Epic Tapestry Utilization Management Analyst
Expert Technology ServicesEden Prairie, MN
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Overview
Remote
On-site
Job Description
Job Summary (List Format): Epic Tapestry Utilization Management Analyst
- Design, build, and optimize Epic Tapestry Utilization Management (UM) workflows focused on authorizations and referrals.
- Configure and support prior authorization and referral processes for medical, behavioral health, and pharmacy-to-medical crossovers.
- Develop and maintain routing rules, work queues, decision trees, templates, smart texts, and notification logic within Epic Tapestry UM.
- Implement and support Tapestry Care Link for external provider access, including roles, security, workflows, documentation tools, and training.
- Align UM workflows with benefit plan configuration, provider network tiering, care management touchpoints, and claims adjudication.
- Collaborate with UM leadership, clinical reviewers, provider relations, care management, claims, and integration teams to ensure compliant and efficient UM determinations.
- Ensure solutions support regulatory compliance, reduce administrative burden, and improve member and provider experience.
- Utilize strong analytical skills and tools (e.g., SQL, Clarity, Caboodle, SlicerDicer) to support operational reporting and UM KPIs.
- Participate in the testing lifecycle (unit, SIT, UAT), defect management, and release/hypercare processes.
- Translate payer and network operations needs into scalable Epic solutions through effective communication and documentation.
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FAQs About Epic Tapestry Utilization Management Analyst Jobs at Expert Technology Services
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This job at Expert Technology Services is located in Eden Prairie, MN, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Expert Technology Services?
Employer has not shared pay details for this role.
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