Jobs · Healthcare

Senior Program Manager - EPIC Application

HCLTech · Pleasanton, CA · 3 days ago
RemoteRemoteHealthcare$132k/yrFull-time
Job description: Lead the architecture and solution design of EPIC Tapestry capabilities, including member enrollment and eligibility, benefits and plan administration, claims processing and adjudication, provider network management, utilization management, billing, and customer relationship management. Analyze business requirements and translate them into scalable, secure, and compliant technical designs, user stories, acceptance criteria, data flows, and integration specifications. Plan, configure, test, and deploy EPIC upgrades, enhancements, and new functionality to support healthcare and insurance operations. Design and manage integrations between EPIC and payer, financial, and third-party systems using HL7, FHIR, EDI, and other healthcare interoperability standards. Evaluate clinical, administrative, and insurance workflows, identify improvement opportunities, and optimize system performance, efficiency, and regulatory compliance. Facilitate requirements and design workshops with business analysts, product managers, Scrum Masters, subject matter experts, clinical teams, administrative teams, and project squads. Support unit, integration, and user acceptance testing; troubleshoot complex issues and ensure solutions meet functional, performance, security, and quality requirements. Maintain comprehensive architecture, configuration, workflow, data mapping, and support documentation throughout the project lifecycle. Provide expert guidance on HIPAA compliance, healthcare data security, and organizational architecture standards. Mentor team members, deliver knowledge-transfer sessions, and contribute to sprint and Program Increment planning in Agile or SAFe delivery environments. Experience delivering payer-provider integration initiatives. Experience working in Agile or SAFe delivery environments. Familiarity with JIRA or comparable tools for backlog, project, and issue management. Experience coaching junior analysts or delivering EPIC training and knowledge-transfer sessions. Strong knowledge of health insurance operations, including eligibility, benefits, claims, billing, prior authorization, provider networks, and revenue-cycle processes. Hands-on understanding of EPIC configuration, electronic claims processing, EDI transactions, HL7, FHIR, and enterprise system integrations. In-depth knowledge of HIPAA, healthcare compliance, data privacy, and security requirements. Strong analytical, troubleshooting, documentation, and problem-solving skills. Excellent written and verbal communication skills, with the ability to explain technical concepts to both technical and non-technical stakeholders. We offer: Pay and BenefitsPay Range Minimum: $132,000 per year Pay Range Maximum: $234,000 per year HCLTech is an equal opportunity employer, committed to providing equal employment opportunities to all applicants and employees regardless of race, religion, sex, color, age, national origin, pregnancy, sexual orientation, physical disability or genetic information, military or veteran status, or any other protected classification, in accordance with federal, state, and/or local law. Should any applicant have concerns about discrimination in the hiring process, they should provide a detailed report of those concerns to secure@hcltech.com for investigation. Compensation and BenefitsA candidate’s pay within the range will depend on their work location, skills, experience, education, and other factors permitted by law. This role may also be eligible for performance-based bonuses subject to company policies. In addition, this role is eligible for the following benefits subject to company policies: medical, dental, vision, pharmacy, life, accidental death & dismemberment, and disability insurance; employee assistance program; 401(k) retirement plan; 10 days of paid time off per year (some positions are eligible for need-based leave with no designated number of leave days per year); and 10 paid holidays per year.

Similar jobs

Program Manager

Alutiiq, LLCPanama City, FL· 1 mo ago
Project Management$10/hrapply on alutiiq.hua.hrsmart.com

Program Manager

Capital Technology GroupWashington, DC· 1 mo ago
RemoteInformation Technology$110k–$150k/yrapply on grnh.se

Program Manager

HNTBNew York, NY· 1 mo ago
Project Management$260k–$415k/yrapply on rr.jobsyn.org

Program Manager

RoShay ServicesFort Atkinson, WI· 1 mo ago
Information Technologyapply on portal.roshayservices.com

Program Manager

Horizon Treatment ServicesSan Jose, CA· 4 mo ago
Information Technology$90k–$95k/yrapply on horizonservices.applytojob.com

Program Manager

People, Technology & Processes, LLCMobile, AL· 4 mo ago
Information Technology