Position Summary:

The Epic Tapestry Analyst – Health Plan AP Claims is responsible for supporting the build, configuration, maintenance, and optimization of Epic’s Tapestry module, with a specialized focus on the Health Plan Accounts Payable (AP) Claims functionality. This role ensures the integrity and efficiency of claims processing, vendor payments, adjudication logic, and integration with financial systems within a health plan environment.

Key Responsibilities:

• Configure, analyze, and maintain Epic Tapestry modules related to Health Plan Claims and AP processes.
• Support end-to-end AP claims workflows including claims intake, adjudication, payment processing, and remittance advice.
• Collaborate with business stakeholders to gather and validate requirements, ensuring system configuration aligns with operational needs.
• Identify, troubleshoot, and resolve system issues related to Tapestry claims processing and financial transactions.
• Develop and maintain technical documentation, process flows, test scripts, and standard operating procedures.
• Perform system testing for upgrades, new implementations, and enhancement releases, including integration testing with external vendor systems and financial platforms.
• Participate in project teams for Epic Tapestry enhancements, claims system upgrades, and integration initiatives.
• Monitor system performance and proactively address potential issues impacting claims operations or AP workflows.
• Partner with Finance, Claims, and Provider Relations teams to ensure accuracy and compliance in claims adjudication and payment.

Required Qualifications:

• Bachelor’s degree in Information Systems, Healthcare Administration, Business, or related field (or equivalent experience).
• Minimum 3 years of hands-on experience with Epic Tapestry, particularly in Claims and AP (Accounts Payable) functionality.
• Active Epic Tapestry Certification (or ability to obtain certification within a defined timeframe).
• Strong understanding of healthcare claims processing, CMS requirements, HIPAA, and managed care operations.
• Experience working in a health plan or payer environment with knowledge of claims lifecycle and provider payment methodologies.
• Demonstrated experience with SQL or reporting tools for data validation and analysis.

Preferred Qualifications:

• Experience with cross-functional teams including finance, enrollment, provider contracting, and EDI.
• Knowledge of integration points between Epic Tapestry and third-party applications or payment systems (e.g., banks, accounting software).
• Familiarity with Capitation, Fee-for-Service, and Value-Based Payment models.
• Exposure to CMS encounter data submissions and regulatory compliance processes.

Core Competencies:

• Analytical thinking and attention to detail
• Strong communication and interpersonal skills
• Ability to manage multiple priorities in a fast-paced environment
• Customer service orientation with a problem-solving mindset
• Collaborative team player with the ability to work independently

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.