Overview
Skills
Job Details
Job Title: Epic Tapestry Analyst
Job Summary:
The Epic Tapestry Analyst supports the design, build, implementation, optimization, and maintenance of the Epic Tapestry (Managed Care/Payer) module. This role works closely with payer operations, revenue cycle, and IT teams to ensure accurate benefits configuration, claims adjudication, authorizations, and reimbursement workflows.
Key Responsibilities:
Build, configure, and maintain Epic Tapestry (Payer/Managed Care) application components.
Configure benefit plans, products, packages, coverages, and eligibility rules.
Support claims adjudication, reimbursement logic, fee schedules, and payment policies.
Build and manage authorizations, referrals, and coordination of benefits (COB) workflows.
Collaborate with Revenue Cycle, Enrollment, Claims, Contracting, and Finance teams.
Analyze business requirements and translate them into Epic system configuration.
Perform unit testing, integrated testing, and UAT; troubleshoot and resolve defects.
Support interfaces and integrations with Epic HB, PB, Clearinghouses, and external payer systems.
Monitor work queues and reports; recommend system and workflow improvements.
Provide go-live, post–go-live, and ongoing production support.
Maintain build documentation, workflows, test scripts, and training materials.
Ensure compliance with CMS, Medicare, Medicaid, HIPAA, and payer regulations.
Required Skills & Qualifications:
Epic Tapestry certification or proficiency (required or strongly preferred).
3+ years of experience supporting Epic Tapestry or payer systems.
Strong understanding of managed care, payer operations, and claims processing.
Experience with Medicare, Medicaid, and commercial insurance plans.
Knowledge of reimbursement methodologies and payer contracts.
Excellent analytical, communication, and problem-solving skills.
Preferred Qualifications:
Knowledge of Clarity, Caboodle, or Reporting Workbench.
Prior Epic implementation or optimization project experience.
Healthcare payer or managed care organization background.