Epic Tapestry Analyst with Utilization Management

Infinite Computer Solutions; United States; On-site; USD 190,000 - 235,000; Full time

Job summary

Infinite Computer Solutions seeks an experienced Epic Tapestry Configuration Architect to lead end-to-end architecture, configuration, and integration of Epic Tapestry across payer programs. The role demands 10+ years in payer and managed care, with deep Epic expertise and patient-centered care workflows.

You will drive interoperability, design scalable configurations, and oversee complex implementations with enterprise integration teams, leveraging certifications in Tapestry and Healthy Planet

Qualifications

• 10+ years of healthcare payer and managed care application experience.
• 7+ years of hands-on Epic Tapestry implementation, configuration, and architecture experience.
• Active Epic Tapestry Certification and Epic Healthy Planet Certification.
• Experience supporting downstream payer applications and enterprise integration environments.
• Proven experience leading large-scale Epic payer implementations and optimization engagements.

Responsibilities

• Architect, design, and configure complex Epic Tapestry solutions supporting Utilization Management, Claims, Benefits, Enrollment, Membership, Authorizations, and Care Management.
• Define scalable architecture and configuration standards aligned with business, operational, regulatory, and payer requirements.
• Lead solution design sessions and translate complex payer business processes into technical configurations.
• Provide oversight for application design, workflows, integrations, and deployment strategies.
• Lead configuration and optimization of Utilization Management workflows, including: Prior Authorization, Concurrent Review, Retrospective Review, Referral Management, Medical Necessity Reviews.
• Collaborate with clinical and operational teams to streamline member management processes and improve care coordination.
• Leverage Healthy Planet capabilities to support population health initiatives, risk stratification, care gap identification, and value-based care programs.

Skills

Epic Tapestry

Payer/Managed Care

Healthcare IT

Leadership

Education

Bachelor's degree in IT/Healthcare/CS

Epic Tapestry Certification

Epic Healthy Planet Certification

Tools

EDI integration

Interfaces & Integrations

Job description

• Infinite is a global leader in digital engineering and IT services, with over 20 years of experience driving digital transformation. We partner with leading Fortune 1000 companies to deliver innovative, scalable technology solutions that accelerate business outcomes.
• With deep expertise in telecommunications, healthcare, banking, and finance, Infinite helps organizations optimize and modernize their technology landscapes to achieve long-term growth and efficiency.

Position Summary

We are seeking an experienced Epic Tapestry Configuration Architect with 10+ years of payer and managed care application experience and deep expertise in Epic's payer platform. The ideal candidate will lead the end-to-end architecture, configuration, integration, and optimization of Epic Tapestry solutions while driving interoperability across health plan ecosystems.

This role requires extensive experience with Utilization Management, Claims, Benefits, Membership/Enrollment, and downstream payer applications, along with a strong understanding of EDI transactions, provider contracts, and population health workflows. The candidate should possess active Epic Tapestry Certification and Epic Healthy Planet Certification, with proven experience delivering complex payer transformation initiatives.

Key Responsibilities

• Architect, design, and configure complex Epic Tapestry solutions supporting Utilization Management, Claims, Benefits, Enrollment, Membership, Authorizations, and Care Management.
• Define scalable architecture and configuration standards aligned with business, operational, regulatory, and payer requirements.
• Lead solution design sessions and translate complex payer business processes into technical configurations.
• Provide oversight for application design, workflows, integrations, and deployment strategies.
• Lead configuration and optimization of Utilization Management workflows, including:
• Prior Authorization, Concurrent Review, Retrospective Review, Referral Management, Medical Necessity Reviews
• Collaborate with clinical and operational teams to streamline member management processes and improve care coordination.
• Leverage Healthy Planet capabilities to support population health initiatives, risk stratification, care gap identification, and value-based care programs.

Interoperability & EDI Integration

• Design and support end-to-end integrations between Epic Tapestry and internal/external payer systems.
• Partner with clearinghouses, third-party vendors, and health information exchange teams to ensure seamless data exchange.
• Support interface troubleshooting, testing, and production issue resolution.
• executive leadership.

Required Qualifications

Education & Certifications

• Bachelor's Degree in Information Technology, Healthcare Administration, Computer Science, or related field.
• Active Epic Tapestry Certification (Claims, Membership, Benefits, or Utilization Management).
• Active Epic Healthy Planet Certification.
• Additional Epic Certifications in Care Management, Claims, Benefits, or Population Health are preferred.

Experience

• 10+ years of healthcare payer and managed care application experience.
• 7+ years of hands-on Epic Tapestry implementation, configuration, and architecture experience.
• Extensive experience supporting downstream payer applications and enterprise integration environments.
• Proven experience leading large-scale Epic payer implementations and optimization engagements.