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Huron

Global services firm enabling strategy, transformation

Epic Tapestry Configuration Analyst - Payer / Health Plan

Implementation & Technical Account ManagementConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • At least 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.
  • At least 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 electronic data interchange (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, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD) coding logic, Medicare/Medicaid/commercial reimbursement concepts, or operational needs into system configuration.
  • Demonstrated experience supporting unit testing, regression testing, integrated testing, user acceptance 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.
  • Ability to work independently and collaboratively in a client-facing consulting environment.

Responsibilities

  • Configure, build, maintain, and optimize Epic Tapestry applications, focusing 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 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, information technology, Epic technical teams, and other application teams to resolve issues and deliver 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.
  • 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.

About the Company

Huron

Global services firm enabling strategy, transformation

Huron is a global professional services firm that helps organizations turn ideas into real results. It works with clients to develop practical strategies, improve how they operate, and speed up digital transformation, while also empowering people within the client organization to own their future. The firm achieves this by bringing diverse perspectives, inviting new ideas, and questioning the status quo to deliver lasting outcomes. In short, Huron guides clients from planning to execution so they can achieve sustainable success.

Company size
5,001-10,000
Company stage
IPO
Headquarters
Amman, Jordan
Founded
2002

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