Analysis Skills, Apache Tapestry, Application Programming Interface (API), Business Development, Business Processes, Content Management Systems (CMS), Customer Support/Service, Data Analysis, Epic Tapestry, Interoperability Requirements, Needs Assessment, Negotiation Skills, Utilization Management, Willing to Travel
LOCATION
Pasadena, California
POSTED
Today
Job TitleJob Description Required Level of Education: Bachelor's Degree Preferred Level of Education: Master's Degree Specific Systems Knowledge Required: Tapestry (Referrals and Claims) Certifications needed: Tapestry Utilization Management and Referrals/Authorization Experience: 4-5 Years of related experience Experience on Service Authorization Unified Auth Requirements and Interoperability APIs Experience working with 278/275 Integrations Experience with data and build analysis Responsibilities: Work on a Client National Project - CMS 2.0 Prior Authorization Experience Certified in one or more Epic modules and expert knowledge of associated business or care delivery processes. Study the overall business and information needs of an organization, in order to develop solutions to business and related technology problems. Understand Client business process and determine how best to map that to the capabilities of Epic. Works closely with clients to identify business needs and the costs and benefits of implementing a solution. Construct IT definitions based on identified needs of the organization. Devise and document a solution based on the client's requirements. Negotiate options with the client. Requires in-depth knowledge of the business and care delivery functions supported by Client HealthConnect. Also requires technical understanding of Epics capabilities and the ability to match product capabilities to Client business requirements. Additional Information: Parking Situation: Parking Validation available when onsite Dress Code: Business Casual Office Location (if remote, please provide the Client Site address): Pasadena CA 91103 Any Travel for this role: Maybe, as needed Percentage of Travel: 5-10% Interview Process: Tier 1 Interview - Manager/Lead and Tier 2 interview-Director
About the Company
R
Rose International
Founded in 1993 by Sue Bhatia, Rose International is one of the nation's leading minority- and woman-owned providers of Staffing and Total Talent Solutions. We serve companies in all 50 states and employ thousands of people across the country.