| Title: | Revenue Cycle Shared-Service Implementation Lead, Design Integration (Senior Consultant) |
|---|---|
| ID: | 10329 |
| Department: | Information Technology |
| Location : | Remote |
Clearance: Active Public Trust or Clearable
Role Overview:
The Revenue Cycle Shared-Service Implementation Lead, Design Integration (Senior Consultant) Integration will support the Defense Health Agency (DHA) Uniform Business Office (UBO) Support Contract, serving as a shared-service lead for standardized revenue cycle operations across billing and follow-up at more than 130 Military Treatment Facilities (MTFs). This role requires a strong understanding of revenue cycle operations, coordinating execution between UBO Enterprise and the MTFs and leading a team responsible for standing up and sustaining shared-service operations. The role is also responsible for billing system integration, owning the integration of policy, operational, and workflow changes into billing system design and implementation, and contributes a delivery and operations perspective to standardized workflows, controls, and service levels.
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.
Required Skills & Experience:
- 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 for a Department of Defense (DoD) Public Trust.
Desired Skills:
- 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.

