Epic Analyst

• Configure, maintain, and support Epic Tapestry modules related to Utilization Management, Case Management, Appeals & Grievances, Membership/Eligibility, Enrollment, and Provider Management.
• Collaborate with business and operational teams to gather requirements, analyze workflows, and implement system enhancements within the Epic Tapestry environment.
• Support provider and vendor contract configuration, enrollment processes, and payer-side operational workflows.
• Develop, maintain, and optimize reports, dashboards, and data extracts using Epic Reporting Workbench, Clarity SQL, Cogito, and Caboodle tools.
• Create and troubleshoot SQL/PL-SQL queries to support reporting, data validation, and operational analytics needs.
• Perform system testing, issue resolution, and ongoing production support for Epic Tapestry applications and related integrations.
• Ensure compliance with healthcare payer regulations, including Medicare guidelines and utilization management standards.
• Work closely with cross-functional teams, including IT, business intelligence, operations, and clinical stakeholders, to improve system functionality and reporting accuracy.
• Support data analysis and business intelligence initiatives by leveraging Epic BID tools and payer-side reporting solutions.
• Participate in system upgrades, workflow optimization projects, and process improvement initiatives for integrated provider/payer environments.

Do you have experience in IT experience within healthcare?, Do you have a Bachelor’s degree?, Bachelors Degree Required

-Certification: Epic Tapestry Management Utilization and Enrollment

-Minimum Exp: 3 years years of recent experience in Healthcare.

-Experience with:

• EPIC Tapestry Utilization Management and/or Case Management

• EPIC Tapestry Appeals and Grievances

• EPIC Tapestry Membership/Eligibility and Enrollment Administration

• EPIC Tapestry Provider Management and/or Provider/Vendor Contracts

• EPIC Tapestry Core

• EPIC Business Intelligence Developer (BID) - ideally on the payer side, but if they have any of the following, its great:

o Common Spec/DINE experience

o Create, maintain, optimize SQL queries in EPIC Clarity

o EPIC Cogito experience

o EPIC Caboodle Data Model experience

o Reporting Workbench Report and Extract development

PREFERRED:

Other experience that could be helpful:

• Experience with Medicare line of business/regulations

• EPIC Provider/Payer ‘shared instance’ experience (working for an integrated health plan)

• SQL and/or PL/SQL experience, EPIC Tapestry Utilization Management and/or Case Management
• EPIC Tapestry Appeals and Grievances
• EPIC Tapestry Membership/Eligibility and Enrollment Administration
• EPIC Tapestry Provider Management and/or Provider/Vendor Contracts
• EPIC Tapestry Core

YES or NO?

• Experience with EPIC Business Intelligence Developer (BID) - ideally on the payer side, but if they have any of the following, its great:

o Common Spec/DINE experience o Create, maintain, optimize SQL queries in EPIC Clarity o EPIC Cogito experience o EPIC Caboodle Data Model experience o Reporting Workbench Report and Extract development

Yes, Or NO? - If no Payer side, then which?

• Remote with a chance to be onsite in Troy MI, for a few days around the Go-Live date. Is this something you can accommodate?

Education:

• Bachelor’s (Required)

Experience:

• recent in Healthcare.: 3 years (Required)

License/Certification:

• Module: Epic Tapestry Management Utilization and Enrollment (Required)

$55 - $60 an hour - Full-time, Contract, Pulled from the full job description

• 401(k)
• Health insurance
• Vision insurance
• Dental insurance, * 401(k)
• Dental insurance
• Health insurance
• Vision insurance