Supervisor, Epic Enrollment and Benefits (Tapestry) Applications - 26-68

PriMed Management ConsultingSan Ramon, CA
Remote

About The Position

Under the leadership of the Manager of Managed Care Applications, the Membership Application Supervisor plays a crucial leadership role in overseeing the accurate and efficient support of enrollment and benefits data through the Epic Systems Tapestry application. You will lead and manage a team of enrollment and benefits application analysts, ensuring accuracy, compliance, and timely issues resolution for our enrollment and benefits processes. Acting as the primary point of contact for users of the Tapestry application in relation to enrollment and benefits processing, the Membership Application Supervisor will manage the utilization of the Tapestry application to oversee the management and maintenance of accurate enrollment and benefits data, ensuring accuracy, integrity, and completeness. This role ensures compliance with industry standards and regulatory requirements related to enrollment and benefits, provides expert-level technical support, troubleshoots application-related issues, and resolves complex problems. The supervisor will collaborate with and lead internal teams to understand and address the organization's enrollment and benefits needs, implementing system updates and enhancements. They will work closely with the Managed Care Manager on planning and executing strategic objectives and project initiatives, provide strategic insights and recommendations, and lead teams in the implementation of workflow optimizations to enhance efficiency and user satisfaction, creating and maintaining user-friendly documentation, guides, and best practices for application usage.

Requirements

  • Bachelor's degree in a related field (Healthcare Administration, Information Systems, etc.) or equivalent experience
  • 5+ years of experience in healthcare enrollment and benefits processing, with a minimum of 2 years in a supervisory or leadership position
  • Proficiency with the Epic Systems Tapestry application is a required
  • Epic Certification in Benefits Admin and/or Eligibility & Enrollment Admin required
  • Knowledge of healthcare regulations and compliance, including HIPAA, is preferred
  • Experience 5+ years of experience in healthcare data management and or payor contracts, with a minimum of 2 years in a supervisory or leadership position
  • Professional Skills Proficiency with the Epic Systems Tapestry application is a required
  • Epic Certification in Claims Admin and/or Cheers required
  • Knowledge of healthcare regulations and compliance, including HIPAA, is preferred
  • Master’s/Bachelor's degree in a related field (Healthcare Administration, Information Systems, etc.) or equivalent experience

Nice To Haves

  • Knowledge of healthcare regulations and compliance, including HIPAA, is preferred
  • Knowledge of healthcare regulations and compliance, including HIPAA, is preferred

Responsibilities

  • Manage the utilization of the Tapestry application to oversee the management and maintenance of accurate enrollment and benefits data ensuring accuracy, integrity, and completeness
  • Ensure compliance with industry standards and regulatory requirements related to enrollment and benefits
  • Provide expert-level technical support, troubleshoot application-related issues, and resolution of complex problems
  • Collaborate with and lead internal teams to understand and address the organization's enrollment and benefits needs, implementing system updates and enhancements
  • Works closely with Managed Care Manager on planning and executing strategic objectives and project initiatives
  • Provide strategic insights and recommendations and lead teams in the implementation of workflow optimizations to enhance efficiency and user satisfaction, creating and maintaining user-friendly documentation, guides, and best practices for application usage.
  • Ensures that employees understand the purpose and vision of the organization and the team’s connection to purpose
  • Works to ensure that employees are engaged and productive
  • Performs annual performance evaluations ensuring that employees are aware of challenges before review
  • Encourages participation in employee surveys and action plans
  • Monitor and measures employee workloads helping with prioritization and escalation as needed
  • Coaches team members on career development and individual development plans
  • Facilitates team daily or weekly team standup to discuss activities and determine barriers
  • Monitors and measures supported system performance
  • Identify system challenges and works with the team to reduce errors and improve efficiency
  • Fully support and use the PRISM Change Management process
  • Ensure all incidents and problems are entered into PRISM
  • Supports the I.T. and Business Leadership in organizational goals
  • Ensures teams adherence to service level agreements
  • Ensures teams compliance with PRISM Service Management Standards

Benefits

  • Hill Physicians is an Equal Opportunity Employer
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