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TECHNOGEN, Inc. is a Proven Leader in providing full IT Services, Software Development and Solutions for 15 years.
TECHNOGEN is a Small & Woman Owned Minority Business with GSA Advantage Certification. We have offices in VA; MD & Offshore development centers in India. We have successfully executed 100 projects for clients ranging from small business and non-profits to Fortune 50 companies and federal, state and local agencies.
Job Title : Epic Payer Platform Operations Analyst
Work location: Louisville, KY (Permanent remote work accepted from anywhere in US; however, we'd prefer EST and CST based resources)
Note:
It has been challenging in the past to find the appropriate candidates to fill this more operational role. We have revised the job requirements to focus less on interface development and more on Payer Platform basics. While we prefer people with Epic experience, we will consider candidates that are familiar with health care and interoperability in general.
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.
Experience with Agile Software Development Life Cycle
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.
TECHNOGEN, Inc. is a Proven Leader in providing full IT Services, Software Development and Solutions for 15 years.
TECHNOGEN is a Small & Woman Owned Minority Business with GSA Advantage Certification. We have offices in VA; MD & Offshore development centers in India. We have successfully executed 100 projects for clients ranging from small business and non-profits to Fortune 50 companies and federal, state and local agencies.
Job Title : Epic Payer Platform Operations Analyst
Work location: Louisville, KY (Permanent remote work accepted from anywhere in US; however, we'd prefer EST and CST based resources)
Note:
It has been challenging in the past to find the appropriate candidates to fill this more operational role. We have revised the job requirements to focus less on interface development and more on Payer Platform basics. While we prefer people with Epic experience, we will consider candidates that are familiar with health care and interoperability in general.
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.
Experience with Agile Software Development Life Cycle
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.