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AI Summary
The analyst is responsible for the build and support of Epic Tapestry Utilization Management, specifically focusing on authorizations and referrals. They will configure routing rules, workqueues, and decisioning tools while managing operational reporting for UM KPIs.
Role: Tapestry Eligibility Analyst
Duration: 6 months
Experience: 5+ years
Must be authorized to work in USA
Required skills: Tapestry Eligibility and Enrollment
Mandatory criteria
Duration: 6 months
Experience: 5+ years
Must be authorized to work in USA
Required skills: Tapestry Eligibility and Enrollment
Mandatory criteria
- Epic Tapestry Utilization Management Certification (active)
- 3–5+ years hands-on Epic Tapestry UM build/support experience specifically in UM authorizations and referrals
- Proficiency with SQL/Clarity/Caboodle/SlicerDicer (read/interpret) and operational reporting for UM KPIs
- Proven ability to configure UM routing rules, workqueues, decisioning tools, letters/notifications, and SLAs
- Solid understanding of payer operations and UM regulations (e.g., CMS timelines, state TATs, HIPAA, NCQA), including denial and appeal pathways
This is a remote position.
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