Strong fit for candidates with Epic Tapestry Utilization Management certification and hands-on experience in managed care operations who can work remotely and collaborate across clinical, operational, and technical teams.
Derived from job-description analysis by Serendipath's career intelligence engine.
Original posting from Chartis via Ashby
ABOUT CHARTIS
The challenges facing US healthcare are longstanding and all too familiar. We are Chartis, and we believe in better. We work with more than 1,900 organizations annually to develop and activate transformative strategies, operating models, and organizational enterprises that make US healthcare more affordable, accessible, equitable, safe, and human. With more than 1,450 professionals, we help providers, payers, technology innovators, retail companies, and investors create and embrace solutions that tangibly and materially reshape healthcare for the better. Our family of brands—Chartis, Jarrard, Greeley, and HealthScape Advisors—is 100% focused on healthcare and each has a longstanding commitment to helping transform healthcare in big and small ways. Believe in better.
Chartis has offices in Boston, Chicago, New York, Washington D.C., and Nashville.
Remote work is allowed.
Role Overview
EPIC TAPESTRY UTILIZATION MANAGEMENT (UM) ANALYST
We are seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to support the implementation, optimization, and ongoing maintenance of Epic Tapestry UM functionality. The ideal candidate will have strong experience in Epic Tapestry configuration, utilization management workflows, and managed care operations, with the ability to collaborate with clinical, operational, and technical teams to improve efficiency and ensure regulatory compliance.
Responsibilities
- Design, build, configure, test, and maintain Epic Tapestry Utilization Management functionality.
- Support UM workflows, including prior authorizations, referrals, inpatient admissions, concurrent reviews, and medical necessity determinations.
- Configure and optimize authorization workflows, review processes, workqueues, and decision-support functionality.
- Collaborate with clinical and operational stakeholders to identify workflow improvements and translate business requirements into Epic solutions.
- Support Epic Tapestry implementations, upgrades, enhancements, integrated testing, and go-live activities.
- Troubleshoot application issues, resolve defects, and provide ongoing production support.
- Work with cross-functional teams, including Tapestry Claims, Membership, Provider Management, and clinical applications, to ensure integrated workflows.
- Support regulatory and compliance requirements related to utilization management, including CMS and NCQA standards.
- Develop functional specifications, testing scenarios, and system documentation.
- Provide end-user support and knowledge transfer to operational teams.
Qualifications and Desired Skills
- Epic Tapestry Utilization Management certification required.
- Hands-on experience with Epic Tapestry UM build, configuration, testing, and optimization.
- Strong understanding of managed care operations, prior authorization, referrals, and utilization review processes.
- Experience supporting Epic implementations, upgrades, and production environments.
- Ability to analyze complex workflows, troubleshoot technical issues, and recommend improvements.
- Strong communication skills and experience working with clinical, operational, and IT stakeholders.
Hourly range: $90-$110. The hourly range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs.
At Chartis, we pride ourselves on having a diverse workforce. We value and celebrate the uniqueness of individuals and the different perspectives they provide. We offer equal opportunity employment regardless of race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status.
Source: Chartis careers (Ashby)