Solutions Manager (EMR Workflow Design)

Humata Health, IncWinter Park, FL
1dRemote

About The Position

Humata Health is seeking a Solutions Manager with deep Epic workflow expertise to join our Customer Success team. This is a hybrid individual contributor and people leadership role. You will be the strategic workflow design partner for health system customers, translating clinical and operational requirements into optimized EMR configurations that seamlessly integrate with Humata’s prior authorization automation platform. You will also lead a growing team of solution engineers and workflow consultants. This is not a traditional technical integration role—we have Solutions Engineers who handle EDI, APIs, and connectivity. You'll own the workflow design layer: how authorization requests flow through Epic, what clinical data gets aggregated, how staff interact with the system, and how customers should configure Epic to maximize automation and minimize provider burden.

Requirements

  • 5+ years of hands-on Epic experience, with at least 3 years in one or more of the following areas: Epic implementation/optimization consulting (preferably Revenue Cycle or Ambulatory) Epic application analyst role (Referrals, Orders, Cadence, Prelude, or Grand Central) Epic workflow development and configuration
  • Direct experience with Epic prior authorization workflows, including: Understanding of how 278 transactions map to Epic data elements Configuration of authorization request triggers and routing Integration between Epic and payer portals or clearinghouses Staff workflows for authorization submission, tracking, and follow-up
  • Deep knowledge of Epic's technical architecture for workflow design: Epic workflows and configuration (Chronicles backend logic, rules, and triggers) Clinical data capture tools BPA configuration and logic In Basket message routing and task management Report writing for workflow monitoring (Clarity/Caboodle)
  • Strong understanding of healthcare operations: Revenue cycle workflows (scheduling, registration, authorization, billing) Utilization management and medical necessity requirements Payer-provider interactions and common authorization pain points HIPAA compliance in workflow design
  • Leadership and management experience
  • Prior experience leading or mentoring analysts, consultants or technical team members
  • Comfortable serving as an escalation point and advisor to team members to unblock challenges
  • Can balance strategic planning, hands-on design and people management in a hybrid role

Nice To Haves

  • Epic certification(s) in relevant modules (Referrals, Resolute HB, Cadence, Prelude, or Orders)
  • Former Epic employee (especially from Revenue Cycle, Resolute HB, Referrals, or Cadence teams), with no remaining non-competition constraints
  • Experience working with delegated review entities (Carelon/Evicore/Prime) and their Epic integrations
  • Exposure to RPA tools or automation platforms
  • Experience with SMART on FHIR or other interoperability frameworks
  • Familiarity with series authorization workflows for therapy services (PT/OT/ST)
  • Experience training or mentoring Epic analysts or clinical staff
  • Understanding of payer portal navigation and manual authorization processes

Responsibilities

  • Epic Workflow Design & Configuration Strategy
  • Design end-to-end prior authorization workflows within Epic that integrate with Humata's automation platform
  • Own the workflow configuration strategy
  • Design clinical data aggregation strategies to support medical necessity determinations
  • Customer Workflow Advisory & Implementation Leadership
  • Serve as the primary workflow SME for customer IT, Epic analysts, and clinical operations teams during implementations and expansions
  • Lead workflow discovery sessions with health system stakeholders
  • Engage customer stakeholders on the broader processes that come before and after the prior authorization workflow
  • Provide Epic-specific guidance on
  • Translate complex payer authorization requirements into actionable Epic configuration specifications
  • Process Documentation & Best Practice Development
  • Build and maintain a library of reference workflow designs for common use cases
  • Create Epic-specific implementation guides including
  • Document workflow optimization patterns that reduce administrative burden while maintaining compliance
  • Cross-Functional Collaboration & Product Feedback
  • Partner with Product Management to ensure Humata's platform capabilities align with real-world Epic workflow constraints and opportunities
  • Provide feedback on product roadmap priorities based on customer workflow needs
  • Identify gaps in current automation capabilities that require new Epic integration points
  • Collaborate with Solutions Engineers to ensure workflow designs are technically feasible given integration architecture
  • Team Leadership & People Management
  • You will lead a team responsible for Epic workflow design and directly manage Solutions Engineers and Workflow Consultants
  • Coach team members on Epic design best practice and consulting skills
  • Provide performance feedback, coaching and career development
  • Hire and onboard new team members as the team scales

Benefits

  • Competitive Compensation: Enjoy competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles
  • Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match
  • Growth Opportunities: Advance your career in a fast-paced, high-impact environment with ample professional development

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

No Education Listed

Number of Employees

101-250 employees

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