Lead Solution Consultant-Revenue Cycle Programs Job in Pleasanton, California US
Lead Solution Consultant-Revenue Cycle Programs
Solution Consultant - Lead Revenue Cycle Program The Solution Consultant within the Revenue Cycle program at Kaiser Permanente leads solution planning, analysis and design efforts for Revenue Cycle related projects. The Solution Consultant is responsible for understanding the strategic direction, priorities and needs of our business partners, as well as designing and facilitating the delivery of IT-based solutions to meet these needs. As a Solution Consultant you will prepare, present and collaborate on all required deliverables with the technical solutions project team; analyze and evaluate hardware, software, tools and related processes required to support proposed solutions; and develop preliminary solution architectures. Additionally you must develop alternative design solutions and design high-level network models; and utilize enterprise standard process methodology and tools. You will also be responsible for assisting business partners in developing their testing approach and plans, and in working as part of the technology testing team to plan and execute testing, to ensure both functional and non-functional requirements are met. The Revenue Cycle program will improve the comprehensive, program-wide revenue cycle capabilities to achieve strategic goals, in particular, the successful implementation and support of self-funded and deductible products. The initiative will help KP achieve revenue collection goals, obtain the benefit of new information systems, and maintain regulatory compliance. Objectives of the Revenue Cycle program are to: Support Kaiser Permanente's growth strategy Enable self-funded and deductible products Contribute to the financial imperatives for cost structure improvements Ensure appropriate reimbursement from non-dues revenue sources on a timely basis Leverage KP HealthConnect for documentation and coding - Sustain a high compliance standard Kaiser Permanente's Revenue Cycle program supports all regions in driving toward consistent implementation/configuration, where possible, of revenue cycle applications (e.g., Resolute, ePremis and Ingenix). This includes designing a sustainable revenue cycle model to achieve the above objectives. Position Summary: This is a technology position, but requires a business-focused background. This role will work closely with our business partners and information technology professionals. As a solution consultant within this area you will be responsible for understanding the strategic direction, priorities, and needs of our business partners. Essential Functions: Leads the collaboration with our business partners to define requirements, determine solution alternatives, and develop high-level designs and estimates Leads the definition and concept phases of projects, but remains involved thereafter to ensure alignment with designed and accepted solutions through testing, implementation and production support Develop application architecture(s) for the applications, and migration strategies to support the evolution of the applications to meet business needs Stay involved in the entire lifecycle to support preparation and execution of test scripts to ensure project delivery based on requirements defined Provide customer support as required to meet service level agreements Qualifications: Basic Qualifications: - 5or more years of experience that may include business/systems analysis/design, application architecture, professional services consulting and software development - Bachelor's degree in related disciplines or 4 additional years of relevant experience - Experienced in complex integrated systems planning, solution alternative analysis, design and delivery - Solid understanding of solution delivery life cycle of enterprise solutions, including experience in business process analysis/design, requirement elicitation and analysis, solution alternatives analysis/estimates, software and vendor selection, custom development and/or package implementation, testing and vendor management - Experienced in definition of application target architectures and strategies to evolve technology applications to support stated and future business needs - Experienced in IT consulting with focus on delivery of complex enterprise integrated solutions - Excellent communicator with strong customer focus and ability to work with business executives as well as technologists to elicit business requirements and articulate technology options - Excellent problem solving, decision making and negotiation skills - Team oriented and able to work in a matrix environment Preferred Qualifications: - Hands-on experience with Epic suite of applications or other integrated EHR - Experience in systems supporting patient billing, healthcare financial management or accounting - Health Care industry experience with deep domain knowledge in health insurance operation and/or provider billing - Working knowledge in the systems supporting: patient eligibility, charge capture, claims generation/processing/adjudication, billing/collection, membership interaction, coordinated benefits - Experience with EDI, X12, HL7 system integration - Big 5 consulting experience - MS or MBA degree