Headquarters: Tennessee
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PIH Well being inner candidates or Altera staff (working at PIH Well being as of Could 2025), Epic certification within the required software/module have to be obtained inside 120 days of rent or switch into the place. Failure to acquire certification inside this timeframe might lead to elimination from the place; nevertheless, the worker can be eligible to use for different inner openings for which they meet the minimal {qualifications}.
Exterior candidates should possess energetic Epic certification within the required software/module on the time of rent. Proof of present certification can be required.
This place will focus totally on the next Epic functions: Tapestry Managed Care Administration . The Epic Utility Analyst, Tapestry Core Administration is the first help contact for the above functions and can information workflow design, construct and take a look at the system, and analyze different technical points related to Epic and some other related software program. This degree II position independently manages extra complicated configurations and programs optimizations, and mentors degree I analysts.
PIH Well being is a nonprofit, regional healthcare community that serves roughly 3 million residents within the Los Angeles County, Orange County and San Gabriel Valley area. The absolutely built-in community is comprised of PIH Well being Downey Hospital, PIH Well being Good Samaritan Hospital, PIH Well being Whittier Hospital, 37 outpatient medical workplace buildings, a multispecialty medical (doctor) group, residence healthcare companies and hospice care, in addition to coronary heart, most cancers, digestive well being, orthopedics, girls’s well being, pressing care and emergency companies. The group is nationally acknowledged for excellence in affected person care and affected person expertise, and the Faculty of Healthcare Info Administration Executives (CHIME) has recognized PIH Well being as one of many nation’s prime hospital programs for finest practices, cutting-edge developments, high quality of care and healthcare know-how. For extra info, go to PIHHealth.org or observe us on Fb , Twitter , or Instagram .
Salaries posted are for CA solely
Required Expertise
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Understanding of operations inside the AP Claims division, together with declare consumption, evaluate, and fee
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Familiarity with integration factors with different areas of enterprise, akin to eligibility, authorizations, and inner claims
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Familiarity with the profit construction of plans that your group administers.
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Familiarity along with your group’s managed care vendor contracts
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Familiarity with operations and workflows in a Administration Companies O rganization
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Capability to collaborate with cross-functional groups, together with Claims, Utilization Administration, Supplier Community Operation, Case Administration, Eligibility and Capitation administration.
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Sturdy anal ytical, tec hnical, and troubleshooting abilities
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Demonstrating flexibility with respect to altering finish person enterprise wants
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The flexibility and willingness to acknowledge assignments or duties that should be accomplished, to hunt out extra assignments or duties, and to assist others
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The flexibility to speak info clearly and concisely with mission management and material consultants
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The flexibility to realize belief and set up efficient relationships with Epic counterparts
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The flexibility and willingness to be taught new software program and programs
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Listening attentively to make sure that the supposed message has been precisely obtained, holding responses till the individual have completed making their level, and repeating info to make sure accuracy
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In search of, logically inspecting, and decoding info from totally different sources to find out an issue’s trigger and creating a plan of action to resolve the issue and to stop its recurrence
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The flexibility to persevere in tough conditions , overcome obstacles, and attain excessive ranges of efficiency when confronted with aggravating work conditions and time pressures
Required Expertise
Required:
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Bachelor’s diploma or a license/certification in a medical specialty
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3 to five years of expertise
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Minimal 4 years of expertise can be accepted in lieu of the required diploma or diploma
- PIH Well being inner candidates or Altera staff (working at PIH Well being as of Could 2025), Epic certification within the required software/module have to be obtained inside 120 days of rent or switch into the place. Failure to acquire certification inside this timeframe might lead to elimination from the place; nevertheless, the worker can be eligible to use for different inner openings for which they meet the minimal {qualifications}.
- Exterior candidates should possess energetic Epic certification within the required software/module on the time of rent. Proof of present certification can be required.
Most popular:
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Certification, expertise, or proficiency in a number of of the next Epic modules: Tapestry Managed Care Administration
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Expertise working in a Administration Companies Group
Deal with
12401 Washington Blvd.
Wage
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Shift
Days
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