Epic Referral Analyst

Job d:

Location:

Worcester, Massachusetts, United States Salary: $91,700 - $163,700/year

Job Area:
Technology Company:
United Health Group Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities.

Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

You'll enjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges. (hybrid if located near an office).

Primary Responsibilities:

Lead the design, build, and optimization of Epic Referrals, Care Coordination, and related modules to advance organizational value‑based care strategies

Analyze referral workflows and data to improve network steerage, reduce unnecessary specialty utilization, and support care‑gap closure across populations

Develop and maintain complex work queues, routing logic, decision support, and automation that ensure accurate authorization, documentation integrity, and timely patient access

Partner with clinical, operational, revenue cycle, and population health leaders to translate strategic goals into scalable Epic solutions and standardized processes

Serve as the technical escalation point for referral‑related issues, conducting root‑cause analysis and implementing sustainable system improvements that protect shared‑savings opportunities

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Bachelor's degree or equivalent experience3+ years of extensive hands‑on experience as an Epic Systems Analyst with certification in Epic Referrals, Cadence, Care Coordination, or closely related modules2+ years of proven experience designing, building, and optimizing complex Epic workflows, work queues, rules, and decision support tools2+ years of experience in understanding value‑based care models, payer authorization requirements, and referral‑related revenue cycle impacts2+ years of experience in demonstrated ability to interpret referral analytics, identify operational inefficiencies, and implement data‑driven improvements

Soft Skills:

Bachelor's degree in Computer Science, Engineering or related field
* All Telecommuters will be required to adhere to United Health Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Final date to receive applications:
This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to…