Epic Authorization Optimization Consultant Job at The Wilshire Group, South Lake Tahoe, CA

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  • The Wilshire Group
  • South Lake Tahoe, CA

Job Description

Job Description

Job Description

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.

About The Wilshire Group

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

We are currently offering a contracted interim position at one of US News Best Hospitals 2022-23. This position caters to top performers seeking a professional environment that acknowledges and values their dedication and proficiency. While this role doesn't offer benefits, it presents an opportunity to work within an organization that encourages talented individuals to surpass conventional boundaries.

Join us at The Wilshire Group, a place where talented professionals find a home to showcase their skills and contribute meaningfully to the healthcare landscape.

Why Wilshire? Employee Testimonial

" The number of RCM subject matter experts I get to work with each day is unreal. Working alongside and as part of this team to help shape the RCM space is exciting ."-Patti Consolver, Director of Business Development

Job Title: Epic Authorization Optimization Consultant (Contract)
Location: Remote (10–25% Travel Required)
Type: Contract (6 months)
Rate: $80–$90/hour (non-benefited)

About The Wilshire Group:
The Wilshire Group is a trusted consulting firm specializing in healthcare operations and Epic optimization. We bring deep expertise and hands-on experience to help healthcare organizations improve revenue cycle performance, streamline workflows, and drive sustainable results.

Project Overview:
The Wilshire Group is seeking an experienced Epic Authorization Optimization Consultant to support a phased initiative at Barton Health. This project aims to identify and address inefficiencies in referral and authorization workflows, with a focus on Epic system configuration, staffing utilization, and operational design, that operates within a Community Connect model, so familiarity with its constraints is a plus.

Key Responsibilities:

  • Conduct stakeholder interviews across Patient Access, referral teams, IT/Epic analysts, and others.
  • Review existing Epic configuration in areas such as ASA Table usage, Workqueue routing, RTE usage, and Payer Plan Mapping.
  • Analyze referral volumes, backlog metrics, and staffing productivity.
  • Deliverables: Workflow maps, gap analysis (technology, staffing, process), productivity/staffing reports, and Epic enhancement recommendations.
  • Facilitate design sessions with leadership to co-develop improved workflows.
  • Recommend and document Epic system changes while considering Community Connect constraints.
  • Define staffing model enhancements, role definitions, and performance benchmarks.
  • Identify and implement "quick wins" to drive early project momentum.
  • Deliverables may include: Workflow redesigns, Epic configuration proposals, responsibility matrices, and referral tracking strategies.
  • Support change management efforts and provide guidance for Epic build/testing as permitted.
  • Assist with dashboard/reporting strategies using Epic tools (e.g., Reporting Workbench, SlicerDicer).
  • Deliver training, coaching, and sustainability planning for process changes.
  • Provide ongoing support and define success metrics to track implementation impact.

Qualifications:

  • 5+ years of experience in Epic Patient Access, Referrals, or Authorization workflows.
  • Deep understanding of Epic build and optimization in Community Connect environments.
  • Proven ability to assess and redesign workflows and deliver operational recommendations.
  • Strong communication and facilitation skills, particularly in cross-functional healthcare settings.
  • Epic certification(s) in relevant modules (e.g., Cadence, Prelude, Referrals, or Authorization) preferred.
  • Experience delivering consulting engagements or project-based work in a healthcare setting is strongly desired.

Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.

Job Tags

Contract work, Interim role, Remote work,

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