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.

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