Key skills
AILeadershipProject ManagementChange ManagementCommunication
About this role
Role Overview
- Provide use case business case quantification by identifying the customer's business objectives and quantifying the benefits and ROI of use case implementation.
- Designs and optimizes consulting delivery processes in coordination with internal teams to ensure seamless and consistent execution of use cases in support of customer objectives.
- Leads and mentors Solution Consultants while ensuring alignment of team efforts with client goals and operating metrics.
- Collaborate with Solution Consultants to create product roadmap, future state process flows, and implementation plan.
- Supports the development of training and change management plans to drive the adoption of best practices.
- Provides technical product and operational leadership throughout the solution lifecycle.
- Evaluates emerging operational and technical opportunities and assesses and recommends future use case business cases.
- Proactively engages with customers and supports decision-making with data-driven insights.
- Ensures proactive issue resolution and continuous improvement in service delivery.
- Supports the Solution Consultants with the development of sustainable mechanisms to monitor KPIs and SLAs that provide measurable value creation and performance tracking for steady state operations.
- Travel up to 50% to engage with clients and stakeholders.
Requirements
- Minimum 10 years experience in healthcare revenue cycle management including HB and PB Follow Up, Denials and Coding.
- Minimum 5 years in a management role.
- Significant experience in project management, process improvement, and implementation support.
- Adept with AI tools and enthusiastic about the conversion of technology and operations.
- Familiarity with healthcare operations or enterprise software environments preferred.
- Excellent communication, problem-solving, and analytical skills.
- Strong knowledge of ICD-10-CM/PCS & CPT/HCPCS coding guidelines and reimbursement methodologies.
- AAPC or AHIMA Certified coding professional: CIC, CPC, CCS, RHIA, RHIT Required for the Mid-Cycle Coding Engineer Lead.
Benefits
- Competitive benefits package