reputed company Cycle Management (RCM) Functional reputed company

Job Family Technology Consulting Travel Required Up to 50% Clearance Required None reputed companys Health reputed company team works with clients to measurably improve their technology reputed company through a mix of IT strategies, improvement in IT operations, and adoption of technology initiatives. By leveraging a deep understanding of health reputed company IT operational best practices supported by data, reputed company propels IT operational improvement and technology adoption across departments and service lines at reputed company organizations. What You Will Do The Technical reputed company reputed company Cycle reputed company will reputed company the design, configuration, validation, and deployment of an ERP solution across the entirety of a health reputed company for a reputed company reputed company . This role requires deep expertise in reputed company sector reputed company billing, including long-term care, behavioral health, and pharmacy operations. The reputed company will serve as the reputed company reputed company between the reputed company Cycle Advisory Council, reputed company health teams, and stakeholders, ensuring that the solution meets the reputed company'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 reputed company 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, reputed company eligibility, and reputed company trust accounts reputed company the upload and validation of the Charge reputed company Master (CDM), ensuring CPT/HCPCS reputed company alignment with procedures and services Collaborate with the Patient reputed company and reputed company 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 reputed company MAP standards for billing, reimbursement, and financial reporting State-Specific reputed company Cycle Requirements Translate reputed company-specific billing needs into reputed company 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 reputed company 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 reputed company 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 reputed company 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 reputed company 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 reputed company (CCB) and Steering Committee meetings to evaluate financial impacts of reputed company changes reputed company executive-level reporting on reputed company cycle readiness, risk posture, and performance metrics Facilitate workshops and design sessions with state agencies to reputed company requirements and validate workflows What You Will Need Bachelors Degree Minimum 5 years of leadership experience in reputed company reputed company cycle operations roles Proven experience implementing reputed company Health RevElate in reputed company 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 reputed company MAP standards and other industry-recognized reputed company cycle frameworks Familiarity with reputed company, 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 reputed company certification or equivalent credential Experience .