Payor Platform Applications Analyst

Arkansas Blue Cross and Blue Shield

. Collaborate with internal stakeholders and vendors on system enhancements, upgrades, and new feature adoption .

Posted 9/18/2026full-timeLittle Rock • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in configuring and supporting Epic Payer Platform applications, ensuring payer-provider interoperability, and enhancing data quality and system performance. Proficient in analyzing healthcare data standards and implementing process improvements to optimize workflows and support decision-making.

Highest-signal resume keywords

Epic Application SupportHealthcare Data StandardsInteroperability ConceptsData Quality AnalysisPayer-Provider Workflows

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data MappingSystem Performance EvaluationProcess Improvement ImplementationDocumentation DevelopmentWorkflow OptimizationAnalytics and ReportingRisk AdjustmentQuality MeasurementIntegration ArchitectureClinical Data Exchange

Soft Skills

Cross-Functional CommunicationProblem-SolvingDecision-MakingOrganizational SkillsResearching Skills

Tools & Technologies

Epic Payer PlatformTapestryFHIRHL7

Industry Keywords

Healthcare Information TechnologyHealth Plan OperationsCare ManagementQuality ReportingPrior AuthorizationClaims Processing

About the role

Key responsibilities & impact

Collaborate with internal stakeholders and vendors on system enhancements, upgrades, and new feature adoption
Configure and support Epic Payer Platform applications to enable payer-provider interoperability
Develop and maintain documentation, workflows, and training materials for end users
Ensure timely and accurate data exchange supporting risk adjustment, care gap closure, quality measurement (e.g., HEDIS), and member longitudinal health records
Evaluate system performance, monitor data quality and mapping, and identify opportunities to improve operational efficiency, reduce administrative burden, and enhance provider engagement
Identify and implement process improvements
Leverage reporting and analytics to monitor performance, identify trends, and support decision-making
Monitor and ensure data quality, accuracy, and appropriate mapping across systems
Partner with internal stakeholders, vendors, and provider teams to troubleshoot issues, support system enhancements, and drive adoption of Payer Platform capabilities
Partner with providers to onboard, test, and optimize Payer Platform integrations and workflows
Troubleshoot application, integration, and workflow issues across payer and provider environments

Requirements

What you’ll need

Bachelor’s degree in Business, Healthcare, Nursing, Health Administration, Computer Science, or related field required
Minimum five (5) years experience in healthcare Information Technology (IT), health plan operations, or clinical data exchange required
Experience with healthcare data standards and interoperability concepts (e.g., FHIR, HL7)
Experience analyzing data quality, mapping, and system performance to drive process improvements
Experience supporting Epic applications, preferably Tapestry and/or Payer Platform functionality
Knowledge of payer-provider workflows including prior authorization, claims, care management, and quality reporting (e.g., HEDIS)
Demonstrated ability to work with external provider organizations and vendors to support integrations and data exchange
Ability to analyze information, evaluate information, apply inductive reasoning, process information, and interpret results
Knowledge of application platforms and integration architecture
Cross-functional and interpersonal communication skills
Documentation, organizing, problem-solving, researching, and decision-making skills
Must ensure the security and confidentiality of records and information
Must adhere to segregation of duties guidelines

Benefits

Comp & perks

Flexible work arrangement (remote type: Flex)
Campus travel within walking distance of the primary work assignment