This role is based in Stamford, CT and will work a hybrid schedule, Monday-Friday. Remote work must take place out of CT, NY, or NJ.
The Epic Claims Analyst serves as the primary technical and operational partner for Claims and Remittance functions within Stamford Health System (SHS). This position ensures that the Epic Claims module functions as intended and meets operational, regulatory, and compliance requirements. The Systems Analyst provides advanced analysis, workflow design, system configuration, troubleshooting, project leadership, and serves as Tier 2/3 support for Claims-related applications. Responsibilities include participating in Epic upgrades, leading testing cycles, developing documentation, and optimizing Claims and Remittance workflows to enhance accuracy, productivity, and data integrity.
MAJOR ACCOUNTABILITIES/CRITICAL RESPONSIBILITIES:
- Acts as the primary Epic Claims and Remittance subject matter expert. This includes Claims, Remittance, Payers, Plans, and Clearinghouses.
- Identifies system issues proactively and ensures they are addressed before they affect business operations.
- Understands deep interdependencies between Claims workflows and upstream applications.
- Designs, builds, configures, and maintains Epic modules including Claims and Remittance.
- Translates regulatory changes into updated Epic configuration.
- Identifies and resolves workflow challenges in all Claims and Remittance domains.
- Provides advanced troubleshooting for Epic Claims applications.
- Works as point of contact for third party vendors and applications such as Clearinghouses.
- Leads Epic Claims-related projects including new feature rollouts and workflow redesign.
- Develops test scripts and validates Claims functionality during Epic upgrades.
- Participates in the IS PMO and adheres to organizational project management methodologies.
- Completes required training and maintains Epic Certifications.
- Demonstrates the ability to work collaboratively with cross‑functional internal teams and external partners to ensure alignment of Claims workflows, system functionality, and operational goals. Performs knowledge sharing and cross training with team members who support other applications.
QUALIFICATIONS/REQUIREMENTS: