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Epic Payer Platform Operations Analyst
- NTT DATA North America (Louisville, KY)
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At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
NTT DATA Services currently seeks a **Epic Payer Platform Operations Analyst** to join our team in **Louisville, Kentucky.**
The Epic Payer Platform Operations Analyst is responsible for day-to-day administration, configuration, monitoring, and optimization of Epic's Payer Platform capabilities for a health plan/payer organization. This role stewards secure, reliable data exchange and workflows between payer systems and Epic-enabled provider organizationscovering eligibility, coverage discovery, prior authorization, claims status, clinical data retrieval, and care gap closure. You will manage operational runbooks, environment readiness, connectivity, security, and incident response and drive continuous improvement across FHIR/EDI integrations and Epic interfaces.
Key Responsibilities
Platform Administration & Operations
Support the operational administration of Epic Payer Platform (e.g., Interconnect/Bridge, Payer Platform Console, Payer data sharing configurations) including environment health checks, routine maintenance, upgrades/patching, and change control.
Configure, test, and maintain payer-to-provider workflows: coverage discovery (eligibility), prior authorization, claims status, clinical data exchange, care gap notifications, formulary/benefit, and provider inquiry/response.
Maintain and execute runbooks for deployments, failover, disaster recovery, and incident management; ensure auditable change records.
Integration & Data Exchange
Administer and monitor FHIR integrations (SMART on FHIR/OAuth2/OIDC) for Da Vinci/HL7 profiles (e.g., CRD, Client, PDex, P2P), CARIN IG for Blue Button where applicable; coordinate token lifecycles and client registrations.
Support EDI/X12 transactions (270/271 eligibility, 276/277 claim status, 278 prior auth, 834 enrollment where applicable, 835 remittance) and related translation/validation processes.
Collaborate with interface teams to maintain API gateways, message queues, and secure connectivity (TLS, mutual auth, certificates, VPN tunnels); track throughput, error rates, and latency.
Incident, Problem & Performance Management
Triage and resolve operational issues with Epic Payer Platform integrations, including authentication failures, payload validation errors, throttling, and data mismatches.
Perform root cause analysis; create problem records; implement corrective actions and preventative measures.
Track platform SLAs/SLOs; build dashboards for uptime, message success rates, queue depth, and retry volumes.
Stakeholder Engagement & Enablement
Coordinate with Epic TS/Customer Support, vendor partners, and provider IT teams for change windows, go-lives, and escalations.
Drive adoption of best practices.
Continuous Improvement
Identify opportunities to, reduce provider abrasion, and improve data completeness for care gap closure.
Pilot new Epic capabilities, FHIR releases, and payer use cases; contribute to controlled rollouts and measurement.
Contribute to backlog grooming and quarterly planning; quantify business value (e.g., reduced turnaround time, decreased call volume, improved first-pass rates).
Required Qualifications
1+ years administering healthcare interoperability platforms (Epic, payer APIs/interfaces, or equivalent) or educational equivalent.
Experience with Agile Software Development Life Cycle
Excellent communication, documentation, and cross-functional collaboration skills.
Preferred Qualifications
Epic-related exposure (Tapestry/Payer workflows), Epic operational tools, or Epic certifications (helpful but not strictly required).
Experience with Da Vinci Implementation Guides (CRD, DTR, Client, PDex, P2P) and CARIN BB.
Familiarity with SQL for ad-hoc data validation.
Hands-on experience with Epic concepts such as Interconnect, Chronicles awareness, Payer Platform configuration, and provider connectivity patterns.
Core Competencies
Operational Excellence: Reliable execution, disciplined change control, strong service orientation.
Analytical Problem-Solving: Skilled at root cause analysis across network, identity, payload, and workflow layers.
Security Mindset: Designs and operates with least privilege, zero trust principles, and auditability.
Continuous Improvement: Data-driven approach to reducing friction and cycle times.
Work Environment & Schedule
Hybrid/remote flexibility. Onshore or Nearshore
Participation in on-call rotation and planned maintenance windows.
About NTT DATA Services:
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **($x - x/hourly )** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
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Epic Payer Platform Operations Analyst
- NTT DATA North America (Louisville, KY)