Epic Tapestry Medical Management Application Analyst III - 25-71

We’re delighted you’re considering joining us!

At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Join Our Team!

Hill Physicians has much to offer prospective employees.  We’re regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you’re making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

Under the leadership of the Applications Manager, the Application Analysts primary role is to have a complete working knowledge of assigned application, to include an understanding of the assigned department workflows for the associated system build/configure, upgrade and release process. The Application Analyst will act as the primary support contact for the application and coordinate issues that arise in their area of responsibility and must be very knowledgeable about the organization's policies, procedures, and business operations. They will perform workflow analysis, data collection and report issues associated with the software. The Application Analyst will serve as a liaison between team, end users, third parties and technical staff. They will work with end users by participating in training and troubleshooting issues and questions. Intermediate level technical professional.  Completes moderate complex work within a discipline or specialty area.  Follows processes and checklists.  Understands why the process is important, including the need for flexibility as common-sense dictates. Shares feedback with process owners from personal experience. Works to resolve operational counterparts' issues. Presents options when available. Build/configures trust. Communicates with operations when requested features are available.  Shares the "why" behind the recommendation or solution.  Proactively addresses know Issues.

Specialization

As a Medical Management Application Analyst, you will be a vital contributor to our team responsible for the support of utilization management through the Epic Systems Tapestry application, through the Epic Systems Tapestry application.  The Medical Management Application Analyst utilizes Tapestry to process utilization management accurately and efficiently.  The Analyst will:

• Be primary responsibility for the releases, quarterly upgrades, and operational support of Tapestry.  Works with business users to manage the technical needs requested of Tapestry. 
• Ensures realistic customer expectations are identified and met.  Builds strong team relationships with vendors and internal staff throughout the organization. 
• Analyzes, designs, builds, tests, and deploys Utilization Management solutions in Epic Tapestry.
• Duties may include but are not limited to ASA, Workqueues, Workflows, Member Coverages, Provider/POS, Reports and Dashboards, as well as System Release and Upgrades.
• Leverages understanding of authorization policies and procedures that affect the automatic approval or denial of authorizations. 
• Knowledge of areas that integrate with UM or referrals, including scheduling referrals, creating authorizations from orders, and using authorizations to pay claims if installing Tapestry AP Claims and use of care plans to conduct case management review.

Other Job Responsibilities:

• Responsible for work and/or moderately complex projects perfumed within a broader technical and business context
• Uses judgment to identify and solve problems in straightforward situations
• Analyzes possible solutions using technical experience and precedents
• Works on development of new technologies.
• Identifies root cause and communicates the next steps. Answers the question at hand.     
• Acting as the primary support contact for the application's end‐users.
• Provide software product function, design, and build/configure expertise needed for successful product implementation.
• Identifying issues that arise in their application area as we