Epic Payer Platform Analyst — Interoperability & Data Quality

Jobtailor

Little Rock (AR)

On-site

USD 100,000 - 140,000

Full time

14 days+

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Job summary

Jobtailor in Little Rock, AR seeks a healthcare IT professional to collaborate with internal stakeholders and vendors on system enhancements and new feature adoption, focusing on Epic Payer Platform integrations.

You will configure and support Epic Payer Platform to enable payer-provider interoperability, develop end-user documentation, and ensure data quality for risk adjustment, quality reporting, and member longitudinal health records.

Qualifications

Bachelor’s degree in Business, Healthcare, Nursing, Health Administration, Computer Science, or related field.
Minimum five (5) years experience in healthcare Information Technology (IT), health plan operations, or clinical data exchange.
Experience with healthcare data standards and interoperability concepts (e.g., FHIR, HL7).
Experience analyzing data quality, mapping, and system performance to drive process improvements.
Experience supporting Epic applications, preferably Tapestry and/or Payer Platform functionality, preferred.
Knowledge of payer-provider workflows including prior authorization, claims, care management, and quality reporting (e.g., HEDIS).

Responsibilities

Collaborates with internal stakeholders and vendors on system enhancements, upgrades, and new feature adoption.
Configures and supports Epic Payer Platform applications to enable payer-provider interoperability.
Develops and maintains documentation, workflows, and training materials for end users.
Ensures timely and accurate data exchange to support risk adjustment, care gap closure, quality measurement (e.g., HEDIS), and the development of member longitudinal health records.
Evaluates system performance, monitors data quality and mapping, and identifies opportunities to improve operational efficiency, reduce administrative burden, and enhance provider engagement.
Identifies and implements process improvements to enhance efficiency and reduce administrative burden.
Leverages reporting and analytics to monitor performance, identify trends, and support decision-making.
Monitors and ensures data quality, accuracy, and appropriate mapping across systems.
Partners with internal stakeholders, vendors, and provider teams to troubleshoot issues, support system enhancements, and drive adoption of Payer Platform capabilities that improve interoperability, streamline processes, and enable more effective, data-driven decision-making to improve member outcomes.
Partners with providers to onboard, test, and optimize Payer Platform integrations and workflows.
Troubleshoots application, integration, and workflow issues across payer and provider environments.