Epic Tapestry Utilization Management (UM) Analyst

The role

This person will design, build, configure, test, and maintain Epic Tapestry Utilization Management functionality. They will support UM workflows and collaborate with clinical, operational, and technical teams to improve efficiency.

What you will do

• Design, build, configure, test, and maintain Epic Tapestry Utilization Management functionality.
• Support UM workflows, including prior authorizations, referrals, inpatient admissions, concurrent reviews, and medical necessity determinations.
• Configure and optimize authorization workflows, review processes, workqueues, and decision-support functionality.
• Collaborate with clinical and operational stakeholders to identify workflow improvements and translate business requirements into Epic solutions.
• Support Epic Tapestry implementations, upgrades, enhancements, integrated testing, and go-live activities.
• Troubleshoot application issues, resolve defects, and provide ongoing production support.
• Work with cross-functional teams to ensure integrated workflows.
• Support regulatory and compliance requirements related to utilization management, including CMS and NCQA standards.
• Develop functional specifications, testing scenarios, and system documentation.
• Provide end-user support and knowledge transfer to operational teams.

Required qualifications

• Epic Tapestry Utilization Management certification required.
• Hands-on experience with Epic Tapestry UM build, configuration, testing, and optimization.
• Strong understanding of managed care operations, prior authorization, referrals, and utilization review processes.
• Experience supporting Epic implementations, upgrades, and production environments.
• Ability to analyze complex workflows, troubleshoot technical issues, and recommend improvements.
• Strong communication skills and experience working with clinical, operational, and IT stakeholders.

About the company

Chartis works with more than 1,900 organizations annually to develop and activate transformative strategies, operating models, and organizational enterprises. Their family of brands is 100% focused on healthcare.