Revenue Cycle Shared-Service Implementation Lead, Design Integration

T
Tria FederalHealthcare Technology
100% Remote within the United StatesFull-TimeSenior
Salary not disclosed
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Job Details

Experience
7+ years
Required Skills
Project ManagementMicrosoft OfficeProcess improvement

Requirements

  • 7+ years of experience in a large health system or multifacility healthcare environment.
  • Experience in revenue cycle operations or shared-service operations implementation.
  • Demonstrated experience integrating policy and operational changes into billing system design, configuration, and implementation.
  • Experience with billing and patient accounting systems, including system configuration, edits, and claims and statement logic.
  • Experience defining and supporting testing and validation of billing logic and outputs.
  • Demonstrated experience standing up or operating shared-service or multi-site operations.
  • Experience defining workflows, RACI and decision rights, internal controls, and service levels.
  • Experience developing implementation plans, sequencing, and readiness criteria.
  • Proven ability to lead implementation teams and manage execution across multiple sites.
  • Proficiency in Microsoft Office applications including Project, Excel, PowerPoint, Word, and Visio.
  • Bachelor's degree required; Master's degree preferred.

Responsibilities

  • Serve as shared-service lead, coordinating standardized revenue cycle operations between UBO Enterprise and the MTFs.
  • Own billing system integration, owning the integration of policy, operational, and workflow changes into billing system design and implementation, ensuring alignment from intake through release.
  • Translate policy and operational changes into system logic, interpreting policy, regulatory, and operational changes and identifying impacts on billing logic, claims, edits, statements, and workflows.
  • Bridge operations and system design, engaging Operations, Information Technology (IT), Compliance, and Patient Financial Services.
  • Lead testing and validation, defining test scenarios tied to billing logic, validating outputs, and ensuring issues are resolved before go-live.
  • Coordinate system tickets, dependencies, and risks, submitting system-related change requests through appropriate governance forums.
  • Lead Shared-Service Implementation Specialists, directing a dedicated team through stand-up, IOC achievement, and progression to FOC.
  • Own sequencing and site-selection criteria, defining rollout sequencing and the criteria used to select and prioritize sites.
  • Define IOC and FOC thresholds, establishing readiness and exit criteria for each capability stage.
  • Maintain documentation and provide briefings, documenting system impacts and decisions.
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