Note: The job is a remote job and is open to candidates in USA. Humana is a healthcare company providing insurance and healthcare services. The Senior Epic Configuration Analyst will configure, test, and implement Epic solutions supporting Utilization Management and Long-Term Services and Support, while collaborating with clinical, operational, and technical stakeholders to ensure go-live readiness and operational stability.
Responsibilities
- Configure and maintain Epic workflows including UM letters, work queues, and routing rules
- Gather and translate business and clinical requirements into configuration specifications
- Facilitate design sessions to support compliant and user-focused workflows
- Analyze change requests and recommend scalable, standardized configuration solutions
- Maintain configuration documentation, testing evidence, and decision records
- Develop and execute testing systems and support end-to-end validation activities
- Support UAT execution, defect resolution, and business approval processes
- Coordinate configuration, testing, defect management, and release activities with project teams
- Support go-live readiness, cutover planning, and operational deployment activities
- Identify root causes and recommend process or configuration improvements to enhance adoption and reduce rework
Skills
- Must obtain Epic certification within 60 days of completing training; Travel may be required
- Minimum 2 years of experience in healthcare, Medicare, or Medicaid environments
- 1 or more years of experience supporting Utilization Management workflows
- Demonstrated ability to adapt to evolving priorities while maintaining performance and meeting deadlines in a fast-paced environment
- Experience analyzing data and applying insights to drive informed decision-making
- Effective written and verbal communication skills with the ability to collaborate across cross-functional teams and organizational levels
- Must be willing to travel **up to 25% annually** for stakeholder engagement and product initiatives
- Must be willing to travel to **Wisconsin 3-5 times within the first 60 days of employment** to attend required training and certification classes
- Standard work hours are **Monday-Friday, 8:00 a.m.–5:00 p.m. EST or CST**
- **Occasional weekend work is required** based on business needs
- Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense
- A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required
- Satellite, cellular and microwave connection can be used only if approved by leadership
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- While this is a remote position, occasional travel to Humana's offices for training or meetings may be required
- ***Epic Tapestry Medical Management Certification; and/or***
- ***Epic Healthy Planet Fundamentals for Health Plans Certification or Healthy Planet Link.***
- Working knowledge and experience in healthcare systems
- EPIC analyst certification/accreditations as they relate to utilization management
- Previous experience operating in electronic health records (e.g. Epic, Cerner)
- Experience building digital capabilities
Benefits
- This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
- Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
Company Overview
Company H1B Sponsorship