Healthcare Technology Consulting Technical Revenue Cycle Lead at Guidehouse

Job Family:Technology ConsultingTravel Required:Up to 50%Clearance Required:NoneGuidehouses 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 Guidehouse propels IT operational improvement and technology adoption across departments and service lines at client organizations.What You Will Do:The Technical Healthcare Revenue Cycle Lead will oversee 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 Lead will serve as the primary liaison between the Revenue Cycle Advisory Council client health teams and stakeholders ensuring that the solution meets the clients complex financial regulatory and operational requirements.Key Responsibilities:Revenue Cycle Design and ConfigurationLead the functional design and configuration of ERP solutions ensuring alignment with client billing workflows including long-stay inpatient billing trust account management and pharmacy claimsDevelop and validate workflows for interim monthly billing Medicare Part D Medicaid eligibility and resident trust accountsOversee the upload and validation of the Charge Description Master (CDM) ensuring CPT/HCPCS code alignment with procedures and servicesCollaborate with the Patient Accounting and Practice Management teams to configure registration scheduling and eligibility workflowsDesign and validate EMRN/MRN strategies to support cross-agency patient identity managementEnsure compliance with federal and state clients CMS and HFMA MAP standards for billing reimbursement and financial reportingState-Specific Revenue Cycle RequirementsTranslate client-specific billing needs into system requirements including:Long-term care billing cycles and interim claimsResident trust account workflows including deposits withdrawals and reconciliationFederal/state community services billing including vendor-submitted claims and EIM system integration.Service authorization workflows and capacity management for behavioral health servicesIntegrations for financial tracking and reportingCollaborate with state finance and compliance teams to ensure accurate grant and funding reports for state and federal programs.Testing and ValidationLead parallel revenue cycle testing reconciling results with legacy MEDITECH systemsValidate charge capture claims generation eligibility verification and electronic remittance advice (ERA) postingEnsure readiness for day-one revenue cycle operations including cash flow continuity and billing complianceCollaborate with Testing Lead and Data Migration Lead to validate financial data accuracy and integrityStakeholder Engagement and GovernanceServe as the primary point of contact for revenue cycle stakeholders including the Revenue Cycle Advisory Council billing teams HIM and finance leadershipParticipate in Change Control Board (CCB) and Steering Committee meetings to evaluate financial impacts of scope changesProvide executive-level reporting on revenue cycle readiness risk posture and performance metricsFacilitate workshops and design sessions with state agencies to gather requirements and validate workflowsWhat You Will Need:Bachelors DegreeMinimum 5 years of leadership experience in healthcare revenue cycle operations rolesProven experience implementing Oracle Health RevElate in public sector or complex payer environments.Deep understanding of State and Federal billing requirements including long-stay inpatient billing trust accounts and behavioral health reimbursementExperience with HFMA MAP standards and other industry-recognized revenue cycle frameworksFamiliarity with Medicaid Medicare Part D and state-specific billing systems Strong knowledge of CDM management charge capture workflows and denial prevention strategiesExcellent communication stakeholder engagement and documentation skillsWhat Would Be Nice To Have:HFMA certification or equivalent credentialExperience with federal/state EHR implementation projectsFamiliarity with Oracle Health Data Intelligence (formerly HealtheIntent) for financial analytics and reportingExperience with behavioral health and long-term care billing workflows including 42 CFR Part 2 complianceExperience managing revenue cycle transformation in multi-entity multi-payer environmentsThe annual salary range for this position is $130000.00-$216000.00. Compensation decisions depend on a wide range of factors including but not limited to skill sets experience and training security clearances licensure and certifications and other business and organizational needs.What We Offer:Guidehouse 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 InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave and Adoption Assistance401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityStudent Loan PayDownTuition Reimbursement Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramMobility StipendAbout GuidehouseGuidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.Guidehouse 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 Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse 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 related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. Key Skills Business Development,Apprentice,Asset Management,ABAP,IT Strategy,Manufacturing Employment Type : Full-Time Experience: years Vacancy: 1 Monthly Salary Salary: 130000 - 216000