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Tapestry Eligibility Analyst

Role overview

Qualifications

  • Epic Tapestry Utilization Management Certification (active)
  • 3–5+ years hands-on Epic Tapestry UM build/support experience
  • Proficiency with SQL/Clarity/Caboodle/SlicerDicer
  • Solid understanding of payer operations and UM regulations

Responsibilities

  • Configure UM routing rules, workqueues, decisioning tools, letters/notifications, and SLAs
  • Read/interpret operational reporting for UM KPIs
  • Support UM authorizations and referrals

Key facts

  • Remote from: United States
  • Full time
  • Senior (5-10 years)
  • English

Hard skills

About the company

Vytwo logo

Vytwo

  • Digital Transformation Consulting
  • Scaleup
  • 201–500
Vytwo Technologies is a globally recognized enterprise applications integrator. We are experts in providing IT consulting and business services for mid to large level organizations. We offer a complete range of software and consulting services such as business-technology consulting, Internet and e-business consulting, system integration, custom application development, re-engineering and sustenance. We provide and harness innovative management consulting and information technology solutions, to leverage technology in current e-business stipulated economy. We understand and help you gain recognition of how to move your business forward in this competitive space, and then we create and implement the solutions necessary to turn concepts into reality. Our company is uniquely positioned and has a proven history of ability to foresee market trends and introduce high quality products faster than any of its competitors. In a world where excellence in execution is the key to success, Vytwo Technologies has an enviable record of completing 92% of its projects on schedule. Vytwo Technology's well-defined processes and a strong "Body of Knowledge" enables the company to capture effectively the best practices of every project implemented.

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Job description

Role: Tapestry Eligibility Analyst
Duration: 6 months
Experience: 5+ years


Must be authorized to work in USA

Required skills: Tapestry Eligibility and Enrollment

Mandatory criteria
  •  Epic Tapestry Utilization Management Certification (active)
  • 3–5+ years hands-on Epic Tapestry UM build/support experience specifically in UM authorizations and referrals
  • Proficiency with SQL/Clarity/Caboodle/SlicerDicer (read/interpret) and operational reporting for UM KPIs
  • Proven ability to configure UM routing rules, workqueues, 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

This is a remote position.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.




Vytwo Technologies is a global leader in enterprise application integration, delivering end-to-end IT consulting and business services for mid to large-scale organizations.
We offer a comprehensive suite of solutions including business and technology consulting, Cloud,e-business and digital transformation services, system integration, custom application development, re-engineering, and long-term application support.

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