EPIC Solution Design Consultant

HCLTech is looking for a highly talented and self‑motivated EPIC Solution Design Consultant to join it in advancing the technological world through innovation and creativity.

HCLTech is a leading technology provider. This role is designed for individuals who excel at blending clinical, business, and technical expertise to create tailored systems.

Tributary:
This range is provided by HCLTech. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$74,000.00/yr - $/yr

Job Title: EPIC Solution Design Consultant

Job : 2798504

Position Type: Full‑time

Location: Pleasanton, CA (Remote)

Role/Responsibilities

• Responsible for designing, analyzing, and implementing innovative solutions that strategically align with complex business requirements. This role demands deep expertise in EPIC systems, health insurance workflows, and integration methodologies to create seamless, secure, and compliant operations across both clinical and administrative systems.
• Lead the design and architecture of the Epic Claims modules, including Resolute Professional Billing (PB) and Hospital Billing (HB), focusing on claims, billing, and accounts receivable workflows.
• Plan, configure, test, and implement Epic software updates and new functionality, translating complex business requirements into practical system solutions.
• Collaborate with clinical and administrative leadership to perform workflow analysis, identify areas for improvement, and optimize system use to enhance efficiency and ensure regulatory compliance.
• Design and manage integrations between Epic and third‑party systems related to claims submission, payment processing, and other financial operations.
• Provide expert‑level support, including troubleshooting complex technical issues and working with end‑users to resolve system problems.
• Mentor junior analysts and team members and ensure comprehensive technical and support documentation is created and maintained.
• Analyze business requirements and translate them into scalable, secure, and compliant solution designs for healthcare and insurance domains.
• Configure and optimize EPIC system workflows to support health insurance processes, including eligibility, claims management, billing, and prior authorization.
• Ensure interoperability between EPIC modules and external payer systems, utilizing standards such as HL7, FHIR, and EDI for robust data exchange.
• Collaborate with business analysts, project managers, and technical teams to validate requirements and design effective solutions.
• Facilitate workshops with clinical, administrative, and payer stakeholders to gather insights and continuously improve workflows.
• Configure EPIC modules (e.g., Tapestry, Resolute, Benefits Engine) for insurance‑related functionalities and support integration strategies for claims processing, eligibility verification, and premium billing.
• Provide expert guidance on HIPAA compliance and data security best practices throughout solution design and implementation.
• Develop comprehensive solution design documentation, including data flow diagrams and integration specifications, maintaining compliance with organizational architecture standards and regulatory requirements.
• Support and participate in system testing (unit, integration, user acceptance) to validate that solutions meet functional and performance criteria prior to deployment.
• Deliver knowledge transfer and training sessions to internal teams on EPIC configurations and insurance workflows.
• Act as a subject matter expert for troubleshooting and optimization, leading detailed design efforts and workflow planning within project squads.
• Translate complex business requirements into clear, actionable technical specifications and contribute to user story creation, ensuring acceptance criteria are well‑defined.
• Develop and maintain design documentation, updating regularly throughout the project lifecycle to ensure accuracy and completeness.
• Collaborate with technical SMEs to provide necessary details for successful completion of development stories.
• Lead design and technical discussions across squads and teams to ensure alignment, integration, and successful…