H.S. Diploma or GED required; Bachelor's or Master's degree can substitute for work experience.
7 years of experience in healthcare operations or information systems implementation.
Hands-on experience with Epic Tapestry, specifically in AP Claims module.
Proven skills in claims rule configuration or build.
Strong understanding of health plan claims processes.
Responsibilities
Receive and review tickets from health plan customers.
Meet with stakeholders to clarify business requests.
Gather and document business requirements effectively.
Create comprehensive Business Requirements Documents (BRDs).
Obtain customer approval for documented requirements.
Design and implement system changes as needed.
Configure claims rules and related Epic functionalities.
Conduct unit testing to ensure quality and functionality.
Coordinate user acceptance testing with customers.
Move approved changes into production seamlessly.
Support various operational requests related to regulatory, claims, and finance.
Benefits
Primarily remote work with occasional onsite requirements.
Collaborative and organized team environment.
Fast-paced work setting with dynamic reprioritization.
Opportunity to work on diverse projects across healthcare operations.
Full Job Description
Job Description
Business Systems Analyst II with hands-on Epic Tapestry AP Claims experience, particularly claims rule configuration or build experience. The person will support the full ticket lifecycle, including requirements gathering, BRDs, design, build, unit testing, UAT, and production implementation. The team is collaborative, organized, and fast-paced, with frequent reprioritization based on regulatory, financial, or operational needs. The role is primarily remote but labeled hybrid, and Houston-area candidates are preferred because occasional onsite and after-hours support may be required.
Responsibilities
Receive and review tickets submitted by health plan customers.
Meet with stakeholders to understand the business request.
Gather and document business requirements.
Create Business Requirements Documents.
Obtain customer approval of requirements.
Design and build system changes.
Configure claims rules or related Epic functionality.
Conduct unit testing.
Coordinate user acceptance testing with the customer.
Move approved changes into production.
Support regulatory, claims, payment operations, and finance-related requests.
Assist with application support, projects, recurring processes, and operational issues.
Knowledge and Skills:
Epic Tapestry experience
AP Claims module experience
Claims rule-building or configuration experience
Health plan claims knowledge
Business requirements, testing, and production implementation experience
Qualifications
Required:
H.S. Diploma or GED
7 years' experience in healthcare operations and/or information systems implementation
Bachelor's degree will substitute four (4) years of work experience.
Master's degree will substitute for two (2) years of work experience.
About Texas Childrens Hospital
Texas Children's Hospital is a pediatric hospital located in Houston, Texas. The hospital was founded in 1954 and is affiliated with Baylor College of Medicine. Texas Children's Hospital has over 4,000 employees and is one of the largest pediatric hospitals in the United States. The hospital provides a wide range of services, including cancer care, cardiology, neurology, and orthopedics. Texas Children's Hospital has been recognized as one of the best children's hospitals in the United States by U.S. News & World Report.
