Epic Tapestry Analyst

ClinDCast • Albany, AL

9d

About The Position

The Epic Tapestry Analyst is responsible for the build, configuration, implementation, and support of the Epic Tapestry (Managed Care/Payer) module. This role partners with payer operations, revenue cycle, contracting, and IT teams to ensure accurate benefits, authorizations, claims adjudication, and payer workflows. The healthcare Industry is on the brink of a paradigm shift where patients are increasingly being viewed as empowered consumers, utilizing digital technologies to better understand and manage their own health. As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.

Requirements

• Epic Tapestry certification or proficiency (required or strongly preferred).
• 3+ years of experience working with Epic Tapestry or payer systems.
• Strong knowledge of payer operations, benefits, claims processing, and authorizations .
• Experience with Medicare, Medicaid, and commercial insurance plans.
• Understanding of reimbursement methodologies and provider payment models.
• Strong analytical, troubleshooting, and communication skills.

Nice To Haves

• Experience with Epic Resolute HB/PB integrations .
• Knowledge of reporting tools such as Clarity, Caboodle, or Reporting Workbench .
• Previous Epic implementation or payer-system optimization experience.
• Healthcare payer or managed care organization background.

Responsibilities

• Configure and maintain Epic Tapestry (Payer/Managed Care) application components.
• Build and support benefit plans, products, packages, coverage rules, and authorizations .
• Configure claims adjudication logic , reimbursement rules, and payment policies.
• Support payer contracts, fee schedules, and coordination of benefits (COB).
• Analyze payer requirements and translate them into Epic system build and workflows.
• Perform unit, integrated, and user acceptance testing (UAT); resolve defects.
• Collaborate with Revenue Cycle, Enrollment, Claims, and Provider Contracting teams.
• Support integrations with Epic HB, PB, Clearinghouses, and external payer systems.
• Monitor adjudication errors, work queues, and reports; recommend system improvements.
• Provide go-live, post–go-live, and production support.
• Create and maintain build, workflow, test scripts, and training documentation.
• Ensure compliance with CMS, Medicaid, Medicare, and HIPAA regulations.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees