RCMI Senior Solution Technical Expert – Patient Accounting

Job Family:

Strategy & Transformation Consulting

Travel Required:

Up to 25%

Clearance Required:

Ability to Obtain Public Trust

What You Will Do:

Guidehouse is currently seeking Revenue Cycle Management (RCM) professionals in support of our Military Health System client. These teammates will bring a vast range of experiences across RCM within an electronic health record (EHR).  The candidate should have experience working in Federal Healthcare space, and preferably the Defense Health Agency, the Services, and/or Health Affairs. The candidate will lead the development of work products and deliverables; establish relationships with primary clients and stakeholders; and identify opportunities to improve processes. The candidate will also support business development across the MHS.

Role Responsibilities:

The Revenue Cycle Modernization & Innovation (RCMI) Senior Solution Technical Expert (SSTE) – Patient Accounting assists the Military Health System client with optimization, reconfiguration, and enhancements to the RCM capabilities related to patient accounting within an EHR.   

• Performs configuration support and review/update Patient Accounting builds within Oracle Health (Cerner) EHR for insurance verification, claims submission, payment processing, account follow-up, records maintenance, and compliance. 
• Develop a continual improvement process model to establish/improve products, services, and processes related to the sustainment of the MHS GENESIS.
• Review and make recommendations to improve end-to-end workflows that meet expected outcomes (e.g., clinical needs, data quality) and patient/provider experience.
• Support data governance, data management, automation/Robotic Process Automation (RPA) activities, security, metadata and user communities.
• Provide health informatics subject matter expertise in support of the working groups and assist in the response to and management of requests specific to designated care areas. 
• Support solutions/specialties including Dentrix, FirstNet, PathNet, RadNet, PharmNet, Patient Portal, PowerChart Ambulatory, PowerChart Inpatient, and SurgiNet.
• Assist with the design of clinical workflows that incorporate business functions.
• Establish ongoing support and feedback mechanisms to collect user input for continuous improvement; leverage LightsOn to make recommendations on process improvements. 
• Support Revenue Cycle activities, such as charge capture, patient access, medical coding, and revenue cycle optimization.
• Provide health informatics subject matter expertise.
• Create visual dashboards and presentations using MHS Data; develop slides / analysis using dashboards.
• Assist with development, maintenance, and iterative improvement of working groups/project teams, including charter development, schedule working group/project meetings, track tasks to completion, and assist with planning and execution of workshops/summits.  
• Participate in the development and maintenance of a collaborative relationship with VA counterparts. 
• Contribute to Innovation/Academics/Interoperability such as pilots and use-cases to leverage MHS GENESIS. 
• Develop dashboards and reports based on government lead priorities.
• Lead the development of work products and deliverables; manage recurring tasks and work products.
• Work with executives and other business leaders to identify opportunities for improvement.
• Develop slide decks / presentations and Memorandums to/from DoD Senior Leaders.
• Collaborate with stakeholders to track progress on MHS initiatives to meet legislative and Departmental requirements.

What You Will Need:

• Bachelor’s Degree in Business, Management, Healthcare Administration, Business Analysis, Statistics, or related field.
• Must be able to OBTAIN and MAINTAIN a Federal or DoD "PUBLIC TRUST"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred.
• Bachelor’s Degree in Business, Management, Healthcare Administration, Business Analysis, Statistics, or related field
• FOUR (4) or more years’ experience is preferred with direct Oracle/Cerner EHR RCM Solution initial builds, trouble shooting, issue resolution, and system reconfigurations.
• FOUR (4) or more years of experience in project management

What Would Be Nice To Have:

• Possess skill sets to flawlessly perform as technical build and system configuration expertise for MHS GENESIS RCM optimization, r