Epic Tapestry UM Analyst

Remote • Posted 1 day ago • Updated 7 hours ago
Contract Corp To Corp
Contract W2
No Travel Required
Remote
$50 - $60/hr
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Epic
  • Utilization Management
  • Management
  • Apache Tapestry
  • Tapestry

Summary

Key Responsibilities

< data-start=888 data-end=926>Solution Design & Development
  • Configure and optimize Tapestry UM workflows for:
    • Prior authorizations (medical, behavioral health, and pharmacy-to-medical crossovers)
    • Referral management (in-network and out-of-network)
  • Build and maintain routing rules, workqueues, templates, smart texts, decision trees, and notification logic
  • Ensure alignment of UM workflows with:
    • Benefit plan configurations
    • Provider network structures
    • Care management processes
    • Claims adjudicatio
  • Active Epic Tapestry Utilization Management Certification
  • 3–5+ years of hands-on experience in Tapestry UM build and support, specifically in authorizations and referrals
  • Proven experience implementing and supporting Tapestry Care workflows
  • Strong expertise in:
    • UM routing rules
    • Workqueues
    • Decision support tools
    • Notifications and SLAs
  • Solid understanding of payer operations and UM regulations (CMS guidelines, state turnaround times, HIPAA, NCQA), including denial and appeal processes
  • Experience across the full testing lifecycle (Unit Testing, SIT, UAT), defect tracking, and release/hypercare support
  • Strong analytical skills with the ability to work with reporting tools such as SQL, Clarity, Caboodle, and SlicerDicer
  • Excellent communication skills with the ability to translate business requirements into technical solutions
  • Strong documentation and presentation capabilities
  •  
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91099677
  • Position Id: 8958041
  • Posted 1 day ago
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