Application Analyst III, Epic Tapestry Medical Management - 24-99

San Ramon, CA, United States

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:

*Hybrid position

*Frequent travel to physician and regional offices in Northern California; may require travel to Epic headquarters in Madison, Wisconsin

Overview:

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. Senior level technical professional. Completes complex work within a discipline or specialty area. Helps others understand the why and articulates the importance to others they work with. Owns processes and continually incorporates feedback to improve them. Proactively audits process to improve before an issue occurs. Caters to individual styles and abilities. Teaches new skills. Helps talk through situations with operational stakeholders. Makes recommendations for new functionality for issue avoidance or operation improvement. Pushes back when operations or IT is steering down the wrong path.

Specialization

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

Application Analyst III

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. Senior level technical professional. Completes complex work within a discipline or specialty area. Helps others understand the why and articulates the importance to others they work with. Owns processes and continually incorporates feedback to improve them. Proactively audits process to improve before an issue occurs. Caters to individual styles and abilities. Teaches new skills. Helps talk through situations with operational stakeholders. Makes recommendations for new functionality for issue avoidance or operation improvement. Pushes back when operations or IT is steering down the wrong path.

Job Responsibilities: Performs work that is complex and varied in nature

Solves complex problems by defining and discerning key aspects of the problem

Takes a new perspective on existing solutions. Recommends new procedures and processes to achieve results.

Understands the why behind the question.

Communicates build/configure, or workflow improvements that solves the broader need.

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 affect 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 IS. 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 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.

Typically provides training and guidance to colleagues with less experience, but no formal supervisory responsibility

May be accountable for leading small projects with moderate risk

Recognizes when the team needs to be given direction. Proactively looks for feedback to share in their peers work and solicits feedback in return.

Proactively teaches others on the team. Seeks out areas or issues to lead.

Digs deeper to root out potential issues or opportunities.

Experience 5-7 years of experience in Healthcare industry and previous experience in required application discipline.

Professional Skills Complete application system knowledge

Strong interpersonal skills

Requires in-depth knowledge and experience. Has developed deep conceptual and practical expertise in own discipline and basic knowledge of related disciplines.

Understands workflows and makes thoughtful recommendations on the fly. Creates unique solutions based on experiences and knowledge of other's build/configure and workflows. Incorporates future software direction into recommendations. Expert in a given area.

Solves basic issues for integrated areas independently. Validates recommendations with other teams.

Brings perspective from other organizations and tailors message based on operational needs.

Ability to tailor communication to the audience. Communicates priority and urgency directly.

Demonstrated ability to collaborate effectively with others, gain trust and build/configure strong relationships.

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.

Required Education and Certifications

Education Master's Degree preferred, minimum Bachelor Degree in Computer Science, Information Systems, Business Administration, or Healthcare Administration or equivalent work experience.

Certifications Epic Tapestry experience required

Experience with Payer/Provider applications in a multi payer/Tenant setting is preferred"

Additional Information

Salary :

$125,100.00 - $145,000.00 USD Annually

This is a hybrid role

Hill Physicians is an Equal Opportunity Employer