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.
