Remote Epic Systems Analyst - Claims & Remittance

Optum; Town of Queensbury (NY); Remote; USD 92,000 - 164,000; Full time

Job summary

Optum is seeking a Systems Management Analyst for remote work in the United States, focusing on Epic PB and HB Claims and Remittance. You will configure, maintain, and support claims processing and remittance workflows, collaborating with operations to ensure reliable data flow and timely reimbursement.

This role requires Epic certifications, 3+ years of Epic experience, on-call availability, and after-hours participation.

Qualifications

• Active Epic certification in Epic Resolute PB Claims and Remittance Admin or HB Claims and Remittance Admin.
• 3+ years of experience with Epic implementation and/or support.
• Experience supporting customer support with daily on-call support and working with implementations and upgrades.
• Available for daily support during business hours 7:00am-5:00pm EST.
• Willingness to participate in after-hours projects and upgrades as needed.

Responsibilities

• Provide subject matter expertise in Epic PB and HB Claims and Remittance, including design, building, testing, and implementation.
• Collaborate with leadership and end users to design and configure solutions, providing technical and clinical consultation, including workflow analysis and application configuration to support enhancements and issue resolution.
• Participate in multiple small to medium-scale Epic upgrade initiatives and workflow enhancements through all project phases.
• Facilitate design and validation sessions, ensuring thorough documentation, follow-up, and issue escalation.
• Maintain system documentation, including design specifications and build records.
• Monitor production applications and respond to incidents, including participation in 24/7 on-call support as needed.
• Execute all phases of testing, including unit, system, and integrated testing for claims and remits.
• Translate business requirements into functional specifications; manage system updates, enhancements, and release testing
• Ensure compliance with organizational standards for system configuration and change control
• Build and maintain solid relationships with end users, stakeholders, and business partners
• Facilitate communication across teams from requirements gathering through implementation
• Troubleshoot and resolve application issues, escalating complex problems as appropriate
• Maintain knowledge of Epic functionality and operational workflows
• Time Management & Prioritization: Demonstrates exceptional time management, organizational, and prioritization skills, with a proven ability to manage multiple concurrent responsibilities in fast-paced, dynamic environments
• Epic EMR Expertise: Possesses comprehensive knowledge of Epic systems, comprehensive experience across the full implementation life cycle of Epic's suite of applications
• Relationship Building: Effectively cultivates and maintain solid internal relationships, inspiring colleagues through consultative engagement and influential communication
• Collaboration: Collaborates across teams, departments, and business units to drive solution standardization, promote reusability, and address complex business challenges

Skills

Epic PB/HB Certifications

On-call support

Epic implementation

After-hours availability

Business hours EST

Tools

Excel

ServiceNow

Teams

Word

Job description

Optum is seeking a Systems Management Analyst for remote work in the United States, focusing on Epic PB and HB Claims and Remittance. You will configure, maintain, and support claims processing and remittance workflows, collaborating with operations to ensure reliable data flow and timely reimbursement.

This role requires Epic certifications, 3+ years of Epic experience, on-call availability, and after-hours participation.