RCMI Senior Solution Technical Expert – Forms & Documentation

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 the 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, scheduling working group/project meetings, tracking tasks to completion, and assisting 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-led 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:

• A bachelor’s degree is required; however, seven (7) years of relevant experience may be substituted in lieu of the degree.

• US Citizenship is required

• Must be able to OBTAIN and MAINTAIN a Federal or DoD "PUBLIC TRUST"; candidates must obtain an approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse.

• A minimum of THREE (3) or more years of experience is preferred with direct Oracle/Cerner EHR RCM Solution initial builds, troubleshooting, issue resolution, and system reconfigurations.

What Would Be Nice To Have:

• Possess skill sets to flawlessly perform as technical build and system configuration expertise for MHS GENESIS RCM optimization, reconfigurations, and enhancements to existing and future identified gaps impacting workload and revenue capture.

• Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred.

• Demonstrate ability to oversee and independently develop, implement, and perform validation testing of MHS GENESIS systematic builds within the RCM solution sets.

• Experience with ticket queuing system issue resolution processes.

• Professionally interact with identified RCM internal and external functional stakeholders to seamlessly implement resolutions to existing and/or future issues or requirement enhancements/optimizations.

• Experience with development, modification, optimization, and integration of RCM workflows into clinical workflows. This requirement also involves knowledge of system errors caused by outdated or incorrectly built workflows, with the ability to troubleshoot/identify impacted workflows requiring review and potential medication.

• MHS business knowledge and experience to support DHA RCM functional stakeholders with Defense Health Agency, Defense Health Networks, and Military Treatment Facility communications, education, and training to expedite enhanced end-user learning and understanding.

• Experience with educational course material design and build for DHA MHS GENESIS RCM Solution Owner Teams, and intermediate and advanced end user training that includes Edit Failures from the Alpha ii Scrubber and SSI Clearinghouse Scrubber. Identification of missing training components impacting end users’ ability to consistently complete encounters in a streamlined and expedited manner.

• Understanding of the clinical/business workflows and human factors/usability standards.

• Ability to develop dashboards using data visualization applications such as Tableau or Microsoft Power BI.

• Knowledge of the use of Microsoft Office Products and related applications

• Ability to work with stakeholders to assess potential risks.

• Ability to translate business requirements into non-technical and technical documents.

• Demonstrates abilities and success with identifying and addressing client needs: actively participating in client discussions and meetings; communicating a broad range of firm services; preparing concise, accurate documents

• Must be organized, self-motivated, and able to multitask in a fast-paced and dynamic work environment.

• Demonstrated ability to excel both independently and as a team member in a lively, collaborative environment.

• Possess an acute awareness of organizational cultures and political savvy

• Excellent written and verbal communication skills, including the ability to present to executive leadership.

• Ability to manage deadlines and recurring deliverables.

• Demonstrated experience with the DoD; Military Health System experience is a plus.

• Experience with leading small teams, coaching and collaborating with colleagues, providing feedback and guidance on work performance.

• PMP or CAPM Certification.

• Certified Revenue Cycle Representative (CRCR)

• Knowledge of the healthcare sector, including such domains as public health, provider, and life sciences.