Epic Tapestry Analyst (Prior Authorization, Referrals & Claims)

Job Description

Work on a Client National Project - CMS 2.0 Prior Authorization Experience
Certified in one or more Epic modules and expert knowledge of associated business or care delivery processes.
Study the overall business and information needs of an organization, in order to develop solutions to business and related technology problems.
Understand Client business process and determine how best to map that to the capabilities of Epic.
Works closely with clients to identify business needs and the costs and benefits of implementing a solution.
Construct IT definitions based on identified needs of the organization.
Devise and document a solution based on the client's requirements.
Negotiate options with the client.

Must Have Skills/Attributes

• Data Analysis
• EPIC
• MS Word

Desired Skills/Experience

• Tapestry (Referrals and Claims) (4 yrs)
• Tapestry Utilization Management and Referrals/Authorization (4 yrs)

Required Minimum Education

Bachelor’s Degree

Preferred Education

Master’s Degree

Specific Systems Knowledge Required

• Tapestry (Referrals and Claims)

Certifications Needed

• Tapestry Utilization Management and Referrals/Authorization

Experience

• 4-5 Years of related experience
• Experience on Service Authorization Unified Auth Requirements and Interoperability APIs
• Experience with data and build analysis
• Experience with 278/275 Integrations

Additional Information

• Parking Situation: Parking Validation available when onsite
• Dress Code: Business Casual
• Office Location (if remote, please provide the Client Site address): Pasadena CA 91103
• Any Travel for this role: Maybe, as needed
• Percentage of Travel: 5-10%

Interview Process

• Tier 1 Interview - Manager/Lead
• Tier 2 interview-Director

Benefits

For information and details on employment benefits offered with this position, please visit here.

California Pay Equity

For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Equal Opportunity Employer

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law.

Positions Located in San Francisco and Los Angeles, California

Will be administered in accordance with their respective Fair Chance Ordinances.