Payer Epic Tapestry Application Lead, Senior Associate

PwC

3.7

(176)

Pittsburgh, PA

Why you should apply for a job to PwC:

  • 73% say women are treated fairly and equally to men
  • 70% would recommend this company to other women
  • 82% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.
  • Eligible new parents receive, within the first year from birth or adoption/foster placement, eight weeks of paid parental leave.
  • Eligible caregivers receive four weeks of Paid Family Care Leave for certain family members with serious health conditions.
  • Several formal flexible work arrangements - from telecommuting to a compressed workweek are available.
  • #535609WD

    Position summary

    s to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.

    As a Senior Associate, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:

    • Use feedback and reflection to develop self awareness, personal strengths and address development areas.

    • Delegate to others to provide stretch opportunities, coaching them to deliver results.

    • Demonstrate critical thinking and the ability to bring order to unstructured problems.

    • Use a broad range of tools and techniques to extract insights from current industry or sector trends.

    • Review your work and that of others for quality, accuracy and relevance.

    • Know how and when to use tools available for a given situation and can explain the reasons for this choice.

    • Seek and embrace opportunities which give exposure to different situations, environments and perspectives.

    • Use straightforward communication, in a structured way, when influencing and connecting with others.

    • Able to read situations and modify behavior to build quality relationships.

    • Uphold the firm's code of ethics and business conduct.

    The Application Lead is responsible for day-to-day implementation oversight, bringing past Epic Tapestry implementation and Payer operations experience for each of the following areas:

    • Tapestry Membership (includes CRM - Epic Cheers)

    • Core Administration (i.e., Epic Claims)

    • Medical Management/UM

    • Case Management (Epic Compass Rose)

    Job Requirements and Preferences:

    Basic Qualifications:

    Minimum Degree Required:
    Bachelor Degree

    Minimum Years of Experience:
    3 year(s)

    Preferred Qualifications:

    Degree Preferred:
    Master Degree

    Preferred Certifications:

    Epic Tapestry

    Epic Cheers

    Epic Claims

    Epic Compass Rose

    Preferred Knowledge/Skills:

    Demonstrates thorough 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.

    Demonstrates thorough experience with large Epic Tapestry platform implementations, including managing teams to drive successful implementation

    • 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.

    Demonstrates thorough abilities success with managing the identification and addressing of client needs:

    • 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.

    Demonstrates thorough abilities and/or a proven record of success as a team leader by:

    • 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).

    Learn more about how we work: https://pwc.to/how-we-work

    PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.

    All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.

    For positions in California, Colorado, Hawaii, Nevada, New York State, or Washington State, or for opportunities that will report to a supervisor, office or other work site in New York State, please visit the following link for pay range information: https://pwc.to/payrange-v1-advisoryseniorassociate

    Why you should apply for a job to PwC:

  • 73% say women are treated fairly and equally to men
  • 70% would recommend this company to other women
  • 82% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.
  • Eligible new parents receive, within the first year from birth or adoption/foster placement, eight weeks of paid parental leave.
  • Eligible caregivers receive four weeks of Paid Family Care Leave for certain family members with serious health conditions.
  • Several formal flexible work arrangements - from telecommuting to a compressed workweek are available.