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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in configuring and implementing Epic solutions for Utilization Management and Long-Term Services, ensuring compliance and user-focused workflows. Proven ability to collaborate with cross-functional teams and stakeholders to enhance digital healthcare capabilities and support operational stability.
Highest-signal resume keywords
Epic CertificationUtilization Management WorkflowsHealthcare Systems ExperienceData Analysis and Insights ApplicationEpic Tapestry Medical Management Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Epic ConfigurationWorkflow MaintenanceTesting Systems DevelopmentChange Request AnalysisDocumentation MaintenanceDefect ManagementGo-Live Readiness SupportOperational DeploymentDigital Capabilities BuildingUAT Execution
Soft Skills
Effective CommunicationCollaboration Across TeamsAdaptability to Evolving PrioritiesProblem-SolvingTime Management
Tools & Technologies
EpicCernerElectronic Health RecordsTesting Evidence SystemsConfiguration Documentation
Certifications & Qualifications
Epic CertificationEpic Tapestry Medical Management CertificationEpic Healthy Planet Fundamentals for Health Plans Certification
Industry Keywords
HealthcareMedicareMedicaidUtilization ManagementPHI/HIPAA Compliance
About the role
Key responsibilities & impact- Support Utilization Management and Long-Term Services and Support in configuring, testing, and implementing Epic solutions
- Configure and maintain Epic workflows, including UM letters, work queues, and routing rules
- Gather and translate business and clinical requirements into configuration specifications
- Facilitate design sessions for compliant, user-focused workflows
- Analyze change requests and recommend scalable, standardized configuration solutions
- Maintain configuration documentation, testing evidence, and decision records
- Develop and execute testing systems and support end-to-end validation
- Support UAT execution, defect resolution, and business approval processes
- Coordinate configuration, testing, defect management, and release activities with project teams
- Support go-live readiness, cutover planning, and operational deployment
- Identify root causes and recommend process or configuration improvements
- Partner with clinical, operational, and technical stakeholders to deliver scalable digital healthcare capabilities
- Support successful go-live readiness, operational stability, and long-term adoption
Requirements
What you’ll need- Must obtain Epic certification within 60 days of completing training
- Travel may be required
- Minimum 2 years of experience in healthcare, Medicare, or Medicaid environments
- 1 or more years of experience supporting Utilization Management workflows
- Ability to adapt to evolving priorities while maintaining performance and meeting deadlines in a fast-paced environment
- Experience analyzing data and applying insights to drive informed decision-making
- Effective written and verbal communication skills
- Ability to collaborate across cross-functional teams and organizational levels
- Preferred: Epic Tapestry Medical Management Certification
- Preferred: Epic Healthy Planet Fundamentals for Health Plans Certification or Healthy Planet Link
- Working knowledge and experience in healthcare systems
- EPIC analyst certification/accreditations related to utilization management
- Previous experience with electronic health records such as Epic or Cerner
- Experience building digital capabilities
- Must be willing to travel up to 25% annually
- Must be willing to travel to Wisconsin 3–5 times within the first 60 days for required training and certification classes
- Standard work hours Monday–Friday, 8:00 a.m.–5:00 p.m. EST or CST
- Occasional weekend work required based on business needs
- This role is not eligible for work visa sponsorship
- Home internet service must provide at least 25 Mbps download and 10 Mbps upload
- Must work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information
Benefits
Comp & perks- Bonus incentive plan based upon company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Work-from-home arrangement
- Dedicated workspace and internet requirements for home working