Vacancy expired!
Job Title: Epic Tapestry Location: Hybrid but can change to fully remote depending on contractor reliability, trustworthiness and skill level Phone + Skype Job Description: Key Responsibilities: Resource will provide direct Epic application support and Epic software development lifecycle for the design, development, monitoring, testing, updating, integration, and maintenance of system stabilization. Resource will analyze user, system, and application needs and will evaluate approaches to determine the best solution to meet VHP's business needs via performance of the defined itemization of responsibilities above and below. Skills and Experience: Experience in business analysis and project management. Knowledge of healthcare and health insurance regulatory standards. Epic implementation experience specifically at a health plan. Understanding relationships of providers and their processes in the healthcare continuum (primary care, specialists, lab ordering, surgery). Familiarity with case management workflows and wellness programs. Familiarity with or background in quality reporting initiatives such as PQRS, ACOs/MSSP, and MU. Familiarity with health plan concepts and workflows. Understanding of operations within the AP Claims department, including claim intake, review, and payment. Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims. Familiarity with the benefit structures of plans. Familiarity with the use of care plans to coordinate care for members/patients. Familiarity with managed care contracting. Understanding of treatment authorization polices/processes that affect approvals or denials and the concepts of treatment referrals and the processes followed. CERTIFICATIONS OR TRAINING(BADGES) Combination of 2 or more from the list below:
- Health Planet Analytics and Clinical Build + Epic Care Link
- Health Planet Analytics and Clinical Build
- Tapestry Eligibility and Enrollment Administration + Tapestry Premium, Billing Administration + Data Courier Mover
- Tapestry Eligibility and Enrollment Administration + Benefits Engine
- Tapestry CRM Administration + MYC200
- Referrals and Authorizations for Tapestry Organizations
- Referrals and Authorizations for Tapestry Organizations + Tap121i
- Security for the Application Analyst Certificate along with badges in Provider Administration + Security Workgroups
- Tapestry Claims Administration
- Tapestry Claims and Contracts Administration
- Interface Administration
- Tapestry Accounts Payable Administration
Vacancy expired!