EPIC Tapestry Systems Quality Analyst - Remote

UnitedHealth Group•Eden Prairie, MN

1d•$72,800 - $130,000•Remote

About The Position

This role sits at the intersection of healthcare operations and technology. The Epic Information Systems Quality Analyst interprets payer and provider contract requirements, translates those requirements into Epic system configuration and business rules, and validates that builds process accurately. The role supports risk operations across eligibility, claims, benefits, contracts, provider setup, accounts payable, and payments, with a solid emphasis on quality, documentation, compliance, and successful implementation. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

Current or Epic certification in at least one Epic application or module. The certification may be active or inactive and does not need to be in Epic Tapestry
3+ years of experience supporting Epic applications through configuration, build, systems analysis, testing, quality assurance, issue resolution, implementation, upgrades, or production support
3+ years of experience in healthcare payer operations, managed care, health plan operations, claims, eligibility, benefits, contract administration, provider reimbursement, or a closely related healthcare business environment
Experience interpreting complex healthcare business requirements, payer contracts, provider contracts, reimbursement terms, or business rules and translating them into system configuration, workflows, or technical requirements
Experience reviewing, validating, testing, auditing, or quality-checking system configuration, application builds, business rules, or operational processes
Intermediate to advanced Microsoft Excel skills for analysis, reporting, tracking, reconciliation, or requirements validation
Demonstrated ability and willingness to obtain or reactivate role-specific Epic certifications after hire, based on business needs and training availability. The hiring team anticipates completion within approximately one year
Demonstrated solid analytical skills and attention to detail, including the ability to break complex information into logical components and evaluate whether system outcomes align with requirements
Ability to travel up to 10%25, primarily as needed for Epic training or certification

Nice To Haves

Epic Tapestry experience or certification
Epic certification or hands-on experience in Contracts, Eligibility, Benefits, Claims, or related payer workflows
Experience with healthcare payer configuration, claims adjudication, contract implementation, provider reimbursement, or payment operations
Experience performing root cause analysis and resolving complex application or operational issues.
Experience supporting system upgrades, new functionality, implementations, testing cycles, or go-live activities
Experience coordinating retroactive claims correction or reprocessing
Experience creating build documentation, quality audit records, test scenarios, or implementation documentation
SQL experience or experience using comparable data-analysis and reporting tools
Demonstrated ability to communicate effectively with technical and nontechnical stakeholders and to explain detailed business and system information clearly

Responsibilities

Review payer and provider contracts, reimbursement terms, and healthcare business requirements; break complex content into detailed system and operational requirements
Configure and maintain Epic application builds and business rules supporting claims, eligibility, benefits, contracts, provider setup, payments, and related payer operations
Perform quality assurance reviews of application builds to verify that configuration is accurate and transactions are processing as intended
Identify build or processing issues, coordinate corrective action and retroactive claims reprocessing when needed, and support process improvements that reduce recurrence
Support new features, upgrades, new health plans, new payers, benefit plans, and member implementations from requirements through go-live readiness
Develop and maintain build documentation, test evidence, quality audit materials, process documentation, and implementation records
Partner with business operations, IT, project teams, health plans, vendors, clients, and other internal stakeholders to support successful delivery
Help ensure solutions align with applicable regulatory, health plan, client, and operational requirements
Use Microsoft Excel for reporting, tracking, contract analysis, validation, and organization of detailed requirements