Epic Payer Platform Operations Analyst-- BHADC5698457 jobs in United States
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Compunnel Inc. · 1 hour ago

Epic Payer Platform Operations Analyst-- BHADC5698457

Compunnel Inc. is seeking an Epic Payer Platform Operations Analyst responsible for the administration, configuration, monitoring, and optimization of Epic’s Payer Platform capabilities for a health plan/payer organization. The role involves managing operational runbooks, ensuring secure data exchange, and driving continuous improvement across integrations and interfaces.

Information Technology & Services
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Growth Opportunities
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H1B Sponsor Likelynote
Hiring Manager
Sushil Kumar Dash
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Responsibilities

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
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
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
Coordinate with Epic TS/Customer Support, vendor partners, and provider IT teams for change windows, go lives, and escalations
Drive adoption of best practices
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)

Qualification

Epic Payer PlatformFHIR integrationsHealthcare interoperabilityAgile Software DevelopmentSQLAnalytical Problem SolvingOperational ExcellenceSecurity MindsetContinuous ImprovementCommunication skillsDocumentation skillsCross functional collaboration

Required

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

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

Company

Compunnel Inc.

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Compunnel Inc. is where AI-native solutions meet human ingenuity, helping enterprises reimagine talent, technology, and growth.

H1B Sponsorship

Compunnel Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2276)
2024 (1682)
2023 (1992)
2022 (2366)
2021 (2223)
2020 (2220)

Funding

Current Stage
Late Stage

Leadership Team

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Andy Gaur
Founder, Chairman & CEO
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Karthik Natarajan
Executive VP & CTO
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Company data provided by crunchbase