Epic Tapestry Configuration Consultant Healthplan Experience

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Huron Consulting Group offers a competitive compensation and benefits package including medical dental and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching bank at work and on-site workshops as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.
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Huron is a global consultancy that collaborates with clients to drive strategic growth ignite innovation and navigate constant change. Through a combination of strategy expertise and creativity we help clients accelerate operational digital and cultural transformation enabling the change they need to own their future.
Join Hurons HDTx Payer Services team and help health plans provider-sponsored plans payviders and healthcare organizations improve how they configure optimize and operate Epic Tapestry. As an Epic Tapestry Configuration Senior Associate you will support hands-on build configuration testing troubleshooting and implementation efforts across key payer and managed care workflows including claims contracts benefits eligibility and enrollment utilization management authorizations provider data premium billing accounts payable CRM and related integrations.

This role is ideal for a detail-oriented Epic Tapestry professional who enjoys translating business requirements and contract language into accurate system configuration partnering with operations and IT teams validating build quality through testing and supporting successful client outcomes in a consulting environment.

• Configure build maintain and optimize Epic Tapestry applications with a focus 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 clear 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 IT Epic technical teams and other application teams to resolve issues and deliver high-quality 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.
• Help 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.

• 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.
• 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 EDI and payer transaction workflows such asANSI X12 enrollment files remittance files or claims integrations.
• Experience translating business requirements payer rules contract terms fee schedules CPT/HCPCS/ICD coding logic Medicare/Medicaid/commercial reimbursement concepts or operational needs into system configuration.
• Demonstrated experience supporting testing activities including unit testing regression testing integrated 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.
• Strong documentation analytical communication and problem-solving skills.
• Ability to work independently and collaboratively in a client-facing consulting environment.

The ideal candidate brings strong hands-on Epic Tapestry configuration experience and understands how configuration decisions impact payer operations claims accuracy provider reimbursement benefit design eligibility authorizations and downstream reporting. This person should be comfortable working with both technical and business stakeholders asking clarifying questions documenting decisions testing thoroughly and resolving complex issues with a high level of accuracy and ownership.

The ability to travel based on client enterprise or project needs is an essential function of this role. While travel requirements may vary based on business need work may be primarily remote with occasional travel to client sites Huron offices or project-related meetings as needed.

The estimated base salary for this job is $115000 - $145000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors including but not limited to specific skills or certifications years of experience market changes and required travel. This job is also eligible to participate in Hurons annual incentive compensation program which reflects Hurons pay for performance philosophy. Inclusive of annual incentive compensation opportunity the total estimated compensation range for this job is $134550 - $168480. The job is also eligible to participate in Hurons benefit plans which include medical dental and vision coverage and other wellness programs. The salary range provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.

This position is eligible to participate in Hurons benefit plans which may include medical dental and vision coverage; wellness programs; retirement savings options; paid time off; and other benefit programs available to eligible employees.

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#Remote

Not available to H1B or 3rd party vendors

Healthcare-Payer

Regular

United States of America