Epic/Tapestry Utilization Mgmt. Interface Analyst (Remote) - Health Alliance Plan

Henry Ford Hospital

Southfield, MI(remote)

JOB DETAILS
SKILLS
American National Standards Institute (ANSI), Analysis Skills, Bridge Building, Business Intelligence, Business Processes, Case Management, Civil Engineering, Clinical Data, Clinical Support, Communication Skills, Customer Satisfaction, Customer Support/Service, Epic Bridges, Epic Certification, Epic Systems, Epic Tapestry, HL7 (Health Level 7), Health Informatics, Health Plan, Healthcare, Identify Issues, Industry Standards, Information Technology & Information Systems, Interpersonal Skills, Leadership, Medicare, On Call, Operational Audit, Oracle PL-SQL, Problem Solving Skills, Production Support, Project/Program Management, Provider Contracting, Quovadx QDX Integrator (fka Cloverleaf), Regulations, SQL (Structured Query Language), Software Development Lifecycle (SDLC), Systems Maintenance, Technical Analysis, Test Plan/Schedule, Training/Teaching, Utilization Management, Workflow Analysis, XML (EXtensible Markup Language)
LOCATION
Southfield, MI
POSTED
29 days ago

GENERAL SUMMARY:

Working under the general supervision of the Specialist or Senior Interface Analyst, Project Manager or the Director: develops, tests, implements, and supports clinical and administrative data interfaces between Epic and ancillary systems, both internal and external. The Interface Analyst is part of a team that is accountable for production support (including 24X7 on-call duties) as well as new projects to improve and maintain integration between Epic and other systems.

The ideal candidate will have experience using technical analytical skills to seek out, research and evaluate a variety of solutions to provide clients with high quality, efficient workflows that promote efficiency and enterprise-wide standardization.

The ideal candidate will also understand design and development principles as they relate to interfaces and may include but are not limited to data flow diagrams, data element dictionaries, file mappings, field layouts and command level operations. He or she will be certified in Epic Bridges and Cloverleaf, and also have minimally have 6-9 months experience with both products.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

  • Perform the configuration (in both Epic Bridges and Cloverleaf Interface Engine) of new interfaces and enhancements to existing interfaces for Epic applications and their corresponding ancillary systems.
  • Troubleshoot technical problems and conducts analyses for efficient program/application solutions (in both Epic Bridges and Cloverleaf Interface Engine) which support client business processes, functional and technical requirements.
  • Provide input for integration solutions and architecture.
  • Participate in solutions and planning with other IT teams. Collaborate with Application Analysts, IT and Operational areas to identify and resolve workflow impacts.
  • Participate in relevant workflow/dataflow sessions and identification of resulting requirements changes with business sponsors.
  • Provide occasional training of end users for Bridges end user tools.
  • Collaborate with work teams, departments, system leadership, clinicians, staff, other IT groups, and technology vendors to define needs and facilitate solutions.
  • Support resolution of low-to-medium complexity Epic and circle of support integration issues and critical support/enhancements issues in the HFHS HELIOS (Epic) systems.
  • Performs maintenance (routine requests), incidents, and testing activities.
  • Works closely with Ancillary Departments, HELIOS Application Analysts, Operations, Epic, technology vendors, and other IT groups to triage, diagnosis and resolve all interface production support issues to the satisfaction of our customers.

EDUCATION/EXPERIENCE REQUIRED:

  • Associates Degree or two (2) years college in Information systems/processing/clinical/ engineering with emphasis on analysis/design/process.
  • Two (2) years of related application maintenance/development of system integration will be considered in lieu of degree/college requirement (in addition to below experience requirement).
  • Five (5) years of applicable work experience required; three (3) years applicable experience in a healthcare setting preferred.
  • Expertise with healthcare industry standard messaging formats (e.g., HL7, XML, ANSI x12).
  • Experience/exposure to the System Development Life Cycle (SDLC).
  • Current Certification on Epic Bridges (May hire into position without certification, but must attain certification within the first 6 months of hire to continue employment).
  • Certification on Cloverleaf interface engine (version 20.1 or higher) (May hire into position without certification, but must attain certification within the first 6 months of hire to continue employment).
  • Experience in major system implementations and/or system maintenance activities.
  • Excellent communication and interpersonal skills.

DEPARTMENT SPECIFIC EXPERIENCE PREFERRED:

  • EPIC Tapestry Utilization Management and/or Case Management.
  • EPIC Tapestry Appeals and Grievances.
  • EPIC Tapestry Membership/Eligibility and Enrollment Administration.
  • EPIC Tapestry Provider Management and/or Provider/Vendor Contracts.
  • EPIC Tapestry Core.
  • EPIC Business Intelligence Developer (BID).
  • Experience with Medicare line of business/regulations.
  • EPIC Provider/Payer 'shared instance' experience (working for an integrated health plan).
  • SQL and/or PL/SQL experience.

Additional Information

  • Organization: HAP (Health Alliance Plan)
  • Department: 113750 Medical Management
  • Shift: Day Job
  • Union Code: Not Applicable

About the Company

H

Henry Ford Hospital