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.
