Collaborates with internal stakeholders and vendors on system enhancements, upgrades, and new feature adoption.
Configures and supports Epic Payer Platform applications to enable payer-provider interoperability.
Develops and maintains documentation, workflows, and training materials for end users.
Ensures timely and accurate data exchange to support risk adjustment, care gap closure, quality measurement (e.g., HEDIS), and the development of member longitudinal health records.
Evaluates system performance, monitors data quality and mapping, and identifies opportunities to improve operational efficiency, reduce administrative burden, and enhance provider engagement.
Identifies and implements process improvements to enhance efficiency and reduce administrative burden.
Leverages reporting and analytics to monitor performance, identify trends, and support decision-making.
Monitors and ensures data quality, accuracy, and appropriate mapping across systems.
Partners with internal stakeholders, vendors, and provider teams to troubleshoot issues, support system enhancements, and drive adoption of Payer Platform capabilities that improve interoperability, streamline processes, and enable more effective, data-driven decision-making to improve member outcomes.
Partners with providers to onboard, test, and optimize Payer Platform integrations and workflows.
Troubleshoots application, integration, and workflow issues across payer and provider environments.

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, preferred.
Knowledge of payer-provider workflows including prior authorization, claims, care management, and quality reporting (e.g., HEDIS).

Tuition reimbursement.
Club Blue, a free, onsite gym to encourage exercise.
Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating.
Incentives for wellness education and exercise.

Payor Platform Applications Analyst

Key skills