Solutions Manager – EMR Workflow Design
Humata Health
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Design end-to-end prior authorization workflows within Epic that integrate with Humata's automation platform
- Own the workflow configuration strategy, determining which clinical events should trigger authorization requests
- Design clinical data aggregation strategies to support medical necessity determinations
- Serve as the primary workflow SME for customer IT, Epic analysts, and clinical operations teams during implementations and expansions
- Lead workflow discovery sessions with health system stakeholders
- Collaborate with customers on design of future state process improvements
- Provide Epic-specific guidance on configuration options for authorization workflows
- Build and maintain a library of reference workflow designs for common use cases
- Partner with Product Management to ensure Humata's platform capabilities align with real-world Epic workflow constraints and opportunities
- Lead a team responsible for Epic workflow design and directly manage Solutions Engineers and Workflow Consultants
Requirements
- 5+ years of hands-on Epic experience
- Epic implementation/optimization consulting (preferably Revenue Cycle or Ambulatory)
- Epic application analyst role (Referrals, Orders, Cadence, Prelude, or Grand Central)
- Epic workflow development and configuration
- Direct experience with Epic prior authorization workflows
- Understanding of how 278 transactions map to Epic data elements
- Configuration of authorization request triggers and routing
- Integration between Epic and payer portals or clearinghouses
- Staff workflows for authorization submission, tracking, and follow-up
- Deep knowledge of Epic's technical architecture for workflow design
- Clinical data capture tools
- BPA configuration and logic
- In Basket message routing and task management
- Report writing for workflow monitoring (Clarity/Caboodle)
- Strong understanding of healthcare operations
- Revenue cycle workflows (scheduling, registration, authorization, billing)
- Utilization management and medical necessity requirements
- Payer-provider interactions and common authorization pain points
- HIPAA compliance in workflow design
- Leadership and management experience
- Prior experience leading or mentoring analysts, consultants, or technical team members
- Comfortable serving as an escalation point and advisor to team members to unblock challenges
- Can balance strategic planning, hands-on design and people management in a hybrid role
Benefits
- Competitive Compensation: Enjoy competitive base compensation, equity through our Employee Stock Option Plan, and bonus-eligible roles
- Comprehensive Benefits: Full benefits package including unlimited PTO and 401k program with employer match
- Impactful Work: Contribute to innovative solutions that improve healthcare efficiency and patient outcomes
- Remote Flexibility: Enjoy working remotely while being part of a collaborative team, with access to our new office in Winter Park, FL
- Growth Opportunities: Advance your career in a fast-paced, high-impact environment with ample professional development
- Inclusive Culture: Join a diverse workplace where your ideas and contributions are valued
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
EpicEpic implementationEpic optimization consultingEpic application analystEpic workflow developmentEpic prior authorization workflowsBPA configurationReport writingClinical data capture tools278 transactions
Soft skills
leadershipmanagement experiencementoringstrategic planningproblem-solvingcommunicationcollaborationcustomer engagementteam managementescalation point