Lead the development, integration, and deployment of health plan applications and system enhancements, ensuring solutions are delivered and operational
Oversee core health plan systems including claims adjudication platforms, EDI/X12 transactions, CRM systems, data warehouses, and reporting/analytics tools
Manage integrations between health plan systems, provider systems, and external partners using EDI, APIs, and HIE connectivity.
Translate business and operational requirements into technical solutions while coordinating with enterprise architecture and infrastructure teams to meet security, compliance, and performance standards
Evaluate existing applications and workflows to identify inefficiencies and implement system or process improvements that support health plan operations
Manage and mentor technical staff, including hiring, performance management, and day-to-day team direction while partnering with business departments to support operational needs
Configure, build, test, and maintain Epic Hospital Billing (HB) functionality to support revenue cycle operations and ensure accurate billing workflows.
Collaborate with revenue cycle, finance, and operational stakeholders to analyze requirements and translate them into Epic HB system build and enhancements.
Troubleshoot and resolve production issues, manage service tickets, and support end users to ensure system stability and efficient billing operations.
Participate in Epic upgrades, quarterly releases, and system optimization efforts, including testing, validation, and documentation of changes.
Develop and maintain system documentation, workflows, and training materials while supporting cross-team initiatives with PB, revenue integrity, and reporting teams
Epic Cadence Analyst responsible for analyzing, configuring, testing, implementing, and supporting Epic scheduling and referral workflows, including Cadence, Cheers, Hello World, Welcome, and CRM
Collaborate with operational and technical stakeholders to design and optimize scheduling and patient access workflows that meet business and clinical requirements
Maintain deep knowledge of Epic application functionality and healthcare operational workflows to support enhancements, troubleshooting, and system improvements
Support patient access and registration workflows, with exposure to Grand Central and Prelude considered a plus
Requirements: Epic Cadence Certification and ~5+ years of experience supporting or implementing Epic patient access/revenue cycle systems; strong understanding of healthcare IT environments and workflow optimization
Epic PB Admin and PB Claims Certification required
Serve as the liaison between end users, operational leaders, IT teams, and vendors to design, build, optimize, and support assigned Epic applications
Analyze business requirements, workflows, and operational needs to develop and implement medium to high-complexity application solutions with minimal supervision
Lead and support project activities including system analysis, build, testing, documentation, end-user education, and go-live support
Partner with the Service Desk to troubleshoot issues, resolve service requests, and provide ongoing application optimization and maintenance
Provide high-quality application support while leveraging healthcare systems expertise, strong communication skills, and collaborative teamwork
Epic RTE certification and eMPA experience is required
Lead build, testing (unit, integrated, UAT), documentation, and go-live support while ensuring alignment with Epic standards and organizational policies
Serve as the primary analyst supporting Epic Patient Access workflows, build, optimization, and operational support
Epic Patient Access and Revenue Cycle Applications Supervisor
Epic
Manager
Location: United States
Duration: Permanent
Responsibilities:
5+ years supporting enterprise Revenue Cycle applications, with 2+ years in a supervisory or team leadership role
Strong hands-on experience with Epic Revenue Cycle modules (e.g., Resolute Professional Billing, Hospital Billing, Claims, Charge Capture, Prelude)
Proven success leading revenue cycle system upgrades, integrated testing cycles, and large-scale optimization initiatives
Experience implementing Agile or hybrid delivery models, including backlog management using Azure DevOps or similar tools
Deep understanding of revenue cycle workflows including registration, charge capture, coding, billing, claims management, reimbursement, and denial management
