Note: The job is a remote job and is open to candidates in USA. Tria Federal delivers digital services and technology solutions that support the health and safety of veterans, service members, and civilians. The Revenue Cycle Shared-Service Implementation Lead, Design Integration (Senior Consultant) will lead standardized revenue cycle operations across billing and follow-up at Military Treatment Facilities, requiring strong expertise in revenue cycle management and system integration.
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 so requirements reflect real workflows, and validating system design, configuration, and changes against requirements
- Lead testing and validation, defining test scenarios tied to billing logic, validating outputs such as claims, statements, and balances, and ensuring issues are resolved before go-live
- Coordinate system tickets, dependencies, and risks, submitting system-related change requests through appropriate governance forums and tracking channels and escalating risks proactively
- 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
- Anchor the implementation perspective in design, partnering with the Policy Analysts and Program Manager on RACI development, workflow definition, internal control design, and service-level definition
- Maintain documentation and provide briefings, documenting system impacts and decisions and briefing DHA UBO leadership, the UBO Process Action Team (PAT), and the program team
Skills
- Strong understanding of revenue cycle operations (charge capture, billing, collections, denials, and compliance) and how back-end operations run at scale
- 7+ years of experience in a large health system or multifacility healthcare environment, including 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 (claims, statements, balances), and coordinating system change requests, dependencies, and risks across operations and IT
- 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 (such as IOC and FOC thresholds or comparable capability gates)
- Proven ability to lead implementation teams and manage execution across multiple sites toward shared milestones
- Strong analytical and problem-solving skills, with the ability to translate operational realities into design and execution decisions
- Strong written and verbal communication skills, with the ability to present plans and recommendations to senior leadership
- Ability to manage competing priorities across multiple facilities and stakeholders in a dynamic, deadline-driven environment
- Proficiency in Microsoft Office applications, including Project, Excel, PowerPoint, Word, and Visio
- Bachelor's degree required; Master's degree preferred
- Eligibility: U.S. citizenship; eligibility for a Department of Defense (DoD) Public Trust
- Experience within the Military Health System (MHS) or DHA environment
- Knowledge of UBO operations and the three cost-recovery programs: Third Party Collection (TPC), Medical Service Accounts (MSA), and Medical Affirmative Claims (MAC)
- Familiarity with MHS GENESIS / Oracle Cerner Patient Accounting (CPA) and federal financial statement audit readiness
- Project Management Professional (PMP) or Lean Six Sigma certification
Benefits
- We offer a top-tier benefits package to invest in your physical, mental, and financial health and wellness so that you can be your best self - at work *and* in life.
- Opportunities to learn new skills, seize new challenges, and advance your career as we grow.
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