reputed company Cycle Management (RCM) Functional reputed company

Job Family Technology Consulting Travel Required Up to 50% Clearance Required None reputed company’s Health IT Solutions team works with clients to measurably improve their technology outcomes 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 client organizations.

What You Will Do

The Technical Healthcare 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 public client . This role requires deep expertise in public sector healthcare billing, including long-term care, behavioral health, and pharmacy operations. The reputed company will serve as the primary liaison between the reputed company Cycle Advisory Council, client health teams, and stakeholders, ensuring that the solution meets the client'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 client 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, Medicaid eligibility, and reputed company trust accounts
• reputed company the upload and validation of the Charge Description Master (CDM), ensuring CPT/HCPCS code alignment with procedures and services
• Collaborate with the Patient Accounting and Practice 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 HFMA MAP standards for billing, reimbursement, and financial reporting
• State-Specific reputed company Cycle Requirements
• Translate client-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 parallel 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 flow 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 Board (CCB) and Steering Committee meetings to evaluate financial impacts of scope changes
• Provide executive-level reporting on reputed company cycle readiness, risk posture, and performance metrics
• Facilitate workshops and design sessions with state agencies to gather requirements and validate workflows

What You Will Need

• Bachelors Degree
• Minimum 5 years of leadership experience in healthcare reputed company cycle operations roles
• Proven experience implementing reputed company Health RevElate in public 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 HFMA MAP standards and other industry-recognized reputed company cycle frameworks
• Familiarity with Medicaid, 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

• HFMA certification or equivalent credential
• Experience with federal/state EHR implementation projects
• 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 range for this position is $130,000.00-$216,000.00. Compensation decisions depend on a wide range 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 & Vision Insurance
• Personal and Family Sick Time & Company Paid 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/Vision & 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 basis protected by law, ordinance, or regulation. reputed company will consider for employment qualified 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 Recruiting at 1-571-633-1711 or reputed company email at RecruitingAccommodation@reputed company.com. reputed company information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. reputed company communication regarding recruitment for a reputed company position will be sent from reputed company email domains including @reputed company.com or reputed [email protected]. 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 money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money 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 recruiting@reputed company.com. reputed company is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. reputed company does not accept unsolicited resumes through or from search firms or staffing 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 tot his job Apply To this Job