Job Title: BI Developer - Medicare Advantage & Epic Tapestry

Location: 5767 W Century Blvd Ste 400, Los Angeles, CA 90045 (100% Remote acceptable)

Duration: 52 weeks contract w/ possibility of extensions

Notes:

• 100% Remote role.
• Work Schedule: Monday to Friday, 8 AM – 5 PM (Pacific Time).
• Interview Process: 2-step process (1 Zoom interview with Manager and 1 team interview via Zoom).

Description:

• The BI Developer will support the launch and reporting needs of a new Medicare Advantage health plan by designing, developing, and maintaining advanced business intelligence and analytics solutions.
• This role is responsible for gathering and documenting business requirements, identifying appropriate data sources, and producing accurate and actionable reports, dashboards, and data extracts using tools such as Excel, Tableau, Power BI, SSRS, Webi, Epic Clarity, Caboodle, and related BI platforms.
• The BI Developer will collaborate closely with cross-functional stakeholders—including finance, clinical operations, IT, and vendor partners—to translate complex technical concepts into meaningful insights, ensure data accuracy, manage BI object inventory and metadata, maintain reporting data models, and support measures and metrics across Epic applications.
• Additional responsibilities include validating and testing analytics outputs, troubleshooting performance issues, assessing data from EHR, clinical, and financial systems, and contributing to continuous improvement of reporting processes.
• The BI Developer works with minimal supervision while ensuring timely delivery of high-quality analytics solutions that support informed decision-making and operational efficiency.

Qualifications:

• The ideal candidate will have strong expertise in CMS claims submission processes and HCC coding, including a solid understanding of 837 transactions, MOR, MAO, and MMR files, and condition capture workflows.
• Candidates must possess hands-on experience with risk adjustment models and claims submission, along with at least five years of Medicare Advantage experience and a minimum of three years working with Epic Tapestry (certification preferred).
• Strong SQL and data mart development skills are required, and experience with risk adjustment is highly valued.
• Epic Clarity Data Model certification in one or more modules—such as EpicCare Inpatient, Hospital Billing, Prelude ADT, Radiant, Willow, or Optime—is required or must be obtained within 120 days of hire.