RCMI Senior Solution Technical Expert (SSTE)

Job Description

Job Description

Great Hill Solutions, LLC is part of the Seneca Nation Group (SNG) portfolio of companies . SNG is Seneca Holdings' federal government contracting business that meets mission-critical needs of federal civilian, defense, and intelligence community customers. Our portfolio comprises multiple subsidiaries that participate in the Small Business Administration 8(a) program. To learn more about SNG, visit the website and follow us on LinkedIn.

Our team of talented individuals is what makes us successful. To support our team, we provide a balanced mix of benefits and programs. Your total rewards package includes competitive pay, benefits, and perks, flexible work-life balance, professional development opportunities, and performance and recognition programs. We offer a comprehensive benefits package that includes medical, dental, vision, life, and disability, voluntary benefit programs (critical illness, hospital, and accident), health savings and flexible spending accounts, and retirement 401K plan. One of our fundamental principles is to offer competitive health and welfare benefits to our team members, providing coverage and care for you and your family. Full-time employees working at least 30 hours a week on a regular basis are eligible to participate in our benefits and paid leave programs. We pride ourselves on our collaborative work environment and culture, which embraces our mission of providing financial and non-financial benefits back to the members of the Seneca Nation.

Great Hill is seeking a RCMI Senior Solution Technical Expert (SSTE) in the continental US to support the Defense Health Agency. The objective of this work is to support the DHA Financial Operations, J-8 with capabilities for optimization of revenue cycle efforts to prioritize improvement opportunities, begin reducing work queue backlog in MHS GENESIS, increase clinical workload capture, increase total billed for Third Party Collections (TPC), identify and correct areas where revenue leakage may be occurring, improve enterprise knowledge of workload and revenue capture, and enhance MTF staffs' ability to manage their business and be audit-ready. assist our government healthcare client to optimize Revenue Cycle operations.

Roles and Responsibilities include, but are not limited to :

• 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.
• Demonstrate ability to oversee and independently development, implementation, and 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 functional stakeholders within and outside the J8 Directorate to seamlessly implement resolutions to existing and/or future issues or requirement enhancements/optimizations.
• Where applicable, SSTE requires 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 ability to troubleshoot/identified impacted workflows requiring review and potential medication.
• Where applicable, SSTE requires MHS business knowledge and experience to support DHA RCM functional stakeholders with DHA, DHN, and MTF communications, education, and training to expedite enhanced end user learning and understanding.

Basic Qualifications:

• Must have no less than four (4) years' experience is preferred with direct Oracle/Cerner EHR RCM Solution initial builds, trouble shooting, issue resolution, and system reconfigurations. Less than four (4) years may be accepted with review and final determination done on an individual basis.
• Can achieve a Favorable Suitability Adjudication, based on a Tier 2 background investigation.
• Due to the nature of the government contract requirements and/or clearance requirements, US citizenship is required.
• Ability to analyze and interpret complex data, processes, and reports related to revenue cycle and integrity and identify and resolve related issues and problems
• Ability to collaborate and communicate effectively with team members, clients, business partners, and other various stakeholders involved in revenue cycle.
• Ability to succeed in a dynamic team environment and produce deliverables in tight timeframes.
• Microsoft Office 365 proficiency (Excel, Word, PowerPoint).
• Excellent oral, written, and interpersonal skills.

Desired Skills:

• Bachelor's degree in a clinical or healthcare-related field. An Associate degree combined with an additional five (5) years of Revenue Cycle experience may be substituted for the Bachelor's degree.
• Possess a Favorable Suitability Adjudication, based on a current Tier 2 background investigation.
• Possess a DHA issued Common Access Card (CAC)
• Substantial experience within the Military Health System (MHS) environment and requisite knowledge of revenue cycle operations.
• Ability to use various software applications and tools to perform Revenue Cycle functions, such as Electronic Health Record systems (Oracle/Cerner Patient Accounting Module (CPAM)), billing/claim solutions/systems (Electronic Claims Clearinghouse (SSI), 3M 360 Encompass Institutional & Professional Coding, Claim Scrubber Edits (Alpha ii), Patient Statements/Letters (RevSpring)), data analytics tools/repositories (Excel, Power BI, SAS, Tableau, HealtheAnalytics), and reports: HealtheAnalytics, Discern Reporting Portal, and Lights On Network, ideally in the MHS environment.
• SSTE with at least one of these: Patient Accounting, Supply, PathNet, Business Standards and Workflow, Business Support, Registration, Scheduling, Appointing, and Patient Care Location, Referral Management, Forms and Documentation, Orders/Rules & Alerts.
• 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 streamlined and expedited manner.

Equal Opportunity Statement:
Seneca Holdings provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex/gender, sexual orientation, national origin, age, disability, marital status, genetic information and/or predisposing genetic characteristics, victim of domestic violence status, veteran status, or other protected class status. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation and training. The Company also prohibits retaliation against any employee who exercises his or her rights under applicable anti-discrimination laws. Notwithstanding the foregoing, the Company does give hiring preference to Seneca or Native individuals. Veterans with expertise in these areas are highly encouraged to apply.