Healthcare Tech Manager Payer Services Epic Tapestry Manager

Huron helps its clients drive growth enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives enabling organizations to own the future instead of being disrupted by it. Together we empower clients to create sustainable growth optimize internal processes and deliver better consumer outcomes.

Health systems hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term healthcare organizations must empower leaders clinicians employees affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means youll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations improve clinical outcomes create a more consumer-centric healthcare experience and drive physician patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

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 play a key role in helping health plans transform the way they operate serve members and meet evolving regulatory demands. As an Epic Tapestry Subject Matter Expert you will bring deep payer and managed care expertise to high-impact client initiativeshelping organizations optimize Epics Tapestry platform across enrollment and eligibility benefits configuration claims adjudication utilization management and authorizations provider contracting and networks premium billing accounts payable CRM and related workflows. This is an opportunity to apply your Epic Tapestry knowledge in a collaborative consulting environment where your expertise directly supports improved operational performance compliance and member outcomes for leading healthcare organizations.

In the role of an Epic Tapestry Manager or Lead you will have the opportunity to be a trusted Epic Tapestry advisor/SME at the center of meaningful payer transformation. You will support configuration optimization implementation and troubleshooting efforts while partnering closely with business leaders operations teams and IT/Epic stakeholders to solve complex challenges and improve how healthcare organizations serve their members. Epic Tapestry professionals in this space play a critical role across health plans provider-sponsored plans pay-viders large health systems with risk-bearing arrangements and consulting firmsmaking this an exciting opportunity for someone who wants to apply their expertise where it can drive real operational and business impact.

Key Responsibilities

• Configure build maintain and optimize Epic Tapestry applications (e.g. Claims Membership/Enrollment & Eligibility Benefits Engine Utilization Management/Service Authorizations Contracts CRM AP Premium Billing).
• Analyze business/operational requirements and translate them into system design workflows and configuration decisions.
• Lead or support design workshops impact analysis for change requests and recommendation of standardized/best-practice builds.
• Perform unit system integrated and user acceptance testing (UAT); create test scripts; triage and resolve defects.
• Support go-lives upgrades enhancements cutover and hyper-care (including on-call as needed).
• Troubleshoot complex issues related to claims adjudication benefits eligibility authorizations contracts and integrations.
• Document builds decision rationale workflows processes and maintain traceability (requirements configuration testing).
• Collaborate with clinical revenue cycle enrollment claims provider contracting compliance and other Epic teams (e.g. Resolute Bridges Clarity/Cogito).
• Serve as mentor/SME to analysts end users and project teams; provide training and knowledge transfer.
• Ensure compliance with regulatory requirements (e.g. HIPAA ANSI X12 transactions) organizational policies and change control standards.
• Develop or support reports/analytics (Clarity Reporting Workbench Caboodle) and interfaces as needed.
• Participate in project governance status reporting risk/issue tracking and continuous improvement initiatives.

Required Qualifications

• Current Epic Tapestry certification(s) in one or more areas (e.g. Claims Membership/Enrollment & Eligibility Utilization Management Benefits Engine Contracts Administration CRM Accounts Payable Premium Billing). Multiple certifications preferred.
• 3 years of hands-on Epic Tapestry experience (build configuration testing support and/or implementation) with stronger preference for 5 years for senior/SME roles.
• Solid understanding of managed care / health plan operations (claims processing benefits eligibility authorizations/UM provider networks/contracts).
• Experience with full-cycle Epic implementations optimizations or upgrades.
• Strong analytical problem-solving and documentation skills.
• 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 the current average travel in the Healthcare practice is less than 50% annually.

The estimated base salary for this job is $130 000 - $150 000. 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 $156 000 - $180 000. The job is also eligible to participate in Hurons benefit plans which include medical dental and vision coverage and other wellness programs.

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Manager

United States of America