Healthcare Tech Senior Associate Payer Services Epic Tapestry Configuration
Huron Consulting · Remote · Chicago, United States · 1d ago
The Opportunity
At Huron, we’re redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client’s challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work…together.
Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.
Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.
Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.
Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.
Position Summary
Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation, and navigate constant change. Through a combination of strategy, expertise, and creativity, we help clients accelerate operational, digital, and cultural transformation, enabling the change they need to own their future.Join Huron’s HDTx Payer Services team and help health plans, provider-sponsored plans, payviders, and healthcare organizations improve how they configure, optimize, and operate Epic Tapestry. As an Epic Tapestry Configuration Senior Associate, you will support hands-on build, configuration, testing, troubleshooting, and implementation efforts across key payer and managed care workflows, including claims, contracts, benefits, eligibility and enrollment, utilization management, authorizations, provider data, premium billing, accounts payable, CRM, and related integrations.
This role is ideal for a detail-oriented Epic Tapestry professional who enjoys translating business requirements and contract language into accurate system configuration, partnering with operations and IT teams, validating build quality through testing, and supporting successful client outcomes in a consulting environment.
Qualifications
Key Responsibilities
- Configure, build, maintain, and optimize Epic Tapestry applications, with a focus on areas such as AP Claims, Claims Administration, Contracts, Benefits Engine, Membership/Enrollment and Eligibility, Utilization Management, Service Authorizations, Provider Data, CRM, Accounts Payable, and Premium Billing.
- Translate business, operational, regulatory, and contract requirements into Epic Tapestry configuration, system design decisions, workflows, and documentation.
- Configure provider contracts, fee schedules, pricing logic, benefits, claim editing rules, referrals, authorizations, eligibility files, and related payer/payvider workflows as needed.
- Support full build lifecycle activities, including requirements review, design, configuration, unit testing, integrated testing, user acceptance testing, defect triage, approvals, and production migration.
- Create and maintain clear documentation for build specifications, configuration decisions, test scripts, process flows, change control, and operational support procedures.
- Troubleshoot complex Epic Tapestry issues related to claims adjudication, underpayments/overpayments, contract configuration, benefits, eligibility, authorizations, provider setup, work queues, and downstream integrations.
- Partner with business stakeholders, payer operations, provider contracting, claims, enrollment, utilization management, finance, compliance, IT, Epic technical teams, and other application teams to resolve issues and deliver high-quality solutions.
- Support Epic implementations, optimizations, upgrades, cutover activities, go-lives, stabilization, and hyper-care support.
- Use tools such as Data Courier, Build Mover/content management, ServiceNow, Jira, SharePoint, Reporting Workbench, Clarity, Caboodle, or other client tools as required by the project.
- Help identify configuration impacts, testing needs, risks, and dependencies across upstream and downstream systems, including EDI and payer platform integrations.
- Participate in project governance activities, status reporting, issue tracking, action item follow-up, and continuous improvement initiatives.
- Provide knowledge transfer, training, and support to client teams, analysts, and project stakeholders.
Required Qualifications
- 5+ years of Epic Tapestry configuration experience.
- Current Epic Tapestry certification in one or more relevant areas, such as AP Claims, Claims Administration, Contracts Administration, Benefits Engine, Membership/Enrollment and Eligibility, Utilization Management, CRM, Accounts Payable, Premium Billing, or related Tapestry modules.
- 3+ years of hands-on Epic Tapestry build, testing, implementation, production support, or optimization experience.
- Experience with legacy payer platforms or migrations, such as Facets, QNXT, AMISYS, HealthRules, EZ-CAP, IKA, or other core administration platforms.
- Experience configuring one or more core Tapestry areas such as claims, contracts, provider data, benefits, eligibility/enrollment, authorizations, referrals, utilization management, premium billing, or CRM.
- Strong understanding of managed care, health plan, payer, payvider, or provider-sponsored plan operations, including claims processing, benefits, eligibility, authorizations, provider networks, and contract reimbursement concepts.
- Experience with EDI and payer transaction workflows such as 834, 835, 837, 278, 275, 997, ANSI X12, enrollment files, remittance files, or claims integrations.
- Experience translating business requirements, payer rules, contract terms, fee schedules, CPT/HCPCS/ICD coding logic, Medicare/Medicaid/commercial reimbursement concepts, or operational needs into system configuration.
- Demonstrated experience supporting testing activities, including unit testing, regression testing, integrated testing, UAT, defect resolution, and production validation.
- Ability to troubleshoot configuration-related issues and identify root causes across workflows, build, claims pricing, benefits, eligibility, contracts, work queues, and integrations.
- Strong documentation, analytical, communication, and problem-solving skills.
- Ability to work independently and collaboratively in a client-facing consulting environment.
Ideal Candidate Profile
The ideal candidate brings strong hands-on Epic Tapestry configuration experience and understands how configuration decisions impact payer operations, claims accuracy, provider reimbursement, benefit design, eligibility, authorizations, and downstream reporting. This person should be comfortable working with both technical and business stakeholders, asking clarifying questions, documenting decisions, testing thoroughly, and resolving complex issues with a high level of accuracy and ownership.
Travel and Work Environment
The ability to travel based on client, enterprise, or project needs is an essential function of this role. While travel requirements may vary based on business need, work may be primarily remote with occasional travel to client sites, Huron offices, or project-related meetings as needed.
Compensation
The estimated base salary for this job is $115,000 - $145,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $134,550 - $168,480. The job is also eligible to participate in Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.
Benefits
This position is eligible to participate in Huron’s benefit plans, which may include medical, dental, and vision coverage; wellness programs; retirement savings options; paid time off; and other benefit programs available to eligible employees.
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