Epic Tapestry Utilization Management (UM) Analyst
About The Position
Chartis is seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to support implementation, optimization, and ongoing maintenance of Epic Tapestry UM functionality. The role requires experience with Epic Tapestry configuration, utilization management workflows, and managed care operations, and involves collaborating with clinical, operational, and technical teams to improve efficiency and support regulatory compliance. The analyst will build and maintain UM functionality, support authorization and review workflows, participate in implementations and upgrades, troubleshoot production issues, and develop specifications, tests, and documentation. Remote work is allowed. Chartis has offices in Boston, Chicago, New York, Washington, D.C., and Nashville.
Requirements
- Epic Tapestry Utilization Management certification is required.
- Hands-on experience with Epic Tapestry UM build, configuration, testing, and optimization.
- Strong understanding of managed care operations, prior authorization, referrals, and utilization review processes.
- Experience supporting Epic implementations, upgrades, and production environments.
- Ability to analyze complex workflows, troubleshoot technical issues, and recommend improvements.
- Strong communication skills and experience working with clinical, operational, and IT stakeholders.
Responsibilities
- Design, build, configure, test, and maintain Epic Tapestry Utilization Management functionality.
- Support UM workflows, including prior authorizations, referrals, inpatient admissions, concurrent reviews, and medical necessity determinations.
- Configure and optimize authorization workflows, review processes, workqueues, and decision-support functionality.
- Collaborate with clinical and operational stakeholders to identify workflow improvements and translate business requirements into Epic solutions.
- Support Epic Tapestry implementations, upgrades, enhancements, integrated testing, and go-live activities.
- Troubleshoot application issues, resolve defects, and provide ongoing production support.
- Work with cross-functional teams, including Tapestry Claims, Membership, Provider Management, and clinical applications, to ensure integrated workflows.
- Support regulatory and compliance requirements related to utilization management, including CMS and NCQA standards.
- Develop functional specifications, testing scenarios, and system documentation.
- Provide end-user support and knowledge transfer to operational teams.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
