Epic Payor Platform Applications Analyst

Arkansas Blue Cross and Blue Shield; Little Rock (AR); On-site; USD 75,000 - 95,000; Full time

Job summary

Arkansas Blue Cross and Blue Shield seeks an Epic Payor Platform Applications Analyst to support implementation and optimization of Epic Payer applications. This role requires a thorough understanding of healthcare IT, including operational workflows and data quality.

Qualified candidates should have a bachelor’s degree and a minimum of five years' experience in healthcare IT or related fields. Responsibilities include collaborating with stakeholders, configuring applications, and ensuring data quality and interoperability.

Qualifications

• Minimum five (5) years experience in healthcare Information Technology (IT) or health plan operations.
• Experience with data quality analysis and interoperability concepts.
• Demonstrated ability to work with external provider organizations.

Responsibilities

• Collaborates with stakeholders on system enhancements and new feature adoption.
• Configures and supports Epic Payer Platform applications.
• Develops and maintains documentation and training materials.

Skills

Healthcare IT experience

Data analysis

Application support

Interpersonal communication

Problem solving

Education

Bachelor’s degree in Business, Healthcare, Nursing, Health Administration, or Computer Science

Tools

Epic applications (Tapestry, Payer Platform)

FHIR, HL7

Job description

Job Summary

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. The Epic Payor Platform Applications Analyst/Health Data Management Exchange Analyst collaborates with internal business and technical teams, as well as external provider organizations, to support the implementation, configuration, and optimization of Epic Payer Platform applications. This role enables and maintains bidirectional exchange of clinical and administrative data between the health plan and provider partners, supporting workflows such as clinical data exchange, prior authorization, claims, and other Payer Platform capabilities.

Requirements

• Education: Bachelor’s degree in Business, Healthcare, Nursing, Health Administration, Computer Science, or related field required.
• Minimum five (5) years experience in healthcare Information Technology (IT), health plan operations, or clinical data exchange required. 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).

Essential Abilities

• Demonstrated ability to work with external provider organizations and vendors to support integrations and data exchange.
• Analyze Information
• Application Platforms
• Cross-Functional Communications
• Decision Making
• Documentations
• Evaluating Information
• Inductive Reasoning
• Integration Architecture
• Interpersonal Communication
• Organizing
• Problem Solving
• Process Information
• Researching
• Results Interpretation

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.

Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.