Epic Tapestry Analyst

This role partners with payer operations, revenue cycle, contracting, and IT teams to ensure accurate benefits, authorizations, claims adjudication, and payer workflows. The Epic Tapestry Analyst is responsible for the build, configuration, implementation, and support of the Epic Tapestry (Managed Care/Payer) module.

Job Title: Epic Tapestry Analyst


Job Summary:


The Epic Tapestry Analyst is responsible for the build, configuration, implementation, and support of the Epic Tapestry (Managed Care/Payer) module. This role partners with payer operations, revenue cycle, contracting, and IT teams to ensure accurate benefits, authorizations, claims adjudication, and payer workflows.


Key Responsibilities:

• Configure and maintain Epic Tapestry (Payer/Managed Care) application components.
  
  
• Build and support benefit plans, products, packages, coverage rules, and authorizations.
  
  
• Configure claims adjudication logic, reimbursement rules, and payment policies.
  
  
• Support payer contracts, fee schedules, and coordination of benefits (COB).
  
  
• Analyze payer requirements and translate them into Epic system build and workflows.
  
  
• Perform unit, integrated, and user acceptance testing (UAT); resolve defects.
  
  
• Collaborate with Revenue Cycle, Enrollment, Claims, and Provider Contracting teams.
  
  
• Support integrations with Epic HB, PB, Clearinghouses, and external payer systems.
  
  
• Monitor adjudication errors, work queues, and reports; recommend system improvements.
  
  
• Provide go-live, post–go-live, and production support.
  
  
• Create and maintain build, workflow, test scripts, and training documentation.
  
  
• Ensure compliance with CMS, Medicaid, Medicare, and HIPAA regulations.
  
  

Required Skills & Qualifications:

• Epic Tapestry certification or proficiency (required or strongly preferred).
  
  
• 3+ years of experience working with Epic Tapestry or payer systems.
  
  
• Strong knowledge of payer operations, benefits, claims processing, and authorizations.
  
  
• Experience with Medicare, Medicaid, and commercial insurance plans.
  
  
• Understanding of reimbursement methodologies and provider payment models.
  
  
• Strong analytical, troubleshooting, and communication skills.
  
  

Preferred Qualifications:

• Experience with Epic Resolute HB/PB integrations.
  
  
• Knowledge of reporting tools such as Clarity, Caboodle, or Reporting Workbench.
  
  
• Previous Epic implementation or payer-system optimization experience.
  
  
• Healthcare payer or managed care organization background.