Job Description
Required Skills Epic Tapestry Utilization Management Certification (active). 3–5+ years hands-on Epic Tapestry UM build/support experience specifically in UM authorizations and referrals. Demonstrated experience implementing and supporting Tapestry Care Link for external provider/referral workflows. Proven ability to configure UM routing rules, work queues, decisioning tools, letters/notifications, and SLAs. Solid understanding of payer operations and UM regulations (e.g., CMS timelines, state TATs, HIPAA, NCQA), including denial and appeal pathways. Experience with testing lifecycle (unit → SIT → UAT), defect management, and release/hypercare processes. Strong analytical skills; proficiency with SQL/Clarity/Caboodle/SlicerDicer (read/interpret) and operational reporting for UM KPIs. Effective communicator with the ability to translate business requirements into system design; strong documentation and presentation skills.