We are seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to design, build, optimize, and support UM processes focused on authorizations and referrals. The ideal candidate is Epic Tapestry UM Certified, has hands-on experience with Tapestry Care Link, and excels at translating payer and network operations requirements into scalable Epic solutions.
This role partners closely with UM leadership, clinical reviewers, provider relations, care management, claims, and integration teams to ensure compliant, efficient, and transparent UM determinations that reduce administrative burden and improve both member and provider experience.
Key Responsibilities
Solution Design & Build