Epic Tapestry Claims Analyst

About the role

Epic Tapestry Claims Analysts play a crucial role in optimizing and maintaining Epic Tapestry Claims and integrated third-party applications that support claims processing, benefits administration, and payer operations. This role involves configuring, supporting, and troubleshooting claims systems, collaborating with various teams, and ensuring compliance with regulatory standards.

Responsibilities

• Epic Tapestry Claims Configuration & Support
• Configure, maintain, and optimize Epic Tapestry Claims components
• Analyze and troubleshoot claims processing issues
• Support upgrades, releases, and environment changes
• Translate business requirements into system configuration and functional design
• Third-Party Application Management
• Manage setup, configuration, and ongoing support of integrated third-party applications
• Coordinate with vendors on interface behavior, data mapping, file formats, and issue resolution
• Maintain documentation for system configuration, integration specifications, and operational procedures
• Operational Support & Service Management
• Use ServiceNow for incident management, break/fix work, change requests, and release coordination
• Prioritize and resolve tickets within established SLAs
• Support change management processes, including impact analysis, testing, validation, and production migration
• Collaboration & Stakeholder Engagement
• Partner with Claims Operations, Revenue Cycle, Managed Care, and IT teams
• Provide subject-matter expertise for projects, enhancements, and regulatory initiatives
• Participate in cross-functional design sessions, workflow reviews, and optimization efforts

Qualifications

• Epic Tapestry Certification (Claims or closely related module)
• 3+ years of hands-on experience supporting Epic Tapestry Claims configuration and/or claims processing systems
• 3+ years of experience managing or supporting third-party integrated applications in a healthcare or payer environment
• 3+ years of experience in claims adjudication, benefit structures, provider contracts, and payer workflows
• 3+ years of experience with ServiceNow or similar ITSM platforms for incident, problem, and change management
• 3+ years of experience analyzing complex data flows, troubleshoot integration issues, and interpret EDI transactions (e.g., 837, 835, 270/271)

Preferred Qualifications

• Experience with Epic Bridges, EDI, or interface engines (e.g., Corepoint, Rhapsody, Mirth)
• Experience supporting regulatory or compliance-driven system changes
• Background in managed care, payer operations, or revenue cycle
• Familiarity with SQL, reporting tools, or data analysis techniques

Soft Skills

• Excellent communication skills and the ability to work effectively with both technical and non-technical stakeholders

Pay and Benefits

The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We offer a comprehensive benefits package, including a drug-free workplace policy, and are committed to mitigating our impact on the environment and enabling equitable care.

Equal Opportunity Employer

We are committed to providing equal employment opportunities to all individuals regardless of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.

Company Culture

UnitedHealth Group is dedicated to creating a supportive and inclusive work environment where all employees can thrive. We strive to foster a culture that empowers our team members to live healthier lives and make the health system work better for everyone.