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Vytwo

Tapestry Eligibility Analyst

Posted 3 months ago

United States

5-10 years experience

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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

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.