Shyft6

Utilization Management Application Analyst

Shyft6

contract

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $70 per hour

Job Level

Mid-LevelSenior

Tech Stack

Node.js

About the role

  • Review, prioritize, and complete a backlog of Epic Tapestry UM enhancement requests.
  • Perform analysis, build, testing, and deployment of configuration changes for UM workflows.
  • Collaborate with UM nurses, case managers, physicians, and IT colleagues to define and implement optimized processes.
  • Configure and update UM workflows, rules, and automation to support care authorization, concurrent review, and discharge planning.
  • Ensure compliance with payer guidelines, regulatory requirements, and organizational policies.
  • Create and maintain documentation of build changes, testing scenarios, and workflow updates.
  • Participate in change control and release management processes for smooth implementations.
  • Troubleshoot and resolve issues in collaboration with operational teams.
  • Communicate progress and status updates to stakeholders and leadership.

Requirements

  • Epic Certification: Epic Tapestry
  • Minimum 3 years of Epic Tapestry UM build and configuration experience
  • Strong understanding of utilization management, case management, and care coordination workflows
  • Experience supporting large, enterprise health systems, preferably in a managed care or integrated delivery network environment
  • Proficiency in Epic testing, validation, and change control processes
  • Strong analytical skills with the ability to interpret payer guidelines and operational needs
  • Excellent communication, documentation, and stakeholder engagement skills
  • Ability to work independently in a remote environment