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APeX Claims Team Lead
APeX Claims Team LeadUCSF Health • San Francisco, CA, United States
APeX Claims Team Lead

APeX Claims Team Lead

UCSF Health • San Francisco, CA, United States
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  • [job_card.full_time]
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Clinical Systems - Business Applications

Full Time

Job Code : 86617BR

Job Summary

As the Team Lead, you will provide both technical and people leadership for a team of analysts responsible for supporting and enhancing Epic Claims applications and peripheral systems. This role blends hands‑on application expertise with leadership responsibilities, ensuring high‑quality delivery, team development, and cross‑functional collaboration. The Team Lead will serve as the primary point of escalation for issues within the assigned applications, oversee enhancement reviews, assist with project scoping, and participate in Epic TS standing meetings. You will guide the team through the complexities of claims workflows, documentation needs, and industry standards, ensuring that software solutions are optimized to meet operational and regulatory requirements.

Key Responsibilities

  • Managing the day‑to‑day activities of the Claims Analyst and 3rd Party Applications team, ensuring clear priorities, timely deliverables, and effective coordination across projects.
  • Mentoring and developing analysts by sharing knowledge of workflows, processes, and best practices.
  • Driving collaboration across teams, building consensus, and leading complex decision‑making in alignment with organizational goals.
  • Actively identifying risks and barriers, facilitating resolution of conflicts, and ensuring project objectives are met with quality and efficiency.
  • Coordinating work across multiple initiatives to maintain an integrated and consistent approach to Epic implementation and support.

Required Qualifications

  • Bachelor’s degree in health care information technology, computer science, or related area, and / or equivalent combination of experience / training.
  • Certification : Epic Resolute Hospital Billing Claims and Electronic Remittance Administration.
  • 5 years of related clinical applications experience.
  • Broad and / or in-depth knowledge of 1–2 areas of focus in clinical applications specialty area(s). Knowledge of systems and functions, including design, development, implementation, user support and training, maintenance, quality assurance, and system testing and evaluation.
  • Strong problem‑resolution skills, with the ability to quickly diagnose problems, and develop, test, and implement appropriate and effective solutions in a timely manner.
  • Strong interpersonal skills, with the ability to effectively train, support, and work collaboratively with users of clinical information systems at all professional and technical levels.
  • Detail‑oriented, with proven organizational skills and the ability to effectively manage time, prioritize tasks, and see projects through to completion on deadline.
  • Strong written and verbal communication skills, with the ability to convey technical information and instructions to all levels of clinical applications users in a specific, clear, and concise manner.
  • Strong analytical skills and knowledge in documentation and reporting, with the ability to design and execute tests, analyze system performance data, and produce substantive reports and analyses.
  • Ability to work with senior staff and managers, serving as a technical resource and providing advice and counsel on issues of functionality, efficiency, cost‑effectiveness, policy, and performance.
  • Preferred Qualifications

    Certifications :

  • Epic Resolute Hospital Billing Administration
  • Epic Resolute Professional Billing Administration
  • Epic Chronicles Database Programmer
  • Epic Caboodle and Clarity Data Model Certification
  • License / Certification

  • Certification : Epic Resolute Hospital Billing Claims and Electronic Remittance Administration.
  • About UCSF

    At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team. Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

    Pride Values

    UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values. In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at https : / / diversity.ucsf.edu .

    Equal Employment Opportunity

    The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

    Salary Range : $133,300 - $219,500 (Annual Rate).

    Location : San Francisco, CA

    Campus : Mission Center Building (SF)

    Work Style : Flexible

    Shift : Days

    Shift Length : 8 Hours

    Additional Shift Details : M-F 8 : 00 - 4 : 30

    Job Code and Payroll Title : 006039 CLIN APPLICATIONS PROFL 4

    Job Category : Clinical Systems / IT Professionals

    Bargaining Unit : 99 - Policy-Covered (No Bargaining Unit)

    Employee Class : Career

    Percentage : 100%

    Additional detail about compensation and benefits is available at https : / / ucnet.universityofcalifornia.edu / compensation-and-benefits / index.html .

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