Epic Tapestry Analyst

Job Title: Epic Tapestry Analyst

Job Summary:


The Epic Tapestry Analyst is responsible for the build, configuration, implementation, and support of the Epic Tapestry (Managed Care/Payer) module. This role partners with payer operations, revenue cycle, contracting, and IT teams to ensure accurate benefits, authorizations, claims adjudication, and payer workflows.

Key Responsibilities:

• Configure and maintain Epic Tapestry (Payer/Managed Care) application components.
  
  
• Build and support benefit plans, products, packages, coverage rules, and authorizations.
  
  
• Configure claims adjudication logic, reimbursement rules, and payment policies.
  
  
• Support payer contracts, fee schedules, and coordination of benefits (COB).
  
  
• Analyze payer requirements and translate them into Epic system build and workflows.
  
  
• Perform unit, integrated, and user acceptance testing (UAT); resolve defects.
  
  
• Collaborate with Revenue Cycle, Enrollment, Claims, and Provider Contracting teams.
  
  
• Support integrations with Epic HB, PB, Clearinghouses, and external payer systems.
  
  
• Monitor adjudication errors, work queues, and reports; recommend system improvements.
  
  
• Provide go-live, post–go-live, and production support.
  
  
• Create and maintain build, workflow, test scripts, and training documentation.
  
  
• Ensure compliance with CMS, Medicaid, Medicare, and HIPAA regulations.
  
  

Required Skills & Qualifications:

• Epic Tapestry certification or proficiency (required or strongly preferred).
  
  
• 3+ years of experience working with Epic Tapestry or payer systems.
  
  
• Strong knowledge of payer operations, benefits, claims processing, and authorizations.
  
  
• Experience with Medicare, Medicaid, and commercial insurance plans.
  
  
• Understanding of reimbursement methodologies and provider payment models.
  
  
• Strong analytical, troubleshooting, and communication skills.
  
  

Preferred Qualifications:

• Experience with Epic Resolute HB/PB integrations.
  
  
• Knowledge of reporting tools such as Clarity, Caboodle, or Reporting Workbench.
  
  
• Previous Epic implementation or payer-system optimization experience.
  
  
• Healthcare payer or managed care organization background.