Business Systems Analyst - EPIC

Compunnel, Inc.; Durham (NC); On-site; USD 80,000 - 100,000; Full time

Job summary

A healthcare technology firm is seeking a skilled Business Systems Analyst to support its Epic Payer Platform and health data initiatives. This role involves analyzing complex systems, configuring Epic modules, and implementing interoperability solutions. The ideal candidate will have a Bachelor's degree and 3-5+ years of relevant experience in a healthcare setting, including proficiency in Epic systems and FHIR standards. Strong analytical and communication skills are essential for this position.

Qualifications

• 3–5+ years of experience as a Business Systems Analyst in a healthcare setting.
• 3 years of experience with Epic systems, especially the Epic Payer Platform.
• Proficiency in HL7 FHIR and SMART on FHIR standards.

Responsibilities

• Analyze and document complex business requirements across clinical, claims, and member services domains.
• Configure, test, and maintain Epic modules to support business operations.
• Implement data exchange initiatives using FHIR and Epic Bridges.

Skills

Analytical skills

Problem-solving skills

Communication skills

Proficiency in SQL

Knowledge of HL7 FHIR

Education

Bachelor’s degree in Health Informatics, Computer Science, Information Systems

Tools

Epic Payer Platform

Epic Bridges

Epic Cogito tools

Job description

We are seeking a skilled Business Systems Analyst with strong healthcare and technical expertise to support the Epic Payer Platform and health data interoperability initiatives.

This role involves analyzing, designing, and configuring complex business and clinical systems using Epic, including facilitating data exchange through Epic Bridges and SMART on FHIR APIs.

The analyst will also support reporting needs using Epic's Cogito tools, focusing on critical payer data such as eligibility, claims, and membership.

Key Responsibilities

System Analysis and Design

• Analyze and document complex business requirements across clinical, claims, and member services domains.
• Translate business needs into actionable functional and technical specifications.
• Serve as a subject matter expert for the Epic Payer Platform and its integration with external systems.

Epic Payer Platform Configuration and Optimization

• Configure, test, and maintain Epic modules to support business operations.
• Collaborate with end-users during implementations and upgrades.
• Troubleshoot and resolve technical issues related to Epic applications.

Interoperability, Epic Bridges, and FHIR Integration

• Implement data exchange initiatives using FHIR, SMART on FHIR, and Epic Bridges.
• Design and troubleshoot interfaces for seamless data exchange.
• Define requirements for API-based data exchange using RESTful APIs and FHIR resources.
• Support integration of third-party SMART on FHIR applications.

Data and Reporting (Cogito)

• Utilize Epic’s Cogito tools (Radar, Reporting Workbench, Slicer Dicer) for reporting and analytics.
• Focus on payer data reporting including eligibility, claims, and membership.
• Extract, analyze, and validate data for decision-making and compliance.
• Develop and maintain custom reports and dashboards.

Required Qualifications

• Bachelor’s degree in Health Informatics, Computer Science, Information Systems, or equivalent experience.
• 3–5+ years of experience as a Business Systems Analyst in a healthcare setting.
• 3 years of experience with Epic systems, especially the Epic Payer Platform.
• 3 years of experience with Epic Bridges interface functionality.
• 3 years of experience with Epic Cogito reporting tools.
• Strong understanding of healthcare data (eligibility, claims, membership).
• Proficiency in HL7 FHIR and SMART on FHIR standards.
• Excellent analytical, problem-solving, and communication skills.

Preferred Qualifications

• Epic certification in Payer-related or Cogito modules.
• Proficiency in SQL for data validation and analysis.
• Experience with Agile and Scrum methodologies.

Certifications

• Epic certifications (Payer-related or Cogito modules) – preferred.