Overview
The Epic Payer Platform (EPP) Application Analyst (Systems Analysis Advisor) supports, implements, and improves Epic Payer Platform solutions that help healthcare providers and payers securely share information and work together more effectively. This role serves as a subject matter expert on EPP functionality and partners with business, clinical, operational, technical, and payer teams to deliver reliable and scalable solutions.
The ideal candidate has experience with Epic Care Everywhere, healthcare interoperability, or payer-provider workflows. This person can turn business needs into effective system solutions, support testing and implementation activities, resolve issues, and identify opportunities to improve automation and information exchange.
Responsibilities:
Serve as the subject matter expert for Epic Payer Platform (EPP) functionality and payer-provider interoperability workflows.
Lead or support the testing, implementation, rollout, and optimization of EPP capabilities.
Gather and analyze business requirements and translate them into effective Epic workflows and system configurations.
Partner with operational, clinical, payer, and technical teams to improve workflows and develop solutions.
Create and maintain process documentation, workflow diagrams, and support materials.
Identify opportunities to improve automation, reduce manual work, and enhance the provider and payer experience.
Provide production support and troubleshoot application, workflow, and data exchange issues.
Work with Epic, internal technical teams, and external payer partners to investigate and resolve system issues.
Support interoperability initiatives involving FHIR, HL7, APIs, X12/EDI, and payer-provider data exchange.
Coordinate end-to-end testing across Epic, payer, and integrated systems.
Identify risks, dependencies, and issues and escalate them appropriately.
Qualifications:
Required:
Experience with Epic Care Everywhere and/or healthcare interoperability solutions.
Experience implementing, supporting, or optimizing Epic Payer Platform functionality.
Experience supporting application implementations, enhancements, upgrades, or major workflow rollouts.
Ability to gather requirements, analyze workflows, identify gaps, and recommend practical solutions.
Strong analytical, troubleshooting, communication, and problem-solving skills.
Ability to work effectively with clinical, operational, technical, application, and payer/vendor teams.
Preferred:
Experience with Epic Payer Platform capabilities such as CDE, Payment Integrity, ADT, eMPA, CRD/DTR/PAS, Coverage Finder, ID Card, RTE, HPCS, and Care Gaps Exchange.
Knowledge of FHIR and payer-provider interoperability workflows.
Understanding of X12/EDI transactions and healthcare data exchange processes.
Experience with prior authorization, eligibility, coverage discovery, claims, payment integrity, or utilization management workflows.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 106,100 - 176,800 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.