Healthcare Tech Senior Associate Payer Services Epic Tapestry Configuration
Core
Configure, build, maintain, and optimize Epic Tapestry applications for health plans and payer organizations across claims, contracts, benefits, eligibility, and utilization management workflows.
Role type
Senior IC Epic Tapestry Configuration Consultant
Builds
Payer and managed care operational workflows within Epic Tapestry
Domain
Healthcare Payer Services / Health Insurance Technology
Required skills
Epic Tapestry configuration, Epic Tapestry certification, legacy payer platform experience, EDI transaction workflows, managed care operations, system testing, requirements translation, documentation, troubleshooting
Preferred skills
Experience with Facets, QNXT, AMISYS, HealthRules, EZ-CAP, IKA, CPT/HCPCS/ICD coding logic, Medicare/Medicaid/commercial reimbursement concepts
Technologies
Epic Tapestry, Data Courier, Build Mover, ServiceNow, Jira, SharePoint, Reporting Workbench, Clarity, Caboodle, ANSI X12
Responsibilities
Configure provider contracts, fee schedules, pricing logic, benefits, claim editing rules, referrals, authorizations, eligibility files, and related payer/payvider workflows; Support full build lifecycle activities including requirements review, design, configuration, unit testing, integrated testing, UAT, defect triage, approvals, and production migration; 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; Create and maintain clear documentation for build specifications, configuration decisions, test scripts, process flows, change control, and operational support procedures; 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.
Seniority
Senior, hands-on IC
