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 well as issues that impact other application teams, and working to resolve them
• Guiding workflow design, build/configuring and testing the system, and analyzing other technical issues associated with software ensuring design and configuration meets patient care and business needs
• Works with the I.S. team members, vendors and customers to ensure that the application systems are properly maintained and necessary changes are reliably tested, implemented, and documentation is current. Serving as a liaison between end users' workflow needs and implementation staff
• Maintaining regular communication with software vendor representatives, business community, and end users to ensure the system meets the organization's business needs in regards to the project deliverables and timeline
• Developing an understanding of operational needs to set the direction for the organization's workflows by attending site visits and other integrated sessions
• Expert in workflows identifies areas for system optimization and process improvement. Develops solutions and collaborates with the team and management to implement these solutions.
• Works to ensure that user problems and configuration requests are appropriately addressed, and system upgrades are successfully executed with minimal disruption to operations
• Develops and manages effective customer relationships with end-users and other team members to enhance the timeliness and effectiveness of technology solutions.
• Responds promptly to the needs of end-users, and meets Service Level Agreements as defined in conjunction with our customers following issues through to closure.
• Participates in team and leadership meetings to discuss team and ongoing project related activities, issues, change, communications, and updates
• No supervisory responsibility but may provide informal guidance to new team members
• Accountable for technical contribution to a team
• Provides build/configure and workflow recommendations to the team. Shares feedback with their peers.
• Responds to fellow team member needs. Documents important information for future reference.
• Shows tenacity in approach with issues. Contributes when pulled in by another team for an integrated issue. Takes responsibility.

Required Experience and Professional Skills:

Experience

• 3-5 years of experience in Healthcare industry and previous experience in required application discipline

Professional Skills

• Strong Application system knowledge
• Strong interpersonal skills
• Expands conceptual knowledge in own discipline
• Still acquiring higher-level knowledge and skills
• Build/configures knowledge of the organization, processes and customers
• Understands workflows, data structures, and available functionality. Suggests next steps. Identifies experts to give input and utilizes resources when making recommendations.
• Knows the main integration and hand off points for primary application. Pulls in other teams as integrated issues arise
• Ability to communicate initial response and progress such that others are never in the dark. Conveys information with minimal clarification needed.
• Understands when each mode of communication is appropriate. Speaks with confidence and instills trust.
• Demonstrated ability to collaborate effectively with others and gain trust
• Ability to work independently and function as an integral part of the team
• Flexibility and adaptability with respect to changing end-user business needs
• The ability and willingness to see things in an open-minded way and examine an idea or concept from as many angles as possible
• The ability and willingness to take ownership of work activities and ensure that they are completed in an accurate, efficient, and timely manner
• The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others
• The ability to gain trust and establish effective relationships with system end users, business unit and vendor counterparts
• The ability and willingness to learn new software and systems
• Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence bring effective solutions to complex customer problems
• The ability to persevere in difficult situations, overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures
• The willingness to put forth extra effort when required, including demonstrating persistence in the face of obstacles and adversity
• Strong analytical and problem solving skills. Excellent oral and written communication skills both technical and business focused.
• The ability to communicate information clearly and concisely with leadership and subject matter experts

Education

• Bachelor's degree in a related field (Healthcare Administration, Information Systems, etc.) or equivalent experience
• 2+ years of experience in healthcare Utilization Management processing or a related role

Certifications

• Proficiency with the Epic Systems Tapestry application is a required
• Epic Certification in Referral & Authorization required
• Knowledge of healthcare regulations and compliance, including HIPAA, is preferred

Additional Information:

Salary: $100,000 - $125,000 Annual

Hill Physicians is an Equal Opportunity Employer