Job Description

Job Description

Job Description

Job Title: Epic Tapestry Analyst

Job Summary:

The Epic Tapestry Analyst is responsible for the build, configuration, implementation, and support of the Epic Tapestry (Managed Care/Payer) module. This role partners with payer operations, revenue cycle, contracting, and IT teams to ensure accurate benefits, authorizations, claims adjudication, and payer workflows.

Key Responsibilities:

• Configure and maintain Epic Tapestry (Payer/Managed Care) application components.

• Build and support benefit plans, products, packages, coverage rules, and authorizations .

• Configure claims adjudication logic , reimbursement rules, and payment policies.

• Support payer contracts, fee schedules, and coordination of benefits (COB).

• Analyze payer requirements and translate them into Epic system build and workflows.

• Perform unit, integrated, and user acceptance testing (UAT); resolve defects.

• Collaborate with Revenue Cycle, Enrollment, Claims, and Provider Contracting teams.

• Support integrations with Epic HB, PB, Clearinghouses, and external payer systems.

• Monitor adjudication errors, work queues, and reports; recommend system improvements.

• Provide go-live, post–go-live, and production support.

• Create and maintain build, workflow, test scripts, and training documentation.

• Ensure compliance with CMS, Medicaid, Medicare, and HIPAA regulations.

Required Skills & Qualifications:

• Epic Tapestry certification or proficiency (required or strongly preferred).

• 3+ years of experience working with Epic Tapestry or payer systems.

• Strong knowledge of payer operations, benefits, claims processing, and authorizations .

• Experience with Medicare, Medicaid, and commercial insurance plans.

• Understanding of reimbursement methodologies and provider payment models.

• Strong analytical, troubleshooting, and communication skills.

Preferred Qualifications:

• Experience with Epic Resolute HB/PB integrations .

• Knowledge of reporting tools such as Clarity, Caboodle, or Reporting Workbench .

• Previous Epic implementation or payer-system optimization experience.

• Healthcare payer or managed care organization background.

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