Remote job
Epic Tapestry SME
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About this role
Role overview Assess a recently migrated Epic Tapestry environment through a focused configuration audit. The work centers on checking whether contract and provider setup reflects business requirements and produces the intended claims and payment outcomes, then identifying risks and recommending practical remediation. This is a contract assignment focused on review and optimization.
Responsibilities - Review contract configuration and reimbursement methodologies. - Trace business intent through Tapestry configuration to claim and payment results. - Examine Epic Pricer and claims adjudication behavior for configuration issues. - Assess provider records, directories, networks, affiliations, specialties, and participation settings. - Identify operational effects across claims, provider, and contract processes. - Document risks and propose post-migration optimization and remediation steps.
Requirements - Senior-level expertise with Epic Tapestry configuration and audits. - Experience validating contract setup and reimbursement against intended outcomes. - Familiarity with Epic Pricer, claims adjudication, and provider configuration. - Ability to assess a current system build, identify configuration risks, and develop remediation recommendations.
Nice to have - Medicare Advantage or commercial health plan experience.
Benefits and work setup - Contract role with remote work allowed. - Listed hourly range: $80–$110.