Supports Epic Tapestry referral, authorization, order routing, work queue, CRM, provider portal, and utilization management workflows for a managed care health plan. Responsibilities include system build and maintenance, Epic 278R support, provider and member record management, access administration, troubleshooting, testing, and upgrades. Requires Epic Referrals and Authorizations certification, at least three years of relevant analyst experience, and managed care or shared-instance build experience.
This is a remote position.
About Us
Ellit Groups is a healthcare IT and operational consulting firm focused on bridging the gap between clinical operations, technology, and patient access. We partner with provider and payer organizations to design and implement solutions that improve efficiency, access, and outcomes.
Our team is built by experienced operators who bring practical, real-world insight to every engagement. We deliver results by combining deep industry expertise with a hands-on, execution-focused approach.
Our client is seeking a Clinical Support Analyst to support Tapestry-based referral, authorization, order routing, work queues, CRMs, provider portal, provider maintenance and Tapestry Link workflows. Assist their Managed Care Health Plan with support and system build and Utilization Management projects.
- Build and maintain referral and authorization workflows.
- Build and maintain orders and work queues
- Support utilization management workflows including Epic 278R.
- Maintain CRM records for member tracking and documentation.
- Support order routing and linkage with UM tasks.
- Troubleshoot Provider Portal and Tapestry Link issues.
- Manage security access and user templates.
- Participate in testing cycles and upgrades.
Requirements
Required Epic Tapestry Certification:
- Epic Referrals and Authorizations
Additional Desired Certifications:
- Epic Tapestry Claims and Contracts Administration
- Epic Tapestry CRM (Cheers) Administration
- Epic Benefits Engine for Tapestry
- Epic Tapestry Link
Qualifications:
- 3+ years of experience with UM/referrals/Tapestry as an Analyst
- Build Experience working in a managed care or shared instance environment.
- Strong analytical, communication and collaboration skills.
Benefits
Benefits
What We Offer:
- Competitive salary and benefits package.
- Opportunity to work in a collaborative and innovative environment.
- Professional development opportunities to advance your career.
- Flexible work arrangements to promote work-life balance.
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