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Clinical Applications Professional 4 - Tapestry
University of California Davis
Clinical Applications Professional 4 - Tapestry
University of California Davis
 Clinical Applications Professional 4 - Tapestry Job Summary The mission of Information and Technology is to create and support an information technology environment that enhances the ability of the UC Davis community to teach, do research and provide public service. In support of the University's mission, IT will deliver an infrastructure of technological services appropriate to the requirements of the campus community. This role will provide leadership, project management and other assigned duties relating to Epic Tapestry module and will work with cross-functional teams and end users along with Senior and Executive Stakeholders to ensure appropriate workflow development, testing and training of application functionality. Responsibilities include designing, developing, testing and implementing all aspects of Epic Tapestry, these includes Benefit Engine, AP Claims/Contract, CRM, Capitation, Eligibility, and Epic Reporting. The incumbent will also manage research, analysis, planning, development, testing and end user training. Will be responsible of maintenance of Benefit Engine system configuration which is the critical key in managed care payable claim adjudication. Will provide additional support to other Tapestry modules (Referral, Eligibility, Capitation, AP Claims/Contracts). Additionally, incumbent will provide support end-user needs in Epic workbench report, Slicer Dicer, Radar Dashboard, and Clarity reporting. Job Summary Final Filing Date :01/28/2021 Salary Range : $6,083.33 - $14,808.33 (Grade 25) Salary Frequency : Monthly Appointment Type : Career Percentage of Time : 100% Shift Hour : 08 hours Location : Alhambra Cannery City : Sacramento Union Representation : No Benefits Eligible : Yes We offer exceptional employment benefits including medical, dental, and vision plans, generous paid vacations and holidays, excellent retirement savings and investment plans, continuing education, and reduced fee and scholarship programs. THIS IS NOT AN H1- B OPPORTUNITY Qualified candidates may be interviewed at any time. REQUIRED: Excellent understanding of managed care areas of the healthcare business including Utilization Management, Case Management, AP Claims, Contracts, Benefit Engine, Capitation and Eligibility. Experience with electronic AP Claims and Remittance functionality and/or knowledge of industry standard EDI transactions (837, 277, and 835) required Strong knowledge of Utilization Management processes in a delegated model including authorizations, denials, appeals and regulatory compliance. Experience with CPT codes, diagnosis codes, payment methods including fee schedules, RBRVS, DRGs that support AP Claim payments. Experience HMO health plan benefits including capitation, carve outs, maximum out-of-pocket expenses, copays, co-insurance, coordination of benefits and familiarity with non-HMO products. Excellent analytical and problem-solving skills. Excellent communications skills, both verbal and written. Previous experience with re-engineering and process improvement techniques. PREFERRED: Expert knowledge of SDLC and utilization of project management tools and methodologies with proven competency in managed care operations. Experience creating reports using Clarity platform, Crystal Reports, Crystal Enterprise Reporting tools or similar. Experience and in depth knowledge of application development tools such as Oracle, Visual Basic, VB.net, Java, C++ and advance Access for developers. Certification in Tapestry, Benefits Engine and/or AP Claims and Reporting preferred. Capitation, Eligibility, Benefits Engine build experience preferred. Academic institution or large integrated health system experience preferred. Knowledge of Agile or Scrum methodologies preferred. Special requirements / Certifications: This position is a critical position and subject to a background check. Employment is contingent upon successful completion of background investigation including criminal history and identity check. Non- smoking work environment. EEO The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy. To apply, visit https://careerspub.universityofcalifornia.edu/psp/ucdmed/EMPLOYEE/HRMS/c/HRS_HRAM.HRS_APP_SCHJOB.GBL?Page=HRS_APP_JBPST&Action=U&FOCUS=Applicant&SiteId=5&JobOpeningId=14098&PostingSeq=1 The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy. Copyright 2017 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-77d5b0c0e6f0e64d9614a06db98392cd
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Internal Number: 2112718
About University of California Davis
UC Davis is the home of the Aggies — go-getters, change makers and problem solvers who make their mark at one of the top public universities in the United States. Since we first opened in 1908, we’ve been known for standout academics, sustainability and Aggie Pride as well as valuing the Northern California lifestyle. These themes are woven into our 100-plus-year history and our reputation for solving problems related to food, health, the environment and society.Our 5,300-acre campus is in the city of Davis, a vibrant college town of about 68,000 located in Yolo County. The state capital is 20 minutes away, and world-class destinations such as the San Francisco Bay Area, Lake Tahoe and the Napa Valley are within a two-hour drive.
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