Epic Payer Platform Operations Analyst - Remote

NTT DATA • Louisville, KY

31d • Remote

About The Position

Platform Administration & Operations Support the operational administration of Epic Payer Platform (e.g., Interconnect/Bridge, Payer Platform Console, Payer data sharing configurations) including environment health checks, routine maintenance, upgrades/patching, and change control. Configure, test, and maintain payer‑to‑provider workflows: coverage discovery (eligibility), prior authorization, claims status, clinical data exchange, care gap notifications, formulary/benefit, and provider inquiry/response. Maintain and execute runbooks for deployments, failover, disaster recovery, and incident management; ensure auditable change records. Support EDI/X12 transactions (270/271 eligibility, 276/277 claim status, 278 prior auth, 834 enrollment where applicable, 835 remittance) and related translation/validation processes. Collaborate with interface teams to maintain API gateways, message queues, and secure connectivity (TLS, mutual auth, certificates, VPN tunnels); track throughput, error rates, and latency. Perform root cause analysis; create problem records; implement corrective actions and preventative measures. Coordinate with Epic TS/Customer Support, vendor partners, and provider IT teams for change windows, go‑lives, and escalations. Contribute to backlog grooming and quarterly planning; quantify business value (e.g., reduced turnaround time, decreased call volume, improved first‑pass rates).

Requirements

• 1+ years administering healthcare interoperability platforms (Epic, payer APIs/interfaces, or equivalent) or educational equivalent.
• 8+ Years of Experience with Agile Software Development Life Cycle
• 8+ Years of Excellent communication, documentation, and cross‑functional collaboration skills.
• Familiarity with SQL for ad‑hoc data validation.
• Hands‑on experience with Epic concepts such as Interconnect, Chronicles awareness, Payer Platform configuration, and provider connectivity patterns.
• Operational Excellence: Reliable execution, disciplined change control, strong service orientation.
• Analytical Problem‑Solving: Skilled at root cause analysis across network, identity, payload, and workflow layers.
• Security Mindset: Designs and operates with least privilege, zero trust principles, and auditability.
• Continuous Improvement: Data‑driven approach to reducing friction and cycle times.

Nice To Haves

• Epic‑related exposure (Tapestry/Payer workflows), Epic operational tools, or Epic certifications (helpful but not strictly required).
• Experience with Da Vinci Implementation Guides (CRD, DTR, PAS, PDex, P2P) and CARIN BB.

Responsibilities

• Support the operational administration of Epic Payer Platform (e.g., Interconnect/Bridge, Payer Platform Console, Payer data sharing configurations) including environment health checks, routine maintenance, upgrades/patching, and change control.
• Configure, test, and maintain payer‑to‑provider workflows: coverage discovery (eligibility), prior authorization, claims status, clinical data exchange, care gap notifications, formulary/benefit, and provider inquiry/response.
• Maintain and execute runbooks for deployments, failover, disaster recovery, and incident management; ensure auditable change records.
• Support EDI/X12 transactions (270/271 eligibility, 276/277 claim status, 278 prior auth, 834 enrollment where applicable, 835 remittance) and related translation/validation processes.
• Collaborate with interface teams to maintain API gateways, message queues, and secure connectivity (TLS, mutual auth, certificates, VPN tunnels); track throughput, error rates, and latency.
• Perform root cause analysis; create problem records; implement corrective actions and preventative measures.
• Coordinate with Epic TS/Customer Support, vendor partners, and provider IT teams for change windows, go‑lives, and escalations.
• Contribute to backlog grooming and quarterly planning; quantify business value (e.g., reduced turnaround time, decreased call volume, improved first‑pass rates).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees