Payer Epic Tapestry Application Lead, Manager
PwC
- New York City, NY
- Permanent
- Full-time
- Develop new skills outside of comfort zone.
- Act to resolve issues which prevent the team working effectively.
- Coach others, recognise their strengths, and encourage them to take ownership of their personal development.
- Analyse complex ideas or proposals and build a range of meaningful recommendations.
- Use multiple sources of information including broader stakeholder views to develop solutions and recommendations.
- Address sub-standard work or work that does not meet firm's/client's expectations.
- Use data and insights to inform conclusions and support decision-making.
- Develop a point of view on key global trends, and how they impact clients.
- Manage a variety of viewpoints to build consensus and create positive outcomes for all parties.
- Simplify complex messages, highlighting and summarising key points.
- Uphold the firm's code of ethics and business conduct.
Bachelor DegreeMinimum Years of Experience:
5 year(s)Preferred Qualifications:Degree Preferred:
Master DegreePreferred Certifications:Epic TapestryEpic CheersEpic ClaimsEpic Compass RosePreferred Knowledge/Skills:Demonstrates extensive-level abilities and/or a proven record of success with an understanding of managing client engagements and producing solutions that involve, the following areas:
- Working experience across payer operations, specifically to drive transformation across core functions and technology implementations;
- Possessing experience within domain areas that include: claims, enrollment, billing, membership, provider data, product management, and related functions;
- Possessing experience with either process level familiarity and/or familiarity with the technology solutions that enable these functions;
- Working experience with Operations and administration of Healthcare/Payer, Product and Services businesses;
- Working experience with trends of global organizations utilizing pragmatic approaches to achieve sustainable financial functions and operating models;
- Understanding the latest industry trends and regulatory changes, and their impact to organizations;
- Having knowledge of assessment of healthcare payer (and provider-owned plans) operating models, including strategy, capabilities, operational performance and governance models;
- Understanding quality reporting requirements; and,
- Benchmarking to compare healthcare payer performance and costs to leading practice, including operational results, productivity, and quality metrics.
- Serving as project manager for multiple projects, creating timelines and cost projections, and ensuring projects comply with specifications, timelines, and budgets;
- Leading all aspects of Epic Tapestry systems implementation (planning, build, test, train, implement, production support); and,
- Bring leading industry practices and key insights from prior experience with Epic Tapestry implementations.
- Building, maintaining, and utilizing networks of client relationships and community involvement;
- Communicating value propositions, utilizing PC applications such as Microsoft Office Suite or Google Tools to write and deliver proposals to prospective clients;
- Managing resource requirements, project workflows, budgets, billing and collections; and,
- Preparing and/or coordinating complex written and verbal materials.
- Supervising teams to create an atmosphere of trust and seeking diverse views to encourage improvement and innovation;
- Answering questions and providing direction to less experienced staff;
- Coaching staff including providing timely meaningful written and verbal feedback;
- Developing, writing, presenting and facilitating discussions on strategy to all levels of industry audiences, clients and internal staff and management;
- Understanding of healthcare payer operations, terminology, technology platform and environment;
- Having healthcare payer or related consulting experience; and,
- Possessing experience with common business and data tools (including Microsoft Office Suite, Google Tools, Alteryx, Tableau).