Epic Tapestry Medical Management Applications Analyst - Hybrid preferred, Remote Considered

As a Medical Management Application Analyst, you will be a vital contributor to our team responsible for the support of utilization management through the Epic Systems Tapestry application. The Medical Management Application Analyst utilizes Tapestry to process utilization management accurately and efficiently. The Analyst will:

• Be primary responsibility for the releases, quarterly upgrades, and operational support of Tapestry. Works with business users to manage the technical needs requested of Tapestry.
• Ensures realistic customer expectations are identified and met. Builds strong team relationships with vendors and internal staff throughout the organization.
• Analyzes, designs, builds, tests, and deploys Utilization Management solutions in Epic Tapestry.
• Duties may include but are not limited to ASA, Workqueues, Workflows, Member Coverages, Provider/POS, Reports and Dashboards, as well as System Release and Upgrades.
• Leverages understanding of authorization policies and procedures that affect the automatic approval or denial of authorizations.
• Knowledge of areas that integrate with UM or referrals, including scheduling referrals, creating authorizations from orders, and using authorizations to pay claims if installing Tapestry AP Claims and use of care plans to conduct case management review.

Other Job Responsibilities:

• Performs work that is complex and varied in nature
• Solves complex problems by defining and discerning key aspects of the problem
• Takes a new perspective on existing solutions. Recommends new procedures and processes to achieve results.
• Understands the why behind the question.
• Communicates build/configure, or workflow improvements that solves the broader need.
• Acting as the primary support contact for the application's end‐users
• Provide software product function, design, and build/configure expertise needed for successful product implementation.
• Identifying issues that arise in their application area as well as issues that affect other application teams, and working to resolve them
• Guiding workflow design, build/configuring and testing the system, and analyzing other technical issues associated with software ensuring design and configuration meets patient care and business needs
• Works with the IS. Team members, vendors and customers to ensure that the application systems are properly maintained and necessary changes are reliably tested, implemented, and documentation is current. Serving as a liaison between end users' workflow needs and implementation staff
• Maintaining regular communication with software representatives, business community, and end users to ensure the system meets the organization's business needs in regards to the project deliverables and timeline
• Developing an understanding of operational needs to set the direction for the organization's workflows by attending site visits and other integrated sessions
• Expert in workflows identifies areas for system optimization and process improvement. Develops solutions and collaborates with the team and management to implement these solutions.
• Works to ensure that user problems and configuration requests are appropriately addressed, and system upgrades are successfully executed with minimal disruption to operations
• Develops and manages effective customer relationships with end-users and other team members to enhance the timeliness and effectiveness of technology solutions.
• Responds promptly to the needs of end-users, and meets Service Level Agreements as defined in conjunction with our customers following issues through to closure.
• Participates in team and leadership meetings to discuss team and ongoing project related activities, issues, change, communications, and updates.
• Typically provides training and guidance to colleagues with less experience, but no formal supervisory responsibility
• May be accountable for leading small projects with moderate risk
• Recognizes when the team needs to be given direction. Proactively looks for feedback to share in their peers work and solicits feedback in return.
• Proactively teaches others on the team. Seeks out areas or issues to lead.
• Digs deeper to root out potential issues or opportunities.

Required Experience and Professional Skills:

Experience

• 5-7 years of experience in Managed Healthcare and previous experience in Epic Tapestry (Referral & Authorization) required
• 2 years of experience in healthcare Utilization Management processing or a related role

Professional Skills

• Requires in-depth knowledge and experience. Has developed deep conceptual and practical expertise in own discipline and basic knowledge of related disciplines
• Understands workflows, and makes thoughtful recommendations on the fly. Creates unique solutions based on experiences and knowledge of other's build/configure and workflows. Incorporates future software direction into recommendations.
• Ability to work independently and function as an integral part of the team
• Flexibility and adaptability with respect to changing end‐user business needs
• The ability and willingness to take ownership of work activities and ensure that they are completed in an accurate, efficient, and timely manner
• The ability to gain trust and establish effective relationships with system end users, business unit and vendor counterparts
• Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence bring effective solutions to complex customer problems
• The ability to persevere in difficult situations, overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures
• The willingness to put forth extra effort when required, including demonstrating persistence in the face of obstacles and adversity
• Strong analytical and problem solving skills. Excellent oral and written communication skills both technical and business focused.
• The ability to communicate information clearly and concisely with leadership and subject matter experts

Education

• Bachelor's degree in a related field (Healthcare Administration, Information Systems, etc.) or equivalent experience

Certifications

• Proficiency with the Epic Systems Tapestry application is a required
• Epic Certification in Referral & Authorization required
• Knowledge of healthcare regulations and compliance, including HIPAA, is preferred

Salary Range

$125-145K/year DOE

This position will have an up to 8% annual performance bonus earning potential and offers a full suite of benefits including up to 6.5% 401k matching.

PLEASE NOTE: We are only seeking candidates who are in/near San Ramon, CA and willing to work a hybrid (two days per week) work schedule. We're open to relocations.

We are potentially able to consider hiring for this role remotely (strong preference for CA [more than 100 miles from one of our offices: San Ramon, Sacramento, or Stockton] – 2nd tier: WA, AZ, NV, OR, CO – 3rd tier [less likely]: ID, IL, TX, TN, FL, PA, HI, NJ, NY, WV, WS)

At Hill Physicians Medical Group, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and one of the “Healthiest Places to Work in the Bay Area.” We have an award-winning Wellness Program, and our average tenure is ~8 years. Every person who joins Hill Physicians is coming in as a leader and has the very real potential to grow with the company as we grow. We’re all in it for the long haul and are bought-in to the success and future of our organization.

We’re proud to have been (and continue to be) a pillar of the Northern Californian healthcare community for 40 years. Our nearly 6,000 primary care physicians and specialists provide high-quality care across the San Francisco Bay, Marin, Sacramento, and Central Valley areas.

By adapting to both the demands of the industry and the needs of consumers, we’ve remained stable and profitable, and our service area now ranges from the Pacific Ocean to the Sierra Nevada’s. We’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Our culture is guided by core values​ that promote the health and wellness of our employees and communities (health), commitment (accountability), fiscal responsibility (stewardship), teamwork (collaboration), and our dedication to do the right thing (integrity). 97% of employees feel that supervisors and managers “walk the talk”​ and demonstrate our core values. Join us!

Hill Physicians is an Equal Opportunity Employer