Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.
Revenue Cycle Architect
Location
United States
Posted
2 days ago
Salary
$130K - $150K / year
Seniority
Mid Level
Job Description
Revenue Cycle Architect
Claritev
Role Description The Senior Revenue Cycle Architect leads the design and delivery of end-to-end revenue cycle solutions for Professional Service clients. This role combines deep revenue cycle expertise with healthcare IT architecture and cross-functional leadership. Job Roles and Responsibilities - Program Leadership & Delivery: - Lead the revenue cycle workstream (patient access, billing, claims, AR) aligned with program goals. - Drive planning, execution, and delivery while managing risks, dependencies, and go-live readiness. - Solution Architecture & Design: - Design end-to-end revenue cycle solutions across patient access, coding, billing, and reimbursement. - Translate business needs into scalable, compliant system designs. - Guide system configuration and integrations across EHR and financial systems. - Stakeholder Collaboration: - Partner with finance, operations, and technical teams to define requirements and priorities. - Lead design sessions and communicate effectively with executive and technical audiences. - Implementation & Optimization: - Support testing, go-live, and stabilization activities. - Identify gaps and drive process improvements to optimize performance. - Subject Matter Expertise: - Serve as an SME in revenue cycle operations and payer regulations (Medicare, Medicaid, commercial). - Ensure compliance with CMS, HIPAA, and data governance standards. - Leadership: - Mentor team members and support strategic initiatives, proposals, and solution development. Qualifications - 8+ years combined experience, including: - 4+ years in healthcare IT (consulting, implementation, or client-facing). - 4+ years in revenue cycle operations or systems. - Experience designing end-to-end revenue cycle processes. - Experience with large healthcare transformation programs. - Hands-on experience with EHR systems (e.g., Oracle Health/Cerner, Epic). - Strong organizational, analytical, and leadership skills. Requirements - Experience with Oracle Health (Cerner) Patient Accounting. - Experience in government or public sector healthcare programs. - Familiarity with revenue cycle tools and healthcare integrations (HL7, APIs). - Relevant certifications (HFMA, CHFP, PMP, etc.). - Background in consulting, federal programs, or healthcare finance/clinical operations. Skills - Deep revenue cycle expertise and regulatory knowledge. - Strong solution architecture and integration experience. - Excellent problem-solving, communication, and stakeholder management skills. - Data analysis and performance optimization capabilities. Benefits - Medical (PPO & HDHP), dental and vision coverage. - Pre-tax Savings Account (FSA & HSA). - Life & Disability Insurance. - Paid Parental Leave. - 401(k) company match. - Employee Stock Purchase Plan. - Generous Paid Time Off -- accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Employee Assistance Program. - Sick time benefits -- for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year.
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