Senior Consultant, Provider Tech

Role Overview

• Contribute to process improvement and business transformation projects for Baker Tilly’s healthcare clients with a focus on health systems and hospitals
• Collaborate with clients and internal teams through discovery sessions and interviews to identify, understand and translate business needs, processes and challenges into effective process documentation and requirements
• Analyze healthcare data sets to support client initiatives such as claim remittance, EHR, clinical workflow improvement and patient accounting data
• Analyze and interpret healthcare transactional data (e.g., claim, payment, adjustment, and denial information) to identify issues, anomalies, or process breakdowns
• Define key processes and capabilities to develop deliverables such as process maps, capability definitions, and reporting inventories
• Own solution components from requirements through implementation
• Manage project workstreams, build workplans, and track project financials
• Manage third-party vendor relationships on behalf of clients and project needs
• Construct status reports and project communications
• Participate in various phases of system implementations or optimizations which may include: Design definition, System and acceptance testing and validation activities, Data mapping, migration and integration efforts, Support for defect tracking, assessment and categorization, Post go-live support assessment, and categorization

Requirements

• Bachelor’s degree in accounting, business, finance, engineering, computer science, management information systems, healthcare, public health, or related field
• Minimum of two (2) years of relevant professional experience working with, or for, a healthcare provider
• Healthcare provider industry experience required
• Flexibility to travel to client sites as needed and work outside of normal business hours due to client demands
• Experience working with healthcare data sets and operations, with demonstrated experience in at least one (1) of the following: EHR implementation or optimization, Electronic Health Record (EHR) data, 837 claims data, 835 remittance / payment data, Patient accounting / billing system data, Revenue cycle / financial transactions data, VBC contract performance adoption and improvement, Clinical or operational healthcare data, Provider order sets and clinical documentation
• Demonstrated analytical, organizational, interpersonal, project management, and communication skills
• Highly developed Microsoft Office skills (Word, Excel, etc.) required
• Self-motivated, resourceful individuals who enjoy solving problems and tackling new challenges
• Ability to lead and supervise others, provide exceptional client service, demonstrate commitment to continuous learning, see the "big picture" as well as the details and have a commitment to quality and timeliness
• Project experience with full lifecycle application development (e.g. requirements gathering, use case development, system analysis and design, integration, testing, deployment)
• Project management experience within the provider space, i.e. EHR implementation, 3rd party system integration, process improvement initiatives, etc., is preferred
• Experience writing SQL queries to support analysis, validation, or troubleshooting activities is preferred
• Experience validating or supporting ETL processes, data mappings, or transformations is preferred
• Familiarity with major healthcare platforms or data environments is preferred: Epic, Oracle Health/Cerner, Other patient accounting/revenue cycle platforms
• Experience supporting vendor or enterprise platform implementations is preferred
• Experience with testing methodologies, tools, or defect tracking processes is preferred
• Exposure to healthcare revenue cycle, financial operations, or administrative workflows is preferred

Tech Stack

• ETL
• Oracle
• SQL

Benefits

• Comprehensive compensation and benefits package to eligible employees