Humata Health Inc. is hiring a Solutions Manager (EMR Workflow Design)

Humata Health Inc. is hiring a Solutions Manager (EMR Workflow Design). In this hybrid individual contributor and people leadership role, you will be the strategic workflow design partner for health system customers, translating clinical and operational requirements into optimized EMR configurations that integrate with Humata’s prior authorization automation platform.

What You'll Do

• Design end-to-end prior authorization workflows within Epic that integrate with Humata's automation platform, including referral-based workflows, BPA/CDS configurations, In Basket routing, and integration with Epic Cadence and Grand Central.
• Own the workflow configuration strategy, determining clinical event triggers, data elements needed, workflow segmentation, task routing, and where Humata's automation fits.
• Design clinical data aggregation strategies to support medical necessity determinations, including data from Problem List, Medications, Lab Results, Imaging Reports, and custom SmartData Elements.
• Serve as the primary workflow SME for customer IT, Epic analysts, and clinical operations teams during implementations and expansions.
• Lead workflow discovery sessions with health system stakeholders to map current-state processes, identify automation opportunities, and define future-state workflows.
• Engage customer stakeholders on broader processes before and after prior authorization, identifying risks and proposing optimizations.
• Provide Epic-specific guidance on modules/tools to leverage, configuration options, build vs. buy decisions, and upgrade planning.
• Translate complex payer authorization requirements into actionable Epic configuration specifications.
• Build and maintain a library of reference workflow designs for common use cases like outpatient therapy series authorizations and high-cost imaging pre-authorizations.
• Create Epic-specific implementation guides including build specifications, workqueue best practices, BPA configuration examples, and staff training materials.
• Partner with Product Management to ensure Humata's platform capabilities align with real-world Epic workflow constraints and opportunities.
• Provide feedback on product roadmap priorities based on customer workflow needs and identify gaps in current automation capabilities.
• Collaborate with Solutions Engineers to ensure workflow designs are technically feasible given integration architecture.
• Lead a team responsible for Epic workflow design and directly manage Solutions Engineers and Workflow Consultants.
• Coach team members on Epic design best practice and consulting skills, provide performance feedback, and hire and onboard new team members.

What We're Looking For

• 5+ years of hands-on Epic experience, with at least 3 years in Epic implementation/optimization consulting, Epic application analyst role, or Epic workflow development and configuration.
• Direct experience with Epic prior authorization workflows, including understanding of 278 transactions, configuration of triggers and routing, and staff workflows for submission and tracking.
• Deep knowledge of Epic's technical architecture for workflow design, including Chronicles backend logic, BPA configuration, In Basket routing, and report writing for workflow monitoring.
• Strong understanding of healthcare operations, including revenue cycle workflows, utilization management, payer-provider interactions, and HIPAA compliance.
• Leadership and management experience, including prior experience leading or mentoring analysts, consultants, or technical team members.

Nice to Have

• Epic certification(s) in relevant modules (Referrals, Resolute HB, Cadence, Prelude, or Orders).
• Former Epic employee (especially from Revenue Cycle, Resolute HB, Referrals, or Cadence teams), with no remaining non-competition constraints.
• Experience working with delegated review entities (Carelon/Evicore/Prime) and their Epic integrations.
• Exposure to RPA tools or automation platforms.
• Experience with SMART on FHIR or other interoperability frameworks.
• Familiarity with series authorization workflows for therapy services (PT/OT/ST).
• Experience training or mentoring Epic analysts or clinical staff.
• Understanding of payer portal navigation and manual authorization processes.

Technical Stack

• Epic EMR, Epic Cadence, Epic Grand Central, Epic Prelude, Epic Referrals, Epic Orders
• Epic Chronicles, Clarity/Caboodle, BPA/CDS, SmartData Elements
• 278R transaction, SMART on FHIR

Team & Environment

You'll join a growing team of solution engineers and workflow consultants, which is part of the Customer Success team.

Benefits & Compensation

• Competitive base compensation
• Equity through Employee Stock Option Plan
• Bonus-eligible roles
• Unlimited PTO
• 401k program with employer match
• Full benefits package
• Remote flexibility
• Access to office in Winter Park, FL
• Professional development opportunities

Work Mode

This is a remote position open to candidates in the USA.

Humata Health is proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, age, sex, marital status, ancestry, neurotype, physical or mental disability, veteran status, gender identity, sexual orientation or any other category protected by law.