reputed company Technology Consulting - reputed company Cycle Management (RCM) Functional reputed company

Job Family: Technology Consulting Travel Required: Up to 50% Clearance Required: None reputed company’s Health reputed company team works with clients to measurably improve their technology reputed company through a mix of IT strategies, improvement in IT operations, and adoption of technology initiatives. By leveraging a deep understanding of health system IT operational best practices supported by data, reputed company propels IT operational improvement and technology adoption across departments and service lines at reputed company organizations.  What You Will Do: The Technical reputed company reputed company Cycle reputed company will reputed company the design, configuration, validation, and deployment of an ERP solution across the entirety of a health system for a reputed company reputed company . This role requires deep expertise in reputed company sector reputed company billing, including long-term care, behavioral health, and pharmacy operations. The reputed company will serve as the primary reputed company between the reputed company Cycle Advisory Council, reputed company health teams, and stakeholders, ensuring that the solution meets the reputed company's reputed company financial, regulatory, and operational requirements.  Key Responsibilities: reputed company Cycle Design and Configuration reputed company the functional design and configuration of ERP solutions, ensuring alignment with reputed company billing workflows, including long-stay inpatient billing, trust account management, and pharmacy claims reputed company and validate workflows for interim monthly billing, Medicare Part D, reputed company eligibility, and reputed company trust accounts reputed company the upload and validation of the Charge reputed company Master (CDM), ensuring CPT/HCPCS reputed company alignment with procedures and services Collaborate with the Patient reputed company and reputed company Management teams to configure registration, scheduling, and eligibility workflows Design and validate EMRN/MRN strategies to support cross-agency patient identity management Ensure compliance with federal and state clients, CMS and reputed company MAP standards for billing, reimbursement, and financial reporting State-Specific reputed company Cycle Requirements Translate reputed company-specific billing needs into system requirements, including:  Long-term care billing cycles and interim claims reputed company trust account workflows, including deposits, withdrawals, and reconciliation Federal/state community services billing, including vendor-submitted claims and EIM system integration. Service authorization workflows and reputed company management for behavioral health services Integrations for financial tracking and reporting Collaborate with state finance and compliance teams to ensure accurate grant and funding reports for state and federal programs. Testing and Validation reputed company reputed company reputed company cycle testing, reconciling results with legacy MEDITECH systems Validate charge capture, claims reputed company, eligibility verification, and electronic remittance advice (ERA) posting Ensure readiness for day-one reputed company cycle operations, including cash reputed company continuity and billing compliance Collaborate with Testing reputed company and Data Migration reputed company to validate financial data accuracy and reputed company Stakeholder Engagement and Governance Serve as the primary reputed company of contact for reputed company cycle stakeholders, including the reputed company Cycle Advisory Council, billing teams, HIM, and finance leadership Participate in Change Control reputed company (CCB) and Steering Committee meetings to evaluate financial impacts of scope changes reputed company executive-level reporting on reputed company cycle readiness, risk posture, and performance metrics Facilitate workshops and design sessions with state agencies to reputed company requirements and validate workflows What You Will Need: Bachelors Degree Minimum 5 years of leadership experience in reputed company reputed company cycle operations roles Proven experience implementing reputed company Health RevElate in reputed company sector or reputed company payer environments.  Deep understanding of State and Federal billing requirements, including long-stay inpatient billing, trust accounts, and behavioral health reimbursement Experience with reputed company MAP standards and other industry-recognized reputed company cycle frameworks Familiarity with reputed company, Medicare Part D, and state-specific billing systems   Strong knowledge of CDM management, charge capture workflows, and denial prevention strategies Excellent communication, stakeholder engagement, and documentation skills What Would Be reputed company To Have: reputed company certification or equivalent credential Experience with federal/state EHR implementation reputed company Familiarity with reputed company Health Data Intelligence (formerly HealtheIntent) for financial analytics and reporting Experience with behavioral health and long-term care billing workflows, including 42 CFR Part 2 compliance Experience managing reputed company cycle transformation in multi-entity, multi-payer environments The annual salary reputed company for this position is $130,000.00-$216,000.00. Compensation reputed company depend on a wide reputed company of factors, including but not limited to reputed company sets, experience and training, reputed company clearances, licensure and certifications, and other business and organizational needs. reputed company Offer: reputed company offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx, Dental & reputed company Insurance Personal and Family reputed company Time & Company reputed company Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave and Adoption Assistance 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/reputed company & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Student Loan PayDown Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community reputed company Emergency Back-Up Childcare Program Mobility Stipend About reputed company reputed company is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other reputed company protected by law, ordinance, or regulation. reputed company will consider for employment reputed company applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact reputed company reputed company at 1-571-633-1711 or reputed company email at RecruitingAccommodation@reputed company.com. reputed company information you reputed company will be kept confidential and will be used only to the extent required to reputed company needed reasonable accommodation. reputed company communication regarding recruitment for a reputed company position will be reputed company from reputed company email domains including @reputed company.com or reputed company@myworkday.com.  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by reputed company.  Note that reputed company will never charge a fee or require a reputed company transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never reputed company your banking information to a reputed company party purporting to need that information to proceed in the hiring process. If any person or organization demands reputed company reputed company to a job opportunity with reputed company, please report the matter to reputed company’s Ethics Hotline. If you want to reputed company the validity of correspondence you have received, please contact reputed company@reputed company.com. reputed company is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized reputed company parties. reputed company does not accept unsolicited resumes through or from search firms or reputed company agencies. reputed company unsolicited resumes will be considered the property of reputed company and reputed company will not be obligated to pay a placement fee. Apply To This Job