Revenue Cycle Health Informatics Management (HIM) jobs in United States
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Guidehouse · 14 hours ago

Revenue Cycle Health Informatics Management (HIM)

Guidehouse is seeking experienced Revenue Cycle Management (RCM) professionals to support the Military Health System (MHS). The role involves developing deliverables, strengthening client relationships, improving processes, and supporting business development across the MHS.

AdviceConsultingManagement Consulting
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Responsibilities

Provide health informatics expertise for working groups and care-area requests
Assess and improve coding workflows in MHS GENESIS; design efficient, compliant workflows aligned with RCM goals
Configure automated routing, coding edits, and validation rules to improve accuracy and reduce denials
Monitor coding guideline updates and integrate changes into workflow logic
Support continual improvement of MHS GENESIS workflows, ensuring quality data and better provider/patient experiences
Perform Oracle Health (Cerner) configuration updates and assist in designing clinical workflows that incorporate business functions
Establish feedback loops, use LightsOn analytics, and recommend process improvements
Support RCM functions such as charge capture, coding, and overall optimization
Create dashboards, presentations, and analysis using MHS data
Coordinate working groups/project teams, track tasks, and assist with workshops and summits
Collaborate with VA counterparts and contribute to interoperability and innovation initiatives
Develop reports and dashboards based on government priorities
Lead deliverables, recurring tasks, and stakeholder engagement
Produce executive-level slide decks and memorandums for DoD leadership
Track progress on MHS initiatives to support legislative and departmental requirements

Qualification

Revenue Cycle Management (RCM)Electronic Health Records (EHR)Oracle/Cerner configurationMHS GENESIS optimizationPMPCAPMCRCR certificationTableauPower BIClient-facing skillsOrganizational skillsCommunication skillsTeam leadership

Required

Must be able to OBTAIN and MAINTAIN a Federal or DoD 'PUBLIC TRUST'; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred
Bachelors Degree
FOUR (4) or more years of Revenue Cycle Management (RCM) build experience, including troubleshooting, system reconfiguration, and/or project management

Preferred

Bachelor's degree in Business, Healthcare Administration, Statistics, or related field
Experience with Oracle/Cerner EHR RCM builds, troubleshooting, issue resolution, and system reconfiguration
DoD or Military Health System (MHS) experience
Experience leading small teams, coaching colleagues, and providing performance feedback
PMP, CAPM, or CRCR certification
Broad knowledge of healthcare domains (public health, provider, life sciences)
Technical expertise in MHS GENESIS RCM configuration, optimization, and revenue‑impacting workflow enhancements
Ability to independently lead development, implementation, and validation testing of MHS GENESIS RCM system builds
Experience with ticket‑queue systems and issue‑resolution workflows
Ability to partner with internal/external RCM stakeholders to implement solutions and enhancements
Experience optimizing and integrating RCM workflows with clinical workflows, including troubleshooting errors caused by outdated or misbuilt workflows
MHS business knowledge to support DHA stakeholders with communication, training, and change management
Experience designing educational materials and delivering intermediate/advanced RCM training (including Alpha II and SSI edit‑failure remediation)
Understanding of clinical/business workflows and human‑factors/usability principles
Ability to build dashboards in Tableau or Power BI
Proficiency with Microsoft Office applications
Ability to assess risks and translate business requirements into technical and non‑technical documentation
Strong client‑facing skills, including preparing concise deliverables and participating in stakeholder discussions
Highly organized, self‑motivated, and effective in fast‑paced environments
Ability to work independently and collaboratively; strong organizational awareness and political savvy
Excellent written and verbal communication skills, including executive‑level presentations
Strong ability to manage deadlines and recurring deliverables

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend

Company

Guidehouse

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Guidehouse offers consulting services for public and commercial markets with expertise in management, technology, and risk consulting.

Funding

Current Stage
Late Stage
Total Funding
$0.75M
Key Investors
Mission Daybreak
2023-11-06Acquired
2023-02-16Grant· $0.75M

Leadership Team

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Scott McIntyre
Chairman and CEO
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Alicia Harkness
Partner
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