Epic Payer Platform Integration Specialist

  • Posted 23 hours ago | Updated 17 hours ago

Overview

Accepts corp to corp applications
Contract - Independent
Contract - W2

Skills

API
Epic Payer Platform Integration
clinical data exchange
health data exchange

Job Details

Hi,

Role: Epic Payer Platform Integration Specialist

Location: Remote

Contract: Longterm

Job Description:
The Epic Payer Platform Integration Specialist will be responsible for implementing, configuring, and maintaining Epic's Payer Platform modules to support our payer workflows. This role requires a deep understanding of healthcare interoperability, Epic systems, and payer domain knowledge.

Key Responsibilities:
Implementation and Configuration: Implement and configure Epic Payer Platform modules to meet the organization's specific requirements.
Collaboration: Work closely with stakeholders to gather requirements, design solutions, and implement enhancements to the Payer Platform.
Support and Troubleshooting: Provide support and troubleshooting for Payer Platform issues, working closely with end-users and IT support teams to resolve issues in a timely manner.
Training and Knowledge Sharing: Participate in training sessions and knowledge sharing activities to support end-users and promote adoption of Payer Platform best practices.
Health Data Exchange: Design, configure, and maintain interfaces/health data exchange solutions to meet business requirements, including the creation of templates, workflows, and rules.
Compliance and Regulatory Requirements: Ensure compliance with healthcare payer domain workflows, including prior authorizations, claims, and clinical data exchange.

Qualifications:
Education: Bachelor's degree in Computer Science, Information Technology, or a related field. Master's degree preferred.
Experience: Minimum of 5 years of experience in healthcare IT, with specific expertise in implementing and configuring Epic Payer Platform solutions.

Technical Skills:
Knowledge of health data exchange standards (such as HL7, FHIR, CDA, API, EDI, etc.) and clinical data terminologies (such as SNOMED, CPT, LOINC, etc.).
Experience with integration platforms and API gateways.
Implementation knowledge and experience in Epic Payer Platform (Clinical data exchange, member insights, electronic authorizations, ADTs, PAF an claims exchange).
Implementing, configuring, and maintaining Epic's Payer Platform modules to support our Payor workflows.
Configure and customize Epic Payer Platform modules to meet the organization's specific requirements.
Experience in designing, configuring, and maintaining interfaces/health data exchange solutions to meet business requirements, including the creation of templates, workflows, and rules.
Soft Skills: Strong analytical, problem-solving, and communication skills. Ability to work collaboratively in a team environment.

Preferred Qualifications:
Certifications: Epic certification in Payer Platform.
Domain Knowledge: In-depth understanding of healthcare payer workflows and regulatory requirements.

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