Job Closed

This listing is no longer active.

HealthEdge logo
HealthEdge

HealthEdge is a Burlington, Massachusetts-based computer software company that provides services and solutions to the healthcare payer market. These services in

Manager, Business Systems

Location

United States

Posted

117 days ago

Salary

$139K - $150K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishERPITSM

Job Description

Manager, Business Systems

HealthEdge

• Manage, mentor, and develop a team of 6–8 Business Analysts supporting HRIS, CRM, ERP, and adjacent platforms • Set clear goals and priorities, conduct regular 1:1s, and foster a collaborative, high-performing team culture • Serve as an escalation point for complex issues and cross-functional stakeholder conflicts • Partner with the Director of Business Technology on team structure, hiring, and capability development • Oversee Tier 2 support operations across HRIS, CRM, ERP, and associated tools, ensuring SLOs & SLAs are met and issues are resolved with appropriate urgency • Ensure platform configurations, access controls, and administrative processes are well-documented and consistently maintained • Act as a hands-on contributor when needed — reviewing configurations, supporting implementations, or jumping into complex tickets alongside your team • Manage relationships in partnership with the Director of Business Technology with application vendors and implementation partners, including contract renewals, escalations, and roadmap alignment • Stay current on platform releases and evaluate new features for adoption relevance • Coordinate with vendors to resolve systemic issues and ensure HealthEdge is getting full value from its investments • Build strong relationships with business owners in HR, Finance, Sales, and Operations to understand their needs and translate them into platform improvements • Drive intake, prioritization, and delivery of enhancement requests across the portfolio • Communicate project status, risks, and decisions clearly to both technical and non-technical audiences • Establish and maintain standards for application change management, testing, and documentation • Identify opportunities to streamline and improve business processes through better platform utilization • Support audit and compliance requirements (e.g., SOX, HIPAA) as they relate to application access and change controls.

Job Requirements

  • 5–8 years of experience in business applications, enterprise systems, or IT operations roles
  • 2+ years of people management experience, including performance management and team development
  • Hands-on experience with HRIS, ERP, and CRM applications
  • Strong understanding of ITSM concepts, ticketing workflows, and support operations
  • Experience managing vendor relationships and participating in contract or renewal discussions
  • Proven ability to prioritize and manage competing demands across multiple platforms and stakeholders
  • Excellent communication skills – comfortable presenting to business leaders and partnering across functions
  • Healthcare or SaaS industry experience preferred
  • Experience supporting a post-merger application integration or consolidation preferred
  • Familiarity with integration platforms or middleware preferred.

Benefits

  • HealthEdge commits to building an environment and culture that supports the diverse representation of our teams.
  • Inclusive workplace where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.
  • Candidates may be required to go through a pre-employment criminal background check.
  • Equal opportunity employer. We actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

Related Categories

Related Job Pages

More Business Operations Jobs

Full TimeRemoteTeam 1,001-5,000H1B Sponsor

• Support operational execution and revenue activation across the Patient Experience team. • Analyze performance data, executing ad hoc operational and analytical tasks, and building and optimizing solutions. • Monitor engagement and performance metrics, conduct QA and UAT for new launches and product changes, and identify opportunities to improve workflows and outcomes. • Communicate findings, progress, and recommendations to executive stakeholders and cross-functional partners.

United States
$60K - $90K / year
Job Closed
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

• Analyze market trends, competitive dynamics and customer data to inform strategic decisions • Gather insights from sales, customer and internal stakeholders to guide GTM strategies • Own key workstreams for annual planning and in-year re-forecasting: capacity inputs, coverage strategy, investment tradeoffs, and execution plans • Design and iterate on territory models and account assignment approaches across new business and expansion motions (e.g., geo/industry/segment, named accounts, overlays) • Develop quota methodologies and allocation frameworks that are data-driven, transparent, and aligned to growth goals and capacity assumptions • Own strategic initiatives focused on pipeline growth, lead optimization, market segmentation, product rollout or other focus areas critical to revenue growth • Help identify and prioritize high propensity verticals, geographies and use cases to drive focus within our Sales and Marketing organizations • Build and maintain KPI trees and OKR frameworks for priority initiatives for Revenue Operations to implement and maintain • Develop scalable reporting and dashboards for GTM performance (pipeline health, conversion, productivity, whitespace, attach/penetration, cohort trends) and surface actionable opportunities and risks • Understand sales productivity and coverage, anticipate gaps and assist in developing solutions to drive improvements • Create strategies around process optimization, cross functional coordination to drive consistency and alignment across all teams at IDC • Run pilots and experiments on messaging, pricing, segments and design incentives to motivate sellers

Wisconsin + 1 moreAll locations: Wisconsin | Canada
$100K - $113K / year
Job Closed
Dynatrace logo

Manager, Business Systems - Finance

Dynatrace

Dynatrace is a global application performance management software firm and a former member of Compuware. As an employer, the company is in support of helping it

Full TimeRemoteTeam 5,600Since 2005

Your role at DynatraceDynatrace exists to make the world’s software work perfectly. Our unified software intelligence platform combines broad and deep observability and continuous runtime application security with the most advanced AIOps to provide answers and intelligent automation from data at an enormous scale. This enables innovators to modernize and automate cloud operations, deliver software faster and more securely, and ensure flawless digital experiences. That is why the world’s largest organizations trust Dynatrace® to accelerate digital transformation. We're an equal opportunity employer and embrace all applicants. Dynatrace wants YOU—your diverse background, talents, values, ideas, and expertise. These qualities are what make our global team stronger and more seasoned. We're fueled by the diversity of our talented employees. Job Description - Lead, influence and mentor a development team providing NetSuite and Zip application solutions with new application deployments, strategic projects initiatives, continuous system improvements and business process automation. Provide guidance on project priorities, solution design and decisions, and technical governance. - Hire, develop, and lead an inclusive, empowered, engaged, and high performing team of administrators and developers - Act as the IT finance business systems stakeholder on critical projects, ensuring project success by understanding the needs of the business, taking direction and prioritization from leadership, driving process, functional and technical solutions - Partner with key business stakeholders to align roadmap priorities, translate business requirements to system solutions, and manage backlog - Collaborate with Enterprise Business Intelligence team to recommend and deliver valuable analytics and metrics that matter - Own the technical health for Financial applications including NetSuite, Zip and OneStream, ensuring overall health and effectiveness of the platform. - Manage the performance metrics of development team focusing on Agile / Scrum methodologies for continuous improvements in velocity, quality, and value analyzing sprint and contributor performance. - Manage relationship with enterprise cloud vendors - Ensure change management procedures, processes and proper change controls are adhered to on all production changes and implementation. - Stay up to date with innovations and changes in enterprise technology within Finance Applications. evaluate alternatives and recommendation applicability to our business. - Partner with DevOps team, to prioritize IT Automation with DevOps Application Deployment for Release Management and Test Automation This role is a hybrid role out of our Boston, MA office (2 days per week). What will help you succeedMinimum Requirements: - 5+ years of experience managing teams including ERP (NetSuite) cloud-based applications, custom application development, and custom integrations - HS Diploma or GED required Preferred Requirements: - Ideal candidate will have subject expertise in Accounting, Order to Cash, Procure to Pay and Procurement business processes with technology and development best practices working in SaaS based industry. - Lead with driving company culture dedicated to customer first focus - Experience managing and leading a team focused on agility, quality and customer satisfaction - Prefer experience with NetSuite, Zip, Anaplan and OneStream with multiple add on applications - Team player, you are passionate in team collaboration and can work across multiple Dynatrace organizations to deliver outstanding customer service - Ability to effectively juggle multiple projects in a fast-paced environment - Experience with Agile / Scrum Why you will love being a Dynatracer - A one-product software company creating real value for the largest enterprises and millions of end customers globally, striving for a world where software works perfectly. - Working with the latest technologies and at the forefront of innovation in tech on scale; but also, in other areas like marketing, design, or research. - A team that thinks outside the box, welcomes unconventional ideas, and pushes boundaries. - An environment that fosters innovation, enables creative collaboration, and allows you to grow. - A globally unique and tailor-made career development program recognizing your potential, promoting your strengths, and supporting you in achieving your career goals. - A truly international mindset that is being shaped by the diverse personalities, expertise, and backgrounds of our global team. - A relocation team that is eager to help you start your journey to a new country, always there to support and by your side. - Attractive compensation packages and stock purchase options with numerous benefits and advantages. Compensation and RewardsDOE, salary $145K - $175K, plus Health, Dental, Life, STD, LTD, 401K, PTO. Total compensation may vary depending on candidate experience/education and location. Equal Employment OpportunityAll your information will be kept confidential according to EEO guidelines. We offer competitive compensation, company-sponsored premium benefits, medical, dental, vacation/holidays, company matching 401(k) Plan, etc. Dynatrace is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, gender identity, religion, national origin, ancestry, citizenship, physical abilities, age, sexual orientation, creed, disability status, veteran status, pregnancy, genetic status, or any other characteristic protected by law. If your disability makes it difficult for you to use this site, please contact careers@dynatrace.com. Dynatrace participates in E-Verify, participant information in English and Spanish. Right to work information in English and Spanish. EEO is the Law. To be considered for this position, please upload your resume/CV.

Massachusetts
$145K - $175K / year
Job Closed
Duke Health logo

Revenue Manager - Facility Revenue Cycle M-F 8-5 Remote

Duke Health

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Full TimeRemoteTeam 10,001

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. General Description of the Job Class Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow up, reimbursement analysis, or other PRMO function within the assigned clinical area. Monitor performance for staff responsible for appointment scheduling, registration, clinic check-in, and clinic collections. Develop and prepare/utilize reports to track financial and operational performance across the entire spectrum of the revenue cycle for assigned clinical area. Review and recommend changes/updates to the departments charge master(s) to maintain fees at levels that maximize reimbursement. Review and recommend changes to department's charge capture documents to facilitate accurate and comprehensive billing in compliance with annual CPT/HCPCS and ICD-10 updates. Identify revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues, and implement solutions for improvement. Work with financial analyst, physicians, and administrative leadership to educate and train providers and staff about coding and other outstanding revenue cycle issues. Act as a liaison to management and staff in the designated clinical area, Patient Revenue Management Organization (PRMO), Duke University Health System (DUHS), Duke Health Integrated Practice, and third-party payers on revenue cycle activities for assigned areas. Continuously research, monitor, provide education and implement payer regulations and guidelines related to revenue management activities of the assigned clinical area. Coordinate revenue management orientation and educational activities of clinical personnel including providers and staff about coding and other outstanding revenue cycle issues. Develop and utilize management models to monitor productivity and quality of staff performance. Train, direct, and coordinate activities of assigned financial analyst /or other employees. Perform other related duties incidental to the work described herein. The PRMO Revenue Manager serves as a liaison among PRMO, Operational Owners and Maestro Care Clinical/Billing analysts to assist in the design, development, maintenance, training and evaluation for assigned Maestro Care clinical and business systems to support the revenue cycle. This position will be primarily responsible for design/re-design of workflow, working with Maestro Care Build teams, testing, and validating of application functionality specifically related to charge capture/billing. This position will coordinate all revenue cycle issues that arise for their application area and must be very knowledgeable of DUHS/PRMO policies, procedures, and business operations. Duties and Responsibilities of this Level Revenue Management - 40% of Time Key Accountabilities -Revenue Management - Duty Statement: - Manage revenue cycle-related inquiries - Monitor & manage from key performance indicators - Monitor & manage reimbursement changes - Performance Standards: - Must be able to communicate effectively, provide timely responses, identify resources to resolve inquiries - Must be able to perform data analysis - Must be able to interpret policies Revenue Cycle Leadership – 30% of Time Key Accountabilities - Revenue Cycle Leadership - Duty Statements - Facilitate revenue cycle collaboration and strategic planning activities - Coordinate and chair revenue-oriented workgroup activities and meeting - Manage communications among PRMO, hospitals, and physician practices - Arrange revenue cycle training activities - Performance Standards - Coordination of activities are expected to be carried out with minor supervision - Must be capable of setting priorities and working under pressure - Must be able to facilitate meeting of multi-disciplinary teams - Must be able to understand basics of topics Project Management- 20% of Time Key Accountabilities - Project Management - Duty Statements - Manage and prioritize revenue and/or compliance requests - Develop and manage action plans & timelines - Identify and recruit appropriate resources - Develop creative solutions - Performance Standards - Must be able to manage projects simultaneously - Must be able to organize and keep deadlines - Must be able to develop strong relationships - Must be able to process oriented Epic Systems Advisory – 10% of Time Key Accountabilities - Project Management - Duty Statements - Specialize & manage revenue cycle functions and Epic Systems applications - Performance Standards - Must be able to investigate charge and claim information, and navigate information systems Specific Job Duties/Key Accountabilities Revenue Management – 40% of Time - Manage revenue cycle-related inquiries - Serve as Point Person/Service Line Resource (Liaison) - Respond, research and resolve revenue cycle-related inquiries pertaining to assigned MC applications - Manage assigned Service Now tickets - Specialize & manage revenue cycle functions and Epic Systems applications - Serve as EPIC System knowledge source for charge capture functions (charge capture, reconciliation, and corrections for procedures, medications, and supplies as appropriate) with specific applications (interface b/w Maestro & PRMO claims processing needs) - Provide training on charge capture, reconciliation, and correction as needed - Resolve accounts in assigned Charge Router, Charge Review. Claim Edit, and Follow-Up WQs - Monitor & manage from key performance indicators - Utilize standard reports and/or develop new reports to track revenue cycle performance for assigned applications clinical services. Areas of focus will include denial rates, avoidable write-off, and full transaction write-offs; deleted charges. Will also perform ad hoc analyses as requested, e.g., high-dollar drug reimbursement; service/program/code specific reimbursement; actual charge to budget charge variance - Review key metrics from scheduling to billing & collections, in collaboration with PRMO Managers - Identify issues through ongoing monitoring of departmental metrics and/or through routine meetings with key operational managers within PRMO to facilitate communication. - Monitor & manage reimbursement changes - Continuously research and monitor payer regulations; provide education to operational areas as applicable; coordinate with PDC revenue managers to educate physicians; facilitated implementation of modifications to revenue cycle functions to meet changing payer requirements/regulations, e.g., new authorization requirements; changes in billing/claims requirements; LCDs. - Monitor payer regulations & coordinate strategies through Bulletin Review and other resources Revenue Cycle Leadership- 30% of Time - Facilitate revenue cycle collaboration and strategic planning activities - Serve as Duke Revenue Cycle Management & Integration lead for assigned areas to coordinate activities (reduce redundancies) and keep senior leadership informed - Participate in routine meetings with CFOs, AVP, Reimbursement Revenue Accounting to provide updates on current revenue cycle issues/priorities - Providing service line specific strategic planning/priorities to PRMO leadership through Revenue Manager Councils/Operations Meetings - Coordinate and chair revenue-oriented workgroup activities and meeting - Share operational changes to/from PRMO to hospital and physician practice - Develop or participate in focused workgroups to address topics such as registration, billing & collections, coding and charge capture, Maestro Care applications - Facilitate discussions and strategies to address operational issues - Escalate issues as needed - Manage communications among PRMO, hospitals, and physician practices - Managing communications between PRMO and Hospital Operational Owners and Providers - Organize and lead workgroups to routinely meet with Operations regarding PRMO function, issues, trends, etc., affecting revenue cycle performance - Actively participate in service line specific strategic planning around revenue cycle prioritization and planning - Arrange revenue cycle training activities - Coordinate training for non-charge capture revenue cycle topics as needed - Facilitate Revenue Manager training around work/skills or career development topics (e.g., Report writing, Branding & Marketing, Communications, Project Management, Onboarding, Compliance/Regulation Interpretation, HL7 interfaces; how WQ logic works) Project Management – 20% of Time - Manage revenue and/or compliance requests - Manage request-based Revenue Enhancement and/or Compliance process improvement Projects (e.g., New, Modified, and Discontinued Services Request Management, including new services and locations - Manage routine-based: Annual CPT Updates: coordinate, working with Health System Operations Managers in assigned applications: DUHS Revenue Management and PRMO CDM Team, Hospital Finance, and PDC Revenue Managers; including Annual review of charges and DEPs - Investigate and manage revenue opportunities identified through reporting and analysis - Develop and manage action plans & timelines - Perform root cause analysis and provide expert and creative solutions. Actions to be taken to achieve resolution include: - Assemble cross-functional team within PRMO (if applicable), Develop Revenue cycle-related project plan, maintain comprehensive issues lists with time lines and responsibilities clearly assigned, escalate issues through PRMO Senior Operational Leaders that require significant cross-departmental resources. - Assist in the development of re-engineered best practice workflow processes and identify system optimization that improves revenue cycle performance - Work with revenue management, department, and PRMO operational managers to ensure newly implemented workflows and procedures support revenue cycle integrity - Coordinate all Maestro Care revenue-cycle related system set-up/modifications necessary to bring up new services. Manager to completion. Specific functions include but not limited to: - Identify and recruit appropriate resources - Work with Maestro Care trainers and administrative leadership (operations, medical directors, etc.) to educate and train providers and staff about new services; specifically charge capture and their role related to revenue cycle - Work with PRMO/Maestro Care professional and/or technical billing teams to determine need for/request updates to charge router logic; charge review logic/work queue definition; claim logic - Immediately after go-live of new services, validate revenue cycle functions operating as expected: confirming accurate billing; monitoring specific patient examples for denials/payments. - Notify other PRMO operational areas of new service so they can determine what, if any changes are required, e.g., provider enrollment; service access/pre-registration - Example subjects: - Master File creation record creation/updates: billing provider record (SER), department Record (DEP) bill area record (BIL), and charge codes (EAP) - New charge code creation (as applicable) – assist department operational manager in determining if new charges codes are needed (department manager submits request) - Charge capture methodology validation/updates – specific tasks dependent on charge capture method employed: update charging preference lists; work with Maestro Care application owner to update flowsheets; create/update orderable; confirm linked chargeable; work with PRMO coding Staff to ensure awareness of new services/charge codes; - Develop creative solutions - Utilize knowledge in revenue cycle and system applications to investigate root causes of problems, and guide process to fix issues - Lead multi-disciplinary teams in brainstorming activities to develop sustainable solutions to emergent and long-standing problems Epic Systems Advisory- 10% of Time - Specialize & manage revenue cycle functions and Epic Systems applications - Must be able to investigate charge and claim information, and navigate information systems Required Qualifications at this Level Education: Bachelor’s degree required. Master’s degree preferred. Experience: At least 6+ years of relevant Healthcare Care experience preferably in Charge Integrity/Revenue Management is required. Degrees, Licensure, and/or Certification: Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative), or BSN RN preferred. Knowledge, Skills, and Abilities: Strong leadership capabilities with demonstrated ability to lead, motivate, and collaborate effectively with Hospital leadership. Strong oral and written communication skills. Excellent problem solving, analytical, and technical troubleshooting skills. Prioritization skills and ability to manage multiple projects concurrently. Ability to work on a flexible schedule Strong research and documentation skills. Ability to work independently Intermediate to expert in Microsoft Excel, PowerPoint, Teams, Word, Visio and Outlook Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

United States
Job Closed