[Hiring] EPIC Tapestry Lead Application Coordinator @Cynet Systems

Role Description

Lead the architecture and solution design of EPIC Tapestry capabilities, including:

• Member enrollment and eligibility
• Benefits and plan administration
• Claims processing and adjudication
• Provider network management
• Utilization management
• Billing
• Customer relationship management

The candidate will analyze business requirements and translate them into scalable, secure, and compliant technical designs, user stories, acceptance criteria, data flows, and integration specifications.

Qualifications

• Experience delivering payer-provider integration initiatives.
• Experience working in Agile or SAFe delivery environments.
• Familiarity with JIRA or comparable tools for backlog, project, and issue management.
• Experience coaching junior analysts or delivering EPIC training and knowledge-transfer sessions.
• Strong knowledge of health insurance operations, including eligibility, benefits, claims, billing, prior authorization, provider networks, and revenue-cycle processes.
• Hands-on understanding of EPIC configuration, electronic claims processing, EDI transactions, HL7, FHIR, and enterprise system integrations.
• In-depth knowledge of HIPAA, healthcare compliance, data privacy, and security requirements.
• Strong analytical, troubleshooting, documentation, and problem-solving skills.
• Strong verbal and written communication skills, with the ability to explain technical concepts to both technical and non-technical stakeholders.

Requirements

• Analyze business requirements and translate them into scalable, secure, and compliant technical designs, user stories, acceptance criteria, data flows, and integration specifications.
• Plan, configure, test, and deploy EPIC upgrades, enhancements, and new functionality to support healthcare and insurance operations.
• Design and manage integrations between EPIC and payer, financial, and third-party systems using HL7, FHIR, EDI, and other healthcare interoperability standards.
• Evaluate clinical, administrative, and insurance workflows, identify improvement opportunities, and optimize system performance, efficiency, and regulatory compliance.
• Facilitate requirements and design workshops with business analysts, product managers, Scrum Masters, subject matter experts, clinical teams, administrative teams, and project squads.
• Support unit, integration, and user acceptance testing; troubleshoot complex issues and ensure solutions meet functional, performance, security, and quality requirements.
• Maintain comprehensive architecture, configuration, workflow, data mapping, and support documentation throughout the project lifecycle.
• Provide expert guidance on HIPAA compliance, healthcare data security, and organizational architecture standards.
• Mentor team members, deliver knowledge-transfer sessions, and contribute to sprint and Program Increment planning in Agile or SAFe delivery environments.