Louisville, KY, 40287, USA
1 day ago
Epic Payer Platform Operations Analyst - Remote
**Req ID:** 352863 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a **Epic Payer Platform Operations Analyst - Remote** to join our team Remotely in **United States (US)** . **Position Summary** The Epic Payer Platform Operations Analyst is responsible for day‑to‑day administration, configuration, monitoring, and optimization of Epic’s Payer Platform capabilities for a health plan/payer organization. This role stewards secure, reliable data exchange and workflows between payer systems and Epic‑enabled provider organizations—covering eligibility, coverage discovery, prior authorization, claims status, clinical data retrieval, and care gap closure. You will manage operational runbooks, environment readiness, connectivity, security, and incident response and drive continuous improvement across FHIR/EDI integrations and Epic interfaces. **Key Responsibilities** **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. **Integration & Data Exchange** + Administer and monitor **FHIR** integrations (SMART on FHIR/OAuth2/OIDC) for Da Vinci/HL7 profiles (e.g., CRD, PAS, PDex, P2P), CARIN IG for Blue Button where applicable; coordinate token lifecycles and client registrations. + 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. **Incident, Problem & Performance Management** + Triage and resolve operational issues with Epic Payer Platform integrations, including authentication failures, payload validation errors, throttling, and data mismatches. + Perform root cause analysis; create problem records; implement corrective actions and preventative measures. + Track platform **SLAs/SLOs** ; build dashboards for uptime, message success rates, queue depth, and retry volumes. **Stakeholder Engagement & Enablement** + Coordinate with Epic TS/Customer Support, vendor partners, and provider IT teams for change windows, go‑lives, and escalations. + Drive adoption of best practices. **Continuous Improvement** + Identify opportunities to, reduce provider abrasion, and improve data completeness for care gap closure. + Pilot new Epic capabilities, FHIR releases, and payer use cases; contribute to controlled rollouts and measurement. + Contribute to backlog grooming and quarterly planning; quantify business value (e.g., reduced turnaround time, decreased call volume, improved first‑pass rates). **Required Qualifications** + **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. **Preferred Qualifications** + 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. + 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. **Core Competencies** + **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. **Work Environment & Schedule** + Hybrid/remote flexibility. Onshore or Nearshore + Participation in **on‑call** rotation and planned maintenance windows. **About NTT DATA** NTT DATA is a $30+ billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world’s leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. Our consulting and industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us . **_NTT DATA endeavors to make_** **_https://us.nttdata.com_** **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_https://us.nttdata.com/en/contact-us_** **_. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click_** here (http://us.nttdata.com/en/compliance#eeos) **_. If you'd like more information on your EEO rights under the law, please click_** here (http://us.nttdata.com/en/compliance#know-your-rights) **_. For Pay Transparency information, please click_** here (http://us.nttdata.com/en/compliance#ppnp) **_._** \#LI-NorthAmerica
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