{"schemaVersion":"jobsearcher.job.v1","id":"ccc2afdac43366e5c331b9b3","url":"https://jobsearcher.com/jobs/ccc2afdac43366e5c331b9b3","canonicalUrl":"https://jobsearcher.com/jobs/ccc2afdac43366e5c331b9b3","title":"Epic Analyst","description":"*Job Overview*\n\n*Utilization Management Tapestry Analysts*\n\nThis role requires deep expertise in *Medical Management and Utilization Management operations*, including a strong understanding of the day-to-day activities of Prior Authorization nurses, reviewers, and care management teams. Resources must be capable of evaluating Epic workflows against current-state processes, identifying configuration gaps, recommending workflow improvements, and implementing configuration changes to support operational readiness and a successful go-live.\n\nThe initial engagement will consist of a team of five (5) consultants who will assess workflow readiness, testing completion requirements, and overall preparedness for the planned Utilization Management go-live for early Jan. Based on their findings, the team will provide recommendations regarding staffing needs, remediation efforts, and go-live feasibility.\n\n*Duties*\n\n* Assess and validate Epic Tapestry Utilization Management and Prior Authorization workflows.\n* Perform end-to-end testing of Prior Authorization scenarios and compare workflow outcomes against client’s legacy systems and operational processes.\n* Identify workflow, configuration, data, and process gaps that may impact business operations, regulatory compliance, or user adoption.\n* Analyze defects and determine root causes within Epic configuration, workflow design, routing rules, decision points, and process automation.\n* Configure, modify, test, and validate workflow changes within Epic Tapestry to address identified gaps and defects.\n* Ensure fixes are applied consistently across similar Prior Authorization scenarios and related workflows.\n* Collaborate with business stakeholders, operational leaders, and Epic teams to validate expected workflow outcomes.\n* Develop test cases, execute testing cycles, document findings, and track remediation activities.\n* Evaluate Utilization Management operational readiness and identify risks that may impact the planned go-live.\n* Provide recommendations on testing completion, stabilization efforts, staffing requirements, and implementation readiness.\n* Support go-live planning activities and help establish a realistic execution roadmap for deployment.\n\n*Qualifications*\n\n* 7+ years of healthcare payer experience with a focus on Medical Management, Utilization Management, Prior Authorization, or Care Management operations.\n* Strong hands-on experience with Epic Tapestry, including workflow configuration and optimization.\n* Deep understanding of Prior Authorization review processes and the daily workflows of UM nurses, clinical reviewers, and authorization specialists.\n* Experience validating and testing healthcare operational workflows within Epic environments.\n* Ability to identify workflow defects and independently determine appropriate configuration changes.\n* Experience supporting large-scale payer transformations or Epic implementations.\n* Ability to work directly with operational and business stakeholders to bridge business requirements with Epic functionality.\n\nPay: $140,000.00 - $160,000.00 per year\n\nWork Location: Remote","company":"Software Programming","rawCompany":"software programming","city":"Myrtle Point","state":"OR","isRemote":false,"isActive":false,"createdAt":"2026-10-28T11:53:06.968Z","occupations":[{"code":"15-1211.00","title":"Computer Systems Analysts","slug":"computer-systems-analysts"},{"code":"13-1111.00","title":"Management Analysts","slug":"management-analysts"},{"code":"15-1211.01","title":"Health Informatics Specialists","slug":"health-informatics-specialists"}],"industries":[{"code":"541511","title":"Custom Computer Programming Services","slug":"custom-computer-programming-services"},{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"},{"code":"621111","title":"Offices of Physicians (except Mental Health Specialists)","slug":"offices-of-physicians-except-mental-health-specialists"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Epic Analyst","description":"*Job Overview*\n\n*Utilization Management Tapestry Analysts*\n\nThis role requires deep expertise in *Medical Management and Utilization Management operations*, including a strong understanding of the day-to-day activities of Prior Authorization nurses, reviewers, and care management teams. Resources must be capable of evaluating Epic workflows against current-state processes, identifying configuration gaps, recommending workflow improvements, and implementing configuration changes to support operational readiness and a successful go-live.\n\nThe initial engagement will consist of a team of five (5) consultants who will assess workflow readiness, testing completion requirements, and overall preparedness for the planned Utilization Management go-live for early Jan. Based on their findings, the team will provide recommendations regarding staffing needs, remediation efforts, and go-live feasibility.\n\n*Duties*\n\n* Assess and validate Epic Tapestry Utilization Management and Prior Authorization workflows.\n* Perform end-to-end testing of Prior Authorization scenarios and compare workflow outcomes against client’s legacy systems and operational processes.\n* Identify workflow, configuration, data, and process gaps that may impact business operations, regulatory compliance, or user adoption.\n* Analyze defects and determine root causes within Epic configuration, workflow design, routing rules, decision points, and process automation.\n* Configure, modify, test, and validate workflow changes within Epic Tapestry to address identified gaps and defects.\n* Ensure fixes are applied consistently across similar Prior Authorization scenarios and related workflows.\n* Collaborate with business stakeholders, operational leaders, and Epic teams to validate expected workflow outcomes.\n* Develop test cases, execute testing cycles, document findings, and track remediation activities.\n* Evaluate Utilization Management operational readiness and identify risks that may impact the planned go-live.\n* Provide recommendations on testing completion, stabilization efforts, staffing requirements, and implementation readiness.\n* Support go-live planning activities and help establish a realistic execution roadmap for deployment.\n\n*Qualifications*\n\n* 7+ years of healthcare payer experience with a focus on Medical Management, Utilization Management, Prior Authorization, or Care Management operations.\n* Strong hands-on experience with Epic Tapestry, including workflow configuration and optimization.\n* Deep understanding of Prior Authorization review processes and the daily workflows of UM nurses, clinical reviewers, and authorization specialists.\n* Experience validating and testing healthcare operational workflows within Epic environments.\n* Ability to identify workflow defects and independently determine appropriate configuration changes.\n* Experience supporting large-scale payer transformations or Epic implementations.\n* Ability to work directly with operational and business stakeholders to bridge business requirements with Epic functionality.\n\nPay: $140,000.00 - $160,000.00 per year\n\nWork Location: Remote","datePosted":"2026-10-28T11:53:06.968Z","dateModified":"2026-10-28T11:53:06.968Z","hiringOrganization":{"@type":"Organization","name":"Software Programming","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Myrtle Point","addressRegion":"OR","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"ccc2afdac43366e5c331b9b3"},"url":"https://jobsearcher.com/jobs/ccc2afdac43366e5c331b9b3"}}