Epic Tapestry Contracts Administration
About The Position
The Epic Tapestry Contracts Administration Analyst is responsible for the design, configuration, implementation, optimization, and ongoing support of Epic Tapestry Contracts Administration. This role partners with provider contracting, claims, finance, reimbursement, revenue cycle, and health plan operations to configure provider contracts, reimbursement methodologies, fee schedules, and pricing logic that ensure accurate claims adjudication and provider payments. The analyst serves as the subject matter expert for contract administration workflows and supports the full system development lifecycle from requirements gathering through production support.
Requirements
- Design, configuration, implementation, optimization, and ongoing support of Epic Tapestry Contracts Administration.
- Subject matter expert for contract administration workflows.
- Support the full system development lifecycle from requirements gathering through production support.
- Translate complex provider agreements into Epic system configuration.
- Configure reimbursement methodologies including fee-for-service, DRG, APC, per diem, capitation, case rates, percentage-of-charge, and custom payment models.
- Support contract modeling, pricing validation, and reimbursement testing.
- Perform unit, integrated, regression, and user acceptance testing (UAT).
- Validate claims adjudication and payment accuracy.
- Troubleshoot contract configuration issues.
- Support contract renewals, regulatory updates, and annual reimbursement changes.
- Develop system documentation, build specifications, testing scripts, and operational procedures.
- Participate in upgrades, optimizations, and Epic version releases.
- Provide production support, issue resolution, root cause analysis, and change management.
- Collaborate with Epic application teams supporting Claims, Benefits, Eligibility, Utilization Management, Provider Data, Interfaces, and Reporting.
Responsibilities
- Configure and maintain Epic Tapestry Contracts Administration functionality, including provider contracts, reimbursement methodologies, fee schedules, payment policies, and pricing models.
- Design and build contract terms for commercial, Medicare, Medicaid, and value-based reimbursement models.
- Translate complex provider agreements into Epic system configuration while ensuring contractual accuracy.
- Partner with Provider Contracting, Claims Operations, Finance, Revenue Cycle, and Business Operations to gather requirements and design scalable solutions.
- Configure reimbursement methodologies including fee-for-service, DRG, APC, per diem, capitation, case rates, percentage-of-charge, and custom payment models.
- Support contract modeling, pricing validation, and reimbursement testing for new contracts and contract amendments.
- Perform unit, integrated, regression, and user acceptance testing (UAT).
- Validate claims adjudication and payment accuracy prior to production deployment.
- Troubleshoot contract configuration issues impacting provider reimbursement or claims processing.
- Support contract renewals, regulatory updates, and annual reimbursement changes.
- Develop system documentation, build specifications, testing scripts, and operational procedures.
- Participate in upgrades, optimizations, and Epic version releases.
- Provide production support, issue resolution, root cause analysis, and change management.
- Collaborate with Epic application teams supporting Claims, Benefits, Eligibility, Utilization Management, Provider Data, Interfaces, and Reporting to ensure end-to-end workflow integration.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
