Remote Epic Tapestry QA Analyst Health Systems

Optum; Eden Prairie (MN); Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401(k) plan

Performance incentives

Job summary

Optum, part of UnitedHealth Group, seeks a remote EPIC Tapestry Systems Quality Analyst to join our insight team. The role interprets payer and provider contracts, translates requirements into Epic configuration, and validates builds with emphasis on quality, compliance, and implementation.

You can work remotely from anywhere in the U.S.; Minneapolis/DC area in-office four days a week. Requires Epic certification and 3+ years in healthcare payer ops, strong Excel skills, and ability to travel up

Qualifications

• Current or Epic certification in at least one Epic application or module. The certification may be active or inactive and does not need to be in Epic Tapestry
• 3+ years of experience supporting Epic applications through configuration, build, systems analysis, testing, quality assurance, issue resolution, implementation, upgrades, or production support
• 3+ years of experience in healthcare payer operations, managed care, health plan operations, claims, eligibility, benefits, contract administration, provider reimbursement, or a closely related healthcare business environment
• Experience interpreting complex healthcare business requirements, payer contracts, provider contracts, reimbursement terms, or business rules and translating them into system configuration, workflows, or technical requirements
• Experience reviewing, validating, testing, auditing, or quality-checking system configuration, application builds, business rules, or operational processes
• Intermediate to advanced Microsoft Excel skills for analysis, reporting, tracking, reconciliation, or requirements validation
• Demonstrated ability and willingness to obtain or reactivate role-specific Epic certifications after hire, based on business needs and training availability. The hiring team anticipates completion within approximately one year
• Demonstrated solid analytical skills and attention to detail, including the ability to break complex information into logical components and evaluate whether system outcomes align with requirements
• Ability to travel up to 10%, primarily as needed for Epic training or certification

Responsibilities

• Review payer and provider contracts, reimbursement terms, and healthcare business requirements; break complex content into detailed system and operational requirements
• Configure and maintain Epic application builds and business rules supporting claims, eligibility, benefits, contracts, provider setup, payments, and related payer operations
• Perform quality assurance reviews of application builds to verify that configuration is accurate and transactions are processing as intended
• Identify build or processing issues, coordinate corrective action and retroactive claims reprocessing when needed, and support process improvements that reduce recurrence
• Support new features, upgrades, new health plans, new payers, benefit plans, and member implementations from requirements through go-live readiness
• Develop and maintain build documentation, test evidence, quality audit materials, process documentation, and implementation records
• Partner with business operations, IT, project teams, health plans, vendors, clients, and other internal stakeholders to support successful delivery
• Help ensure solutions align with applicable regulatory, health plan, client, and operational requirements
• Use Microsoft Excel for reporting, tracking, contract analysis, validation, and organization of detailed requirements

Skills

Epic certification

Analytical skills

Epic configuration knowledge

Excel reporting

Payer operations experience

SQL knowledge

Tools

SQL

Job description

Optum, part of UnitedHealth Group, seeks a remote EPIC Tapestry Systems Quality Analyst to join our insight team. The role interprets payer and provider contracts, translates requirements into Epic configuration, and validates builds with emphasis on quality, compliance, and implementation.

You can work remotely from anywhere in the U.S.; Minneapolis/DC area in-office four days a week. Requires Epic certification and 3+ years in healthcare payer ops, strong Excel skills, and ability to travel up