Senior Associate, Healthcare Tech – Payer Services, Epic Tapestry Configuration

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Configure, build, maintain, and enhance Epic Tapestry applications within payer and managed care workflows.

• Transform business, operational, regulatory, and contractual requirements into Epic Tapestry configurations, system design choices, workflows, and documentation.

• Set up provider contracts, fee schedules, pricing logic, benefits, claim editing rules, referrals, authorizations, eligibility files, and payer/payvider workflows.

• Assist in the review of requirements, design, configuration, unit testing, integrated testing, user acceptance testing, defect triage, approvals, and production migration.

• Create and uphold build specifications, configuration decisions, test scripts, process flows, change control, and operational support documentation.

• Diagnose complex Epic Tapestry issues related to claims adjudication, payments, contract configuration, benefits, eligibility, authorizations, provider setup, work queues, and integrations.

• Collaborate with business stakeholders, payer operations, provider contracting, claims, enrollment, utilization management, finance, compliance, IT, Epic technical teams, and application teams.

• Support Epic implementations, optimizations, upgrades, cutover activities, go-lives, stabilization, and hyper-care support.

• Utilize Data Courier, Build Mover/content management, ServiceNow, Jira, SharePoint, Reporting Workbench, Clarity, Caboodle, and client tools.

• Identify impacts of configurations, testing requirements, risks, and dependencies across upstream and downstream systems, including EDI and payer platform integrations.

• Engage in project governance, 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.

⛳️ Requirements

• A minimum of 5 years of experience in Epic Tapestry configuration.

• Current Epic Tapestry certification in one or more applicable areas.

• Over 3 years of hands-on experience in Epic Tapestry build, testing, implementation, production support, or optimization.

• Familiarity with legacy payer platforms or migrations, such as Facets, QNXT, AMISYS, HealthRules, EZ-CAP, or IKA.

• Proficient in configuring core Tapestry areas including claims, contracts, provider data, benefits, eligibility/enrollment, authorizations, referrals, utilization management, premium billing, or CRM.

• Strong knowledge of managed care, health plan, payer, payvider, or provider-sponsored plan operations.

• Experience with EDI and payer transaction workflows, including 834, 835, 837, 278, 275, 997, and ANSI X12.

• Ability to translate business requirements, payer rules, contract terms, fee schedules, CPT/HCPCS/ICD coding logic, and reimbursement concepts into system configuration.

• Experience in supporting unit, regression, integrated, UAT, defect resolution, and production validation testing.

• Capability to troubleshoot configuration-related issues and diagnose root causes across workflows, builds, claims pricing, benefits, eligibility, contracts, work queues, and integrations.

• Strong documentation, analytical, communication, and problem-solving abilities.

• Ability to work independently as well as collaboratively in a client-facing consulting environment.

• Willingness to travel based on client, enterprise, or project requirements.

• Not available for H1B or third-party vendors.

🏝️ Benefits

• Comprehensive medical, dental, and vision coverage for employees and their dependents.

• Generous employer-matched 401(k) plan.

• Employee stock purchase plan.

• Paid time off.

• Paid parental leave.

• Adoption assistance.

• Wellness Program featuring free annual health screenings and coaching.

• On-site banking services.

• Workshops held on-site.

• Continuous programs acknowledging significant events in employees’ lives.

• Options for retirement savings.

• Annual incentive compensation program.

• Flexibility for remote work with occasional travel to client sites, Huron offices, or project-related meetings.