1

Epic Payer Platform Jobs (NOW HIRING)

next page

Showing results 1-20

Epic Payer Platform information

What is the difference between Epic Payer Platform vs Medical Coder?

AspectEpic Payer PlatformMedical Coder
CredentialsNone required, but familiarity with healthcare IT systemsCertification (CPC, CCS, etc.) often preferred
Work EnvironmentHealthcare IT systems, hospital or insurance settingsMedical offices, hospitals, billing companies
Employer & IndustryHospitals, insurance companies, healthcare IT providersMedical practices, billing services, hospitals
Primary FocusManaging payer data, claims processing, billing workflowsReviewing medical records, coding diagnoses and procedures

The Epic Payer Platform is a healthcare IT system used for managing payer data and claims processing, while Medical Coders focus on translating medical records into codes for billing. Both roles are essential in healthcare billing but differ in responsibilities and required skills.

What is an Epic Payer Platform?

An Epic Payer Platform refers to the suite of software solutions offered by Epic Systems that facilitate communication, data exchange, and collaboration between healthcare providers and insurance payers. This platform streamlines processes such as prior authorizations, claims management, and eligibility verification by integrating payer workflows directly into the Epic electronic health record (EHR) system. It aims to improve efficiency, reduce administrative burdens, and enhance the patient experience by providing real-time information and automating routine tasks. Organizations that implement the Epic Payer Platform benefit from more seamless coordination between providers and payers, leading to faster approvals and fewer errors.

What are the key skills and qualifications needed to thrive as an Epic Payer Platform Specialist, and why are they important?

To excel as an Epic Payer Platform Specialist, you need a strong background in healthcare IT, knowledge of payer-provider workflows, and experience with the Epic software suite, often supported by relevant certifications such as Epic Payer Platform Certification. Familiarity with healthcare data integration tools, EDI transactions, and claims management systems is also essential. Strong analytical skills, communication abilities, and attention to detail help specialists bridge technical and business requirements across teams. Mastery of these skills ensures effective implementation, optimization, and support of the Epic Payer Platform, directly impacting operational efficiency and payer-provider collaboration.

What are some common challenges faced by professionals working with the Epic Payer Platform, and how can they best prepare for them?

Professionals working with the Epic Payer Platform often encounter challenges related to integrating payer data with clinical workflows and ensuring regulatory compliance. Managing complex data exchanges between payers and providers requires attention to detail and a solid understanding of both healthcare IT systems and payer processes. To prepare, candidates should familiarize themselves with healthcare interoperability standards, maintain strong communication with cross-functional teams, and stay updated on the latest Epic modules and industry regulations. Hands-on experience with Epic implementations and ongoing collaboration with stakeholders are also key to success in this role.
Infographic showing various Epic Payer Platform job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 70% In-person, and 30% Remote job distribution.
Epic Payer Platform Business Consultant, Manager

Epic Payer Platform Business Consultant, Manager

Pwc

Pittsburgh, PA

$99K - $232K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


PwC rating

8.4

Company rating: 8.4 out of 10

Based on 74 frontline employees who took The Breakroom Quiz

19th of 57 rated business consultants


Job description

Industry/Sector

Health Services

Specialism

Operations

Management Level

Manager

Job Description & Summary

At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance.
As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements.
Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member's unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
Analyse and identify the linkages and interactions between the component parts of an entire system.
Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion.
Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables.
Develop skills outside your comfort zone, and encourage others to do the same.
Effectively mentor others.
Use the review of work as an opportunity to deepen the expertise of team members.
Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate.
Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
The Opportunity
As part of the Operations Consulting team, you will oversee program delivery across the Epic payer implementation lifecycle, securing scope, schedule, and budget targets are met. As a Manager, you will lead teams and manage client accounts, focusing on strategic planning and mentoring junior staff while securing project success and maintaining exemplary standards. This position provides an exciting opportunity to engage with clients at various levels, driving operational improvements and enhancing healthcare technology solutions.
Responsibilities
- Oversee thorough program delivery throughout the Epic payer implementation lifecycle
- Maintain adherence to project scope, timelines, and budgetary constraints
- Lead teams in driving operational enhancements and optimizing healthcare technology
- Mentor junior staff while promoting strategic planning and execution
- Engage with clients across various levels to facilitate productive communication
- Identify and address potential risks and challenges during project execution
- Uphold the utmost standards of quality and client service
- Collaborate with cross-functional teams to achieve project objectives
What You Must Have
- Bachelor's Degree
- At least 7 years of experience in Epic platform implementation
- At least one active Epic certification
What Sets You Apart
- Master's Degree preferred
- Epic Tapestry Administration certification preferred
- Managing Epic platform implementation lifecycle
- Overseeing release and migration programs
- Driving platform optimization and operational improvement
- Communicating complex concepts to executive stakeholders
- Leading multi-disciplinary project teams
- Mentoring team members on technical subject matter
- Prior consulting experience in a Big 4 environment

Travel Requirements

Up to 80%

Job Posting End Date

The salary range for this position is: $99,000 - $232,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glanceAs PwC is anequal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.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.Learn more about how we work: https://pwc.to/how-we-workFor only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines

What PwC employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom