Epic Analyst (Medical Management Systems)

Role Overview

We are looking for an experienced Epic Analyst to support medical management and payer-focused workflows across multiple operational areas, including utilization management, care coordination, authorizations, provider data management, and referral processes. This role plays a vital part in maintaining core platforms, enhancing capabilities, and ensuring that healthcare data exchange and system integrity remain reliable and compliant.

The ideal candidate is someone who understands health plan operations, clinical interoperability, and Epic s payer-facing modules, and who can serve as a technical resource for application design, configuration, and support.

Primary Responsibilities

Epic Configuration & Enhancement

• Configure, maintain, and optimize Epic payer modules to support medical management workflows.

• Translate business needs into system design and configuration updates.

• Participate in enhancements, upgrades, and new feature rollouts.

Workflow & Data Analysis

• Perform detailed assessments of workflows, data structures, reporting needs, and system dependencies.

• Identify gaps, document findings, and recommend solutions to improve efficiency and accuracy.

Stakeholder Engagement

• Work closely with operations, clinical teams, IT groups, and external partners to collect requirements and align system changes with organizational goals.

• Act as a trusted subject-matter expert for payer-related Epic functionality.

Issue Resolution & Support

• Provide day-to-day support, troubleshooting, and root-cause analysis for application-related problems.

• Collaborate with end users to resolve issues quickly while maintaining service-level expectations.

Documentation & Best Practices

• Prepare system documentation, design specs, job aids, and technical reference materials.

• Support training teams by offering input on user education resources.

• Encourage adoption of standards and best practices across teams.

Interoperability & Compliance

• Configure and maintain interfaces and data-exchange workflows in accordance with interoperability standards.

• Ensure all solutions comply with HIPAA, security, and regulatory requirements relevant to health data.

Minimum Requirements

• Bachelor s degree or equivalent professional experience

• Epic certification(s) relevant to role responsibilities

• 3+ years of experience in health IT, Epic applications, payer workflows, or related domains

• Strong understanding of healthcare data exchange, HIPAA, and security protocols

• Ability to troubleshoot complex issues and document solutions clearly

• Proficiency with Microsoft Office tools

• Strong communication skills and ability to work with cross-functional teams

Preferred Qualifications

• Experience in a health plan, large health system, or academic medical environment

• Certification in Epic Tapestry, Epic Payer Platform, Cheers, Healthy Planet, or MyChart

• Hands-on experience supporting interoperability workflows or integration engines