EPIC Tapestry Systems Quality Analyst - Remote

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. This role sits at the intersection of healthcare operations and technology. The Epic Information Systems Quality Analyst interprets payer and provider contract requirements, translates those requirements into Epic system configuration and business rules, and validates that builds process accurately. The role supports risk operations across eligibility, claims, benefits, contracts, provider setup, accounts payable, and payments, with a solid emphasis on quality, documentation, compliance, and successful implementation. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Review payer and provider contracts, reimbursement terms, and healthcare business requirements; break complex content into detailed system and operational requirements Configure and maintain Epic application builds and business rules supporting claims, eligibility, benefits, contracts, provider setup, payments, and related payer operations Perform quality assurance reviews of application builds to verify that configuration is accurate and transactions are processing as intended Identify build or processing issues, coordinate corrective action and retroactive claims reprocessing when needed, and support process improvements that reduce recurrence Support new features, upgrades, new health plans, new payers, benefit plans, and member implementations from requirements through go-live readiness Develop and maintain build documentation, test evidence, quality audit materials, process documentation, and implementation records Partner with business operations, IT, project teams, health plans, vendors, clients, and other internal stakeholders to support successful delivery Help ensure solutions align with applicable regulatory, health plan, client, and operational requirements Use Microsoft Excel for reporting, tracking, contract analysis, validation, and organization of detailed requirements You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Current or Epic certification in at least one Epic application or module. The certification may be active or inactive and does not need to be in Epic Tapestry 3+ years of experience supporting Epic applications through configuration, build, systems analysis, testing, quality assurance, issue resolution, implementation, upgrades, or production support 3+ years of experience in healthcare payer operations, managed care, health plan operations, claims, eligibility, benefits, contract administration, provider reimbursement, or a closely related healthcare business environment Experience interpreting complex healthcare business requirements, payer contracts, provider contracts, reimbursement terms, or business rules and translating them into system configuration, workflows, or technical requirements Experience reviewing, validating, testing, auditing, or quality-checking system configuration, application builds, business rules, or operational processes Intermediate to advanced Microsoft Excel skills for analysis, reporting, tracking, reconciliation, or requirements validation Demonstrated ability and willingness to obtain or reactivate