Epic Application Analyst l, II, lll, Tapestry; Core Administration, Utilization Management

Determination for the Epic Application Analyst (I, II or III), Tapestry Core Administration, Utilization Management or Benefits roles will be based on experience and qualifications.

Must have Epic Certification in Tapestry Core, Utilization Management or Benefits.

This position is on-site in Southern California.

This position will focus primarily on the following Epic applications:
Tapestry Managed Care Administration. The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. This level II role independently manages more complex configurations and systems optimizations, and mentors level I analysts.

This position will focus primarily on the following Epic applications:
Tapestry Managed Care Administration. The Epic Application Analyst, Tapestry Membership is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software.

This position will focus primarily on the following Epic applications:
Tapestry Managed Care Administration. The Epic Application Analyst, Tapestry Medical Management is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.

The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

• Understanding of operations within the AP Claims department, including claim intake, review, and payment
• Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims
• Familiarity with the benefit structure of plans that your organization administers.
• Familiarity with your organization’s managed care vendor contracts
• Familiarity with operations and workflows in a Management Services Organization
• Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management.
• Strong analytical, technical, and troubleshooting skills
• Demonstrating flexibility with respect to changing end‑user business needs
• The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others
• The ability to communicate information clearly and concisely with project leadership and subject matter experts
• The ability to gain trust and establish effective relationships with Epic counterparts
• The ability and willingness to learn new software and systems
• Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy
• Seeking, logically examining, and interpreting information from different sources to determine a problem’s cause and developing a course of action to resolve the problem and to…