Job Description
Role: Epic Payer Platform Integration Specialist
Location: Durham, NC (Remote)
Type: contract
Job Description:
- The Epic Payer Platform Integration Specialist will be responsible for implementing, configuring, and maintaining Epic's Payer Platform modules to support our payer workflows. This role requires a deep understanding of healthcare interoperability, Epic systems, and payer domain knowledge.
Key Responsibilities:
- Implementation and Configuration: Implement and configure Epic Payer Platform modules to meet the organization's specific requirements.
- Collaboration: Work closely with stakeholders to gather requirements, design solutions, and implement enhancements to the Payer Platform.
- Support and Troubleshooting: Provide support and troubleshooting for Payer Platform issues, working closely with end-users and IT support teams to resolve issues in a timely manner.
- Training and Knowledge Sharing: Participate in training sessions and knowledge sharing activities to support end-users and promote adoption of Payer Platform best practices.
- Health Data Exchange: Design, configure, and maintain interfaces/health data exchange solutions to meet business requirements, including the creation of templates, workflows, and rules.
- Compliance and Regulatory Requirements: Ensure compliance with healthcare payer domain workflows, including prior authorizations, claims, and clinical data exchange.
Qualifications:
- Education: Bachelor's degree in Computer Science, Information Technology, or a related field. Master's degree preferred.
- Experience: Minimum of 5 years of experience in healthcare IT, with specific expertise in implementing and configuring Epic Payer Platform solutions.
- Technical Skills:
- Knowledge of health data exchange standards (such as HL7, FHIR, CDA, API, EDI, etc.) and clinical data terminologies (such as SNOMED, CPT, LOINC, etc.).
- Experience with integration platforms and API gateways.
- Implementation knowledge and experience in Epic Payer Platform (Clinical data exchange, member insights, electronic authorizations, ADTs, PAF an claims exchange).
- Implementing, configuring, and maintaining Epic's Payer Platform modules to support our Payor workflows.
- Configure and customize Epic Payer Platform modules to meet the organization's specific requirements.
- Experience in designing, configuring, and maintaining interfaces/health data exchange solutions to meet business requirements, including the creation of templates, workflows, and rules.
- Soft Skills: Strong analytical, problem-solving, and communication skills. Ability to work collaboratively in a team environment.
Preferred Qualifications:
- Certifications: Epic certification in Payer Platform.
- Domain Knowledge: In-depth understanding of healthcare payer workflows and regulatory requirements.
Job Tags
Contract work, Remote job,