We are seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to design, build, optimize, and support UM workflows focused on prior authorizations and referrals. This role partners closely with UM leadership, clinical reviewers, provider relations, care management, claims, and integration teams to deliver compliant, efficient, and transparent UM determinations that reduce administrative burden and improve both member and provider experience.

The ideal candidate is Epic Tapestry UM Certified (preferred), has hands-on experience with Tapestry Care Link, and brings strong payer-side expertise, translating operational and regulatory requirements into ...