MetaRPO

Role Description We are seeking a detail-oriented Payment Posting / Balancing Specialist with strong experience in healthcare revenue cycle operations. The ideal candidate must be well versed in Explanation of Benefits (EOBs), healthcare provider and insurance payer behaviors, payment balancing, and reconciliation processes. This role is responsible for accurately posting insurance and patient payments, balancing daily deposits, and ensuring accurate accounts receivable records. - Interpret and accurately post data from paper and electronic EOBs into the Revenue Management System (RMS) - Post insurance carrier payments, denials, adjustments, and patient payments with high accuracy - Identify, calculate, and apply contractual adjustments, deductibles, copays, and coinsurance based on payer contracts - Balance daily deposits and cash logs against posting reports and remittance data - Research and resolve discrepancies between billed amounts and payment amounts - Review payer denials and underpayments for accuracy and escalation - Maintain productivity and quality standards in a fast-paced environment - Ensure compliance with HIPAA regulations and confidentiality guidelines while handling PHI - Collaborate with internal billing, collections, and AR teams to resolve payment-related issues Qualifications - Strong experience with Explanation of Benefits (EOBs) - Good understanding of healthcare providers, insurance payer behaviors, and reimbursement methodologies - Hands-on experience in payment posting, balancing, and reconciliation - Knowledge of deductibles, copays, coinsurance, contractual adjustments, and remittance processing - Experience working with paper and electronic remittances (ERA/EFT) - Familiarity with healthcare billing systems/RMS platforms - Strong analytical and problem-solving skills - Excellent attention to detail and accuracy - Understanding of HIPAA compliance and PHI handling Preferred Qualifications - Experience in healthcare revenue cycle management (RCM) - Prior experience in physician billing, hospital billing, or medical claims processing - Knowledge of commercial insurance, Medicare, and Medicaid payment processing Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.

Role Description MetaRPO is actively seeking a skilled PeopleSoft Campus Solution Consultant with Boomi experience to join our team on a contract basis. This remote position allows you to work from anywhere while contributing to our mission in the staffing and recruiting industry. Located in Indianapolis, this role offers a unique opportunity to engage with educational institutions and help them optimize their systems. In this position, you will be instrumental in implementing and enhancing PeopleSoft Campus Solutions, utilizing Boomi for integrations. Your expertise will enable educational organizations to streamline processes and improve student experiences. At MetaRPO, we foster a collaborative environment where innovative solutions thrive, making a significant impact on our clients' success. We offer a competitive salary, reflective of your skills and experience, providing you with a rewarding career path in the dynamic world of staffing and recruiting. Responsibilities - Implement and configure PeopleSoft Campus Solutions for various educational institutions - Utilize Boomi to integrate PeopleSoft with other systems effectively - Analyze business requirements and translate them into technical specifications - Conduct system testing and troubleshooting to ensure seamless functionality - Provide training and support to end-users on PeopleSoft applications - Collaborate with cross-functional teams to enhance system performance - Document processes and procedures for system enhancements and integrations - Stay updated on industry trends and best practices in PeopleSoft solutions Qualifications - 3+ years of experience with PeopleSoft Campus Solutions - Proficiency in Boomi for system integrations - Strong understanding of educational processes and administrative systems - Excellent analytical and problem-solving skills - Effective communication and interpersonal skills - Ability to work independently in a remote environment - Bachelor's degree in Computer Science, Information Technology, or related field - Experience with data migration and management in PeopleSoft

Role Description As a Manager of Provider Solutions, your role is pivotal in guiding healthcare providers toward achieving optimal outcomes in value-based care, ultimately improving patient health and well-being while managing costs effectively. In developing and implementing strategic initiatives to increase provider readiness from traditional fee-for-service models to value-based care models. Here's an overview of the responsibilities and key skills associated with this role: - Performance Analysis: - Conduct in-depth analysis of contractual performance metrics related to value-based care, including utilization measures, benchmarking, cost-effectiveness, and patient outcomes. - Data Interpretation: - Interpret and translate complex data into actionable insights for healthcare providers, helping them understand and improve their performance. - Financial Management: - Monitor financial performance related to value-based care contracts and identify opportunities for cost savings, risk adjustment and revenue enhancement. - Patient Engagement: - Develop strategies to actively involve patients in their care and treatment plans. - Implement patient education programs to promote health and prevent avoidable healthcare utilization. - Provide constructive feedback and coaching to healthcare providers, offering guidance on how to enhance their practices to align with value-based care goals. - Collaboration with Clinical Teams: - Collaborate with clinical leaders to integrate value-based care principles into clinical practice, emphasizing preventive care, care coordination, and patient engagement. - Collaborate with leadership to establish goals aligned with value-based care principles for initiatives to continuously improve in care delivery, patient satisfaction, and cost-efficiency. - Care Coordination Optimization: - Work with internal and external healthcare teams to improve care coordination efforts, ensuring seamless transitions of care and effective communication among providers. - Technology Utilization: - Evaluate and recommend technology solutions that support value-based care initiatives, including electronic health record (EHR) optimization and other relevant tools. - Identify and implement innovative technologies and solutions that support value-based care delivery and improve patient outcomes. - Educational Support: - Develop and deliver training programs to educate healthcare providers and staff on best practices in value-based care delivery. - Risk Stratification: - Assist in the development and implementation of risk stratification models to identify high-risk patients and tailor care interventions accordingly. - Patient Engagement Strategies: - Collaborate on the development of strategies to actively engage patients in their care, promoting preventive measures and improving overall health outcomes. Qualifications - Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field. - 3-5 years of experience in healthcare change management, provider relations, or a related role. - In-depth knowledge of healthcare regulations, value-based care, and performance metrics. - Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities. - Excellent communication and interpersonal skills to collaborate effectively with providers, team members, and stakeholders at all levels. - Proven experience in designing and delivering training programs or educational initiatives. - Proficiency in data management and analysis tools, such as Excel or data visualization software. - Familiarity with electronic health record systems and healthcare information technology. - Detail-oriented, organized, and able to manage multiple projects simultaneously. - Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment. - Position is remote – secure home network required and familiar with Microsoft Office products and VPN. Requirements - Six Sigma Green Belt, Licensed Allied Health Professional, or Licensed Registered Nurse preferred. - Certified Professional in Healthcare Quality (CPHQ) or equivalent preferred. Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.

Role Description As a Manager of Provider Solutions, your role is pivotal in guiding healthcare providers toward achieving optimal outcomes in value-based care, ultimately improving patient health and well-being while managing costs effectively. In developing and implementing strategic initiatives to increase provider readiness from traditional fee-for-service models to value-based care models. Here's an overview of the responsibilities and key skills associated with this role: - Performance Analysis: - Conduct in-depth analysis of contractual performance metrics related to value-based care, including utilization measures, benchmarking, cost-effectiveness, and patient outcomes. - Data Interpretation: - Interpret and translate complex data into actionable insights for healthcare providers, helping them understand and improve their performance. - Financial Management: - Monitor financial performance related to value-based care contracts and identify opportunities for cost savings, risk adjustment and revenue enhancement. - Patient Engagement: - Develop strategies to actively involve patients in their care and treatment plans. - Implement patient education programs to promote health and prevent avoidable healthcare utilization. - Provide constructive feedback and coaching to healthcare providers, offering guidance on how to enhance their practices to align with value-based care goals. - Collaboration with Clinical Teams: - Collaborate with clinical leaders to integrate value-based care principles into clinical practice, emphasizing preventive care, care coordination, and patient engagement. - Collaborate with leadership to establish goals aligned with value-based care principles for initiatives to continuously improve in care delivery, patient satisfaction, and cost-efficiency. - Care Coordination Optimization: - Work with internal and external healthcare teams to improve care coordination efforts, ensuring seamless transitions of care and effective communication among providers. - Technology Utilization: - Evaluate and recommend technology solutions that support value-based care initiatives, including electronic health record (EHR) optimization and other relevant tools. - Identify and implement innovative technologies and solutions that support value-based care delivery and improve patient outcomes. - Educational Support: - Develop and deliver training programs to educate healthcare providers and staff on best practices in value-based care delivery. - Risk Stratification: - Assist in the development and implementation of risk stratification models to identify high-risk patients and tailor care interventions accordingly. - Patient Engagement Strategies: - Collaborate on the development of strategies to actively engage patients in their care, promoting preventive measures and improving overall health outcomes. Qualifications - Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field. - 3-5 years of experience in healthcare change management, provider relations, or a related role. - In-depth knowledge of healthcare regulations, value-based care, and performance metrics. - Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities. - Excellent communication and interpersonal skills to collaborate effectively with providers, team members, and stakeholders at all levels. - Proven experience in designing and delivering training programs or educational initiatives. - Proficiency in data management and analysis tools, such as Excel or data visualization software. - Familiarity with electronic health record systems and healthcare information technology. - Detail-oriented, organized, and able to manage multiple projects simultaneously. - Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment. - Position is remote – secure home network required and familiar with Microsoft Office products and VPN. Requirements - Six Sigma Green Belt, Licensed Allied Health Professional, or Licensed Registered Nurse preferred. - Certified Professional in Healthcare Quality (CPHQ) or equivalent preferred.

Shift: Day 5x8-Hour (08:00 - 17:00) Description: Title: Application Analyst I, Tapestry Core Administration Tapestry Core (with Contracts focus) Shift: 40 hour weeks Duration: 52 weeks CTH or C: Contract Remote or Onsite: Remote - Must live in the following Qualified States: Texas, Idaho, Oklahoma, Missouri, Tennessee. Equipment Provided by the client: Yes Interview type: Virtual Epic Application Analyst I This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration. The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. Skills: Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services Organization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong analytical, technical, and troubleshooting Demonstrating flexibility with respect to changing end-user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations, overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Requirements: Analyst l Required: Bachelor’s degree or a license/certification in a clinical specialty with 3 years of experience and under Minimum 4 years of experience will be accepted in lieu of the required degree or diploma Preferred: External applicants must possess active Epic certification in the required application/module at the time of hire with proof of current certification Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization

Shift: Day 5x8-Hour (08:00 - 17:00) Description: Title: Application Analyst I, Tapestry Core Administration Tapestry Core (with Contracts focus) Shift: 40 hour weeks Duration: 52 weeks CTH or C: Contract Remote or Onsite: Remote - Must live in the following Qualified States: Texas, Idaho, Oklahoma, Missouri, Tennessee. Equipment Provided by the client: Yes Interview type: Virtual Epic Application Analyst I This position will focus primarily on the following Epic applications: Tapestry Managed Care Administration. The Epic Application Analyst, Tapestry Core Administration is the primary support contact for the above applications and will guide workflow design, build and test the system, and analyze other technical issues associated with Epic and any other connected software. Skills: Understanding of operations within the AP Claims department, including claim intake, review, and payment Familiarity with integration points with other areas of business, such as eligibility, authorizations, and internal claims Familiarity with the benefit structure of plans that your organization administers Familiarity with your organization's managed care vendor contracts Familiarity with operations and workflows in a Management Services Organization Ability to collaborate with cross-functional teams, including Claims, Utilization Management, Provider Network Operation, Case Management, Eligibility and Capitation management. Strong analytical, technical, and troubleshooting Demonstrating flexibility with respect to changing end-user business needs The ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others The ability to communicate information clearly and concisely with project leadership and subject matter experts The ability to gain trust and establish effective relationships with Epic counterparts The ability and willingness to learn new software and systems Listening attentively to ensure that the intended message has been accurately received, holding responses until the person have finished making their point, and repeating information to ensure accuracy Seeking, logically examining, and interpreting information from different sources to determine a problem's cause and developing a course of action to resolve the problem and to prevent its recurrence The ability to persevere in difficult situations, overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures Requirements: Analyst l Required: Bachelor’s degree or a license/certification in a clinical specialty with 3 years of experience and under Minimum 4 years of experience will be accepted in lieu of the required degree or diploma Preferred: External applicants must possess active Epic certification in the required application/module at the time of hire with proof of current certification Certification, experience, or proficiency in one or more of the following Epic modules: Tapestry Managed Care Administration Experience working in a Management Services Organization

Role Description We are seeking a hands-on SAP Resource Manager to manage capacity planning, resource allocation, and project staffing across manufacturing and supply chain functions. You will use Wrike and SAP S/4HANA to align workforce and machine capacity with production schedules and demand plans. - Plan and manage resource capacity across teams, plants, and production lines - Translate SAP data into staffing and shift plans - Coordinate with cross-functional teams to align resources with demand - Run resource reviews, resolve conflicts, and support project timelines - Track utilization and performance metrics; generate reports (Excel, Power BI) - Identify bottlenecks and drive solutions - Improve processes and train teams on tools and best practices Qualifications - 5+ years in resource/capacity management (manufacturing or supply chain) - Strong experience with Wrike and SAP S/4HANA - Advanced Excel and reporting skills (Power BI preferred) - Strong communication and stakeholder management - Bachelor’s degree in relevant field Requirements - Experience in consumer goods or process manufacturing (preferred) - Knowledge of S&OP and production planning concepts (preferred) - Experience with project/portfolio management (preferred) Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.

Role Description We are seeking an experienced professional with deep expertise in OneTrust Engagement Consent & Preference Management. The ideal candidate will have a proven track record of rolling out, managing, and operating consent setups for US-based pharmaceutical and life sciences clients using OneTrust. This role is pivotal in ensuring compliance and operational excellence in privacy data governance. Key Responsibilities - Lead the design, implementation, and management of OneTrust Consent & Preference Management solutions for pharma clients in the US. - Oversee end-to-end consent setup operations, configurations, and ongoing maintenance. - Collaborate with cross-functional stakeholders including legal, compliance, IT, and marketing teams to ensure alignment with business objectives. - Drive best practices and governance frameworks around consent and preference management. - Provide subject matter expertise on OneTrust platform capabilities and industry compliance requirements. - Support client engagements and manage relationships with key pharmaceutical and life sciences accounts. - Ensure strict compliance with US regulations relevant to consent management in the pharmaceutical space. Qualifications - 8+ years of relevant experience in consent, and data governance. - Deep expertise in OneTrust Engagement Consent & Preference Management. - Hands-on experience rolling out and managing consent setups and operations for pharma clients in the US. - OneTrust Certification is required. - Preferred background in the life sciences or pharmaceutical industry. - Strong understanding of the pharma data & consent landscape. - Excellent communication, project management, and stakeholder engagement skills. Preferred Qualifications - Experience specifically within the life sciences/pharmaceutical industry. - Familiarity with HIPAA, CCPA, and other relevant US data privacy regulations. - Experience working with enterprise-level life science clients in a consulting capacity. Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.

Role Description Seeking a seasoned Oracle OTM Cloud Technical Consultant for a remote, 6+ month contract to lead implementations, configurations, and optimizations. The consultant will handle end-to-end OTM Cloud projects, ensuring seamless integration with client supply chains. Focus includes custom development, data migration, and post-go-live support. Key Responsibilities - Lead OTM Cloud implementations, including planning, design, configuration, testing, and deployment for 10+ modules like Order Management, Planning, Execution, and Financials. - Develop and customize PL/SQL scripts, REST APIs, and integrations with ERP systems (e.g., Oracle SCM, EBS). - Configure agents, stylesheets, and business rules to meet client-specific logistics needs, including multi-leg planning and carrier management. - Perform data migrations using FBDI templates and troubleshoot issues in production environments. - Collaborate with stakeholders for requirements gathering, training, and UAT support. - Ensure compliance with localization (e.g., AFIP for Latin America) and optimize performance using Oracle Redwood UX. Qualifications - Bachelor's in Computer Science, Supply Chain, or related field. - 15+ years in IT/logistics, with 10+ years specifically in Oracle OTM Cloud implementations (minimum 5 full lifecycle projects). Preferred Skills - Oracle certifications: OTM Cloud Implementation Specialist, SCM Cloud. Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.

Role Description We are seeking a Senior IBMi (AS/400) Developer to join the Application Managed Services team. This role requires a subject matter expert with strong experience in legacy systems, capable of handling full lifecycle development, technical documentation, and complex problem-solving in a remote environment. - Design, develop, and test applications in the IBMi (AS/400) environment - Create and maintain detailed technical design documents and specifications - Analyze and enhance existing applications using modern methodologies - Provide technical leadership and mentor junior developers - Collaborate across teams to resolve complex technical issues - Contribute to architecture decisions and system improvements - Maintain and enhance core business logic using RPG, CLLE, and COBOL Qualifications - RPGLE / RPG – 5+ years - CLLE – 5+ years - DB2/400 SQL – 5+ years Requirements - AS/400 COBOL (Advanced proficiency) - Agile methodology experience - Experience with bug tracking/reporting tools - IBM System i (AS/400) RPG III - Bachelor’s Degree (preferred) Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.