Senior Epic Configuration Analyst – Utilization Management (UM)

Lancesoft; United States; On-site; USD 120,000 - 150,000; Full time

Job summary

Lancesoft is seeking an experienced Senior Epic Configuration Analyst – Utilization Management (UM) to support configuration, testing, and implementation of Epic solutions across UM and LTSS. The ideal candidate has hands-on Epic configuration experience, especially with UM workflows, and strong requirements gathering, testing, validation, and deployment skills.

Required certifications include Epic Tapestry Medical Management Certification and Epic Healthy Planet Fundamentals for Health Plans

Qualifications

• Experience in healthcare, Medicare or Medicaid environments.
• Hands-on Epic configuration, testing, and implementation.
• Strong analytical, troubleshooting, and problem-solving skills.
• Ability to translate business requirements into technical solutions.
• Excellent written and verbal communication skills.

Responsibilities

• Configure and maintain Epic UM/LTSS workflows, letters, queues, and routing.
• Gather and translate business and clinical requirements into configuration specs.
• Lead design sessions with clinical/operational/technical stakeholders.
• Develop, execute, and document test plans and validation activities.
• Support UAT, defect resolution, and go-live readiness.
• Coordinate testing, defect management, and release activities with cross-functional teams.
• Ensure successful implementation and long-term adoption of Epic solutions.

Skills

Requirements gathering

System testing

Problem solving

Cross-functional collaboration

Communication

Tools

Epic configuration

UM workflows

Epic testing

Job description

We are seeking an experienced Senior Epic Configuration Analyst – Utilization Management (UM) to support the configuration, testing, and implementation of Epic solutions across Utilization Management (UM) and Long-Term Services and Supports (LTSS).

The ideal candidate will have strong hands‑on Epic configuration experience, particularly with UM workflows, along with expertise in requirements gathering, system testing, validation, and implementation. This individual will collaborate with clinical, operational, and technical stakeholders to develop scalable healthcare solutions, improve provider experiences, and ensure successful system deployments.

• Must have Epic Tapestry Medical Management Certification.
• Must also have Epic Healthy Planet Fundamentals for Health Plans Certification or Healthy Planet Link experience/credential.

Key Responsibilities

• Configure and maintain Epic workflows, including UM letters, work queues, routing rules, and related system functionalities.
• Gather, analyze, and translate business and clinical requirements into technical configuration specifications.
• Facilitate design sessions with clinical, operational, and technical stakeholders to develop compliant and user-friendly workflows.
• Evaluate change requests and recommend scalable, standardized configuration solutions.
• Maintain configuration documentation, testing evidence, and project decision records.
• Develop and execute test plans, test scenarios, and system validation activities.
• Support User Acceptance Testing (UAT), defect resolution, and business approval processes.
• Coordinate configuration, testing, defect management, and release activities with cross‑functional project teams.
• Support go‑live readiness, cutover planning, and production deployment activities.
• Identify root causes of system issues and recommend configuration or process improvements.
• Ensure successful implementation, operational stability, and long‑term adoption of Epic solutions.

Required Qualifications

• Epic Tapestry Medical Management Certification – Mandatory.
• Epic Healthy Planet Fundamentals for Health Plans Certification or Healthy Planet Link – Mandatory.
• Minimum 2 years of experience in healthcare, Medicare, or Medicaid environments.
• At least 1 year of experience supporting Utilization Management (UM) workflows.
• Hands‑on experience with Epic configuration, testing, and implementation.
• Strong analytical, troubleshooting, and problem‑solving skills.
• Ability to interpret business requirements and translate them into technical solutions.
• Ability to work effectively in a fast‑paced environment and adapt to changing priorities.
• Excellent written and verbal communication skills.
• Ability to collaborate effectively with cross‑functional teams and stakeholders.

Preferred Qualifications

• Additional Epic analyst certifications or accreditations related to Utilization Management.
• Working knowledge of healthcare systems, clinical operations, and payer workflows.
• Experience with electronic health record (EHR) platforms such as Epic or Cerner.
• Experience developing and implementing digital healthcare capabilities.
• Experience supporting large‑scale healthcare technology implementations and production go‑lives.