Healthcare Tech Senior Associate Payer Services Epic Tapestry Configuration

Huron • Chicago, IL

4d • $134,550 - $168,480 • Remote

About The Position

Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation, and navigate constant change. Through a combination of strategy, expertise, and creativity, we help clients accelerate operational, digital, and cultural transformation, enabling the change they need to own their future.

Join Huron’s HDTx Payer Services team and help health plans, provider-sponsored plans, payviders, and healthcare organizations improve how they configure, optimize, and operate Epic Tapestry. As an Epic Tapestry Configuration Senior Associate, you will support hands-on build, configuration, testing, troubleshooting, and implementation efforts across key payer and managed care workflows, including claims, contracts, benefits, eligibility and enrollment, utilization management, authorizations, provider data, premium billing, accounts payable, CRM, and related integrations.

This role is ideal for a detail-oriented Epic Tapestry professional who enjoys translating business requirements and contract language into accurate system configuration, partnering with operations and IT teams, validating build quality through testing, and supporting successful client outcomes in a consulting environment.

Requirements

• 5+ years of Epic Tapestry configuration experience.
• Current Epic Tapestry certification in one or more relevant areas, such as AP Claims, Claims Administration, Contracts Administration, Benefits Engine, Membership/Enrollment and Eligibility, Utilization Management, CRM, Accounts Payable, Premium Billing, or related Tapestry modules.
• 3+ years of hands-on Epic Tapestry build, testing, implementation, production support, or optimization experience.
• Experience with legacy payer platforms or migrations, such as Facets, QNXT, AMISYS, HealthRules, EZ-CAP, IKA, or other core administration platforms.
• Experience configuring one or more core Tapestry areas such as claims, contracts, provider data, benefits, eligibility/enrollment, authorizations, referrals, utilization management, premium billing, or CRM.
• Strong understanding of managed care, health plan, payer, payvider, or provider-sponsored plan operations, including claims processing, benefits, eligibility, authorizations, provider networks, and contract reimbursement concepts.
• Experience with EDI and payer transaction workflows such as 834, 835, 837, 278, 275, 997, ANSI X12, enrollment files, remittance files, or claims integrations.
• Experience translating business requirements, payer rules, contract terms, fee schedules, CPT/HCPCS/ICD coding logic, Medicare/Medicaid/commercial reimbursement concepts, or operational needs into system configuration.
• Demonstrated experience supporting testing activities, including unit testing, regression testing, integrated testing, UAT, defect resolution, and production validation.
• Ability to troubleshoot configuration-related issues and identify root causes across workflows, build, claims pricing, benefits, eligibility, contracts, work queues, and integrations.
• Strong documentation, analytical, communication, and problem-solving skills.
• Ability to work independently and collaboratively in a client-facing consulting environment.

Nice To Haves

• The ideal candidate brings strong hands-on Epic Tapestry configuration experience and understands how configuration decisions impact payer operations, claims accuracy, provider reimbursement, benefit design, eligibility, authorizations, and downstream reporting. This person should be comfortable working with both technical and business stakeholders, asking clarifying questions, documenting decisions, testing thoroughly, and resolving complex issues with a high level of accuracy and ownership.

Responsibilities

• Configure, build, maintain, and optimize Epic Tapestry applications, with a focus on areas such as AP Claims, Claims Administration, Contracts, Benefits Engine, Membership/Enrollment and Eligibility, Utilization Management, Service Authorizations, Provider Data, CRM, Accounts Payable, and Premium Billing.
• Translate business, operational, regulatory, and contract requirements into Epic Tapestry configuration, system design decisions, workflows, and documentation.
• Configure provider contracts, fee schedules, pricing logic, benefits, claim editing rules, referrals, authorizations, eligibility files, and related payer/payvider workflows as needed.
• Support full build lifecycle activities, including requirements review, design, configuration, unit testing, integrated testing, user acceptance testing, defect triage, approvals, and production migration.
• Create and maintain clear documentation for build specifications, configuration decisions, test scripts, process flows, change control, and operational support procedures.
• Troubleshoot complex Epic Tapestry issues related to claims adjudication, underpayments/overpayments, contract configuration, benefits, eligibility, authorizations, provider setup, work queues, and downstream integrations.
• Partner with business stakeholders, payer operations, provider contracting, claims, enrollment, utilization management, finance, compliance, IT, Epic technical teams, and other application teams to resolve issues and deliver high-quality solutions.
• Support Epic implementations, optimizations, upgrades, cutover activities, go-lives, stabilization, and hyper-care support.
• Use tools such as Data Courier, Build Mover/content management, ServiceNow, Jira, SharePoint, Reporting Workbench, Clarity, Caboodle, or other client tools as required by the project.
• Help identify configuration impacts, testing needs, risks, and dependencies across upstream and downstream systems, including EDI and payer platform integrations.
• Participate in project governance activities, status reporting, issue tracking, action item follow-up, and continuous improvement initiatives.
• Provide knowledge transfer, training, and support to client teams, analysts, and project stakeholders.

Benefits

• medical, dental, and vision coverage to employees and dependents
• a 401(k) plan with a generous employer match
• an employee stock purchase plan
• a generous Paid Time Off policy
• paid parental leave and adoption assistance
• Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed