Epic Tapestry Consultant- Membership

PENNEP is seeking an experienced Epic Tapestry Consultant – Membership to join our client’s dynamic team. The Epic Tapestry Consultant – Membership is responsible for supporting, maintaining, and optimizing Epic Tapestry applications within a managed care and healthcare payer environment. This role serves as a functional and technical expert, ensuring system stability, operational excellence, regulatory compliance, and end-user satisfaction. The consultant works closely with business stakeholders, operations teams, and Information Systems teams to design, implement, troubleshoot, and enhance Epic Tapestry solutions while supporting membership, enrollment, claims, authorizations, capitation, and provider-related processes.

• Address and resolve incidents reported by users, escalating complex issues to team leads, scrum masters, or project leaders as necessary.
• Continuously monitor the Epic Tapestry environment, batch jobs to ensure optimal performance and system stability.
• Manages navigation of build migration paths, oversees the change control process/governance, and handles ticket management processes effectively.
• Provides high-level customer service, troubleshooting, maintenance, and training materials for Epic Tapestry, ensuring end-user references are clear and understandable.
• Participates in and sometimes leads projects, translating customer needs into actionable deliverables, establishing status reporting, and managing customer relationships and expectations, including reporting to internal leadership.
• Initiates, facilitates, and leads meetings with end-user and internal staff members, acting as a liaison between professional departments and Information Systems while promoting adherence to established industry best practices, standards, and quality.
• Manages and maintains accountability for end-user satisfaction and the success of assigned tasks, proactively communicates to mitigate risks, tracks issues, and provides solution-oriented escalation.
• Performs in-depth and precise investigation and documentation of future-state operational specifications and Epic Tapestry functionality.
• Applies specialized Epic Tapestry knowledge to improve processes and support strategies, assists junior personnel, and is responsible for ongoing assessment, design, validation, development, and implementation of the Epic system.
• Collaborates with operations to identify and interoperate reporting needs by end-users, department leads, and internal Information Systems staff.
• Serves as a source of support and a positive role model through mentoring and training peers on build, workflow processes, testing, and implementation processes.
• Initiates department process improvement; identifies, designs, and implements processes, including the outline of maintenance plans.
• Understands health plan regulatory requirements for AP Claims, Authorizations, Capitation, Accounts Payable, and Enrollment using Tapestry modules.
• Demonstrate proficiency with information systems technology, which also includes Microsoft Office Suite, email.
• Demonstrated skill in system workflow and business process flow analysis and design.

• 5-10 years of work experience in a related job discipline.
• Build experience in Epic Tapestry.
• Familiar with AP cycle process and general batch setup.
• Experience working in SQL and reporting.
• Experience with Payer/Provider applications.
• Experience with ANSI transactions.
• Experienced in ITIL service methodology or Service NOW.
• Experience working independently with colleagues in a variety of locations and time zones.
• Demonstrated ability to analyze, design, implement, and maintain moderately complex systems.
• Familiarity with HIPAA and other regulations.
• Basic knowledge of messaging formats used in healthcare integration (HL7, EDI, CSV, XML, etc.).
• Experience working in the US health care domain and managed care setup.
• Exceptional problem-solving skills, excellent written and verbal communication skills with ability to story tell.
• Epic Tapestry certified.

• Experience in MyChart integration is preferred.

A minimum of Bachelor's Degree

Contract

Remote Work