validation, and deployment activities. 
  •  Execute unit testing, integrated testing, and User Acceptance Testing (UAT). 
  •  Troubleshoot application issues and provide production support. 
  •  Collaborate with Revenue Cycle, Claims, Enrollment, Contracting, Finance, and Provider Relations teams. 
  •  Support interfaces and integrations with Epic applications and external payer systems. 
  •  Develop and maintain system documentation, workflows, build specifications, and training materials. 
  •  Participate in implementation, optimization, upgrade, and go-live activities. 
  •  Ensure compliance with HIPAA, CMS, Medicare, Medicaid, and healthcare payer regulations. 
Required Qualifications


  •  Epic Tapestry Certification required (Claims, Membership, Enrollment & Eligibility, CRM, Utilization Management, or related Tapestry certification preferred). 
  •  3+ years of Epic Tapestry build and support experience. 
  •  Strong understanding of payer operations, managed care, claims processing, and health plan workflows. 
  •  Experience with benefits configuration, eligibility, enrollment, authorizations, and claims adjudication. 
  •  Knowledge of healthcare regulations and payer requirements. 
  •  Excellent analytical, troubleshooting, and problem-solving skills. 
  •  Strong communication and stakeholder management abilities. 
  •  Experience supporting Epic implementations, upgrades, and optimization projects. 
Preferred Qualifications


  •  Experience with Medicare, Medicaid, and Commercial Health Plans. 
  •  Knowledge of EDI, ANSI transactions, HL7 integrations, and payer interfaces. 
  •  Experience with Epic Clarity, Caboodle, Reporting Workbench, or SQL reporting. 
  •  Familiarity with Revenue Cycle, Claims, Enrollment, and Contracting operations. 
  •  Prior consulting or multi-site healthcare implementation experience. 
Technical Skills


  •  Epic Tapestry Configuration & Build 
  •  Claims Adjudication 
  •  Enrollment & Eligibility 
  •  Benefits Administration 
  •  Utilization Management (UM) 
  •  Referrals & Authorizations 
  •  Provider Contracting 
  •  EDI / ANSI Transactions 
  •  Reporting & Analytics 
  •  Workflow Analysis & Optimization 
  •  Testing & Validation 
  •  Production Support 
Preferred Certifications


  •  Epic Tapestry Certification 
  •  Epic Tapestry Claims Administration 
  •  Epic Tapestry Membership 
  •  Epic Tapestry Enrollment & Eligibility 
  •  Epic Tapestry Utilization Managemen

Numbers & Facts

LocationAlbany, AL
Job TypeFull-time

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