Epic Tapestry Claims Application Analyst
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Monthly Salary:
Experience Required:
Posted on:
13 hours ago
Vacancies:
1 Vacancy
Job Summary
This is a remote position.
Epic Tapestry Claims Analyst (Contract Remote 612 Months)
Overview
We are seeking an experienced Epic Tapestry Claims Analyst to support ongoing claims configuration optimization and issue resolution within our managed care and revenue cycle ecosystem. The ideal consultant will have deep experience in Tapestry Claims including benefit configuration pricing and adjudication logic claims workflows regulatory compliance and cross-module integration. This is a remote contract role lasting 612 months with occasional onsite meetings as needed.
Responsibilities
Lead and support Tapestry Claims build configuration testing and deployment activities.
Analyze requirements related to claims processing benefit structures contract configuration and adjudication rules translating them into scalable system designs.
Troubleshoot claims errors pricing discrepancies configuration gaps and end-to-end adjudication issues.
Collaborate with operational teams (Claims Provider Relations Contracting UM/CM Finance) to optimize workflows and resolve system defects.
Configure and maintain benefit plans coverage records provider contracts fee schedules claim edits accumulators and reimbursement logic.
Support integration points with related Epic modules such as Membership Enrollment Referrals PB/HB and external payer systems.
Develop test plans execute test cases document results and support user acceptance testing.
Participate in release and upgrade activities including regression testing validation and remediation.
Provide knowledge transfer and mentorship to internal analysts and project stakeholders.
Engagement Details
Contract Length: 612 months
Location: Fully remote with minimal onsite travel possible
Start Date: ASAP
Hours: Full-time (40 hrs/week)
Requirements
Required Skills:
Required Qualifications Epic Tapestry Claims certification (current former or NVT accepted). 3 years of professional experience supporting Epic Tapestry Claims in a build/configuration role. Strong expertise with claims adjudication logic benefits configuration and provider contract setup. Solid understanding of managed care processes regulatory compliance requirements and industry-standard claims workflows. Proven ability to troubleshoot complex claims issues and partner with operational teams to resolve root causes. Excellent communication analysis documentation and stakeholder-management skills. Preferred Qualifications Experience with adjacent Epic modules such as Tapestry Benefits Membership Enrollment UM/CM PB/HB or Resolute. Familiarity with EDI transactions (835/837) claims edits and integration points with external payer systems. Background in payer operations health plans or managed care organizations. Prior consulting experience strongly preferred.
Required Education:
Bachelors Degree
Company Industry
IT Services and IT Consulting
Key Skills
- Databases
- IT Experience
- Iis
- SQL
- .NET
- Microsoft SQL Server
- Visio
- Epic
- Systems Analysis
- Oracle
- Cerner
- Application Support
