DHA Configuration Analyst

Signature Performance, Inc.•,

About The Position

The DHA Configuration Analyst leverages recent hands-on Military Health System revenue cycle experience to partner with operational subject matter experts, technical teams, and implementation stakeholders. The role evaluates workflows, identifies system and process gaps, configures solutions, develops and executes testing scenarios, troubleshoots issues, and validates that system functionality meets business requirements. The analyst translates revenue cycle requirements into system configuration specifications and functional solutions, and configures and maintains system settings, workflows, work queues, business rules, and related functionality. Work includes revenue cycle processes such as Third Party Collections, insurance identification and verification, charge capture, coding, claims management, denials, accounts receivable, and collections. The role seeks to reduce manual workarounds, missed billing and charge capture, claim delays, denials, revenue leakage, and accounts receivable backlogs. The position develops test scenarios and scripts, performs functional, workflow, regression, and user acceptance testing, validates end-to-end workflows, and documents and helps resolve defects or unexpected behavior. It also analyzes system performance and operational processes, supports reporting, dashboards, and KPIs, and recommends and monitors configuration improvements. Serving as a liaison between revenue cycle operations, technical resources, implementation teams, and other stakeholders, the analyst participates in requirements sessions, workflow reviews, configuration discussions, testing, implementation planning, and post-implementation support. The role also supports change management and adoption by helping operational teams understand new functionality and redesigned workflows.

Requirements

At least 6 years of recent hands-on experience performing revenue cycle functions within a Military Health System or comparable complex healthcare environment.
Demonstrated knowledge of revenue cycle operations, including Third Party Collections, revenue integrity, charge capture, coding, claims management, denials, accounts receivable, and collections.
Working knowledge of MHS GENESIS and revenue cycle workflows operating within or in conjunction with the system.
Knowledge of insurance identification and verification, claims processing, payer requirements, denial management, reimbursement, and collection processes.
Experience analyzing business processes, identifying workflow gaps, and recommending operational or system-based solutions.
Experience gathering, documenting, analyzing, and validating business and functional requirements.
Ability to translate operational processes and business requirements into system configuration requirements.
Experience identifying workflow inefficiencies, manual workarounds, revenue leakage, and process improvement opportunities.
Strong analytical and problem-solving skills, including the ability to evaluate complex operational and system issues.
Ability to develop test scenarios, validate expected system outcomes, and identify and document configuration issues.
Ability to communicate technical and operational information effectively to business and technical audiences.
Demonstrated ability to collaborate with cross-functional teams and manage multiple priorities in a changing implementation environment.
U.S. citizenship or naturalized citizenship is required.
All work must be completed in the continental United States, Alaska, or Hawaii.
Candidates must participate in interviews with their camera enabled; interviews may be recorded, with consent and notification as described in the posting.

Nice To Haves

Knowledge of healthcare revenue cycle system configuration, implementation, or optimization.
Familiarity with MHS GENESIS configuration and Defense Health Agency revenue cycle operations.
Knowledge of system workflows, work queues, business rules, and automation opportunities.
Familiarity with functional, regression, and user acceptance testing.
Understanding of revenue cycle analytics, operational reporting, dashboards, and KPIs.
Ability to develop process maps, functional requirements, configuration documentation, and workflow documentation.
Familiarity with large-scale system implementations, modernization, or process transformation initiatives.

Responsibilities

Analyze revenue cycle business requirements and translate operational needs into system configuration specifications and functional solutions.
Configure and maintain system settings, workflows, work queues, business rules, and other functionality for assigned revenue cycle functions.
Partner with operational subject matter experts to understand current processes, pain points, workarounds, and desired future-state functionality.
Evaluate configuration options and recommend solutions that balance operational requirements, system capabilities, standardization, and efficiency.
Document configuration decisions, business requirements, workflows, dependencies, and changes.
Configure and optimize functionality for Third Party Collections, insurance identification and verification, charge capture, coding, claims management, denials, accounts receivable, and collections.
Identify opportunities to reduce missed billing and charge capture, claim delays, denials, revenue leakage, and accounts receivable backlogs.
Configure workflows for denial identification, root-cause analysis, appeals, follow-up, and recovery processes.
Support coding and clinical documentation workflow configuration, including work queues and processes intended to improve productivity, accuracy, and reimbursement.
Replace manual processes and operational workarounds with standardized or automated system functionality where appropriate.
Develop test scenarios and scripts based on business requirements, operational workflows, and expected outcomes.
Perform functional, workflow, regression, and user acceptance testing to validate configuration and functionality.
Validate end-to-end workflows and partner with operational users to confirm solutions meet requirements before implementation.
Identify, document, research, and assist in resolving configuration defects, workflow issues, and unexpected system behavior.
Analyze system functionality, operational processes, and performance data to identify configuration and workflow improvements.
Investigate workflow bottlenecks, revenue leakage, denial trends, productivity challenges, and other operational issues to determine potential system solutions.
Support development and validation of operational reporting, dashboards, and key performance indicators.
Monitor implemented solutions and assist with post-implementation optimization based on system performance and user feedback.
Serve as a liaison between revenue cycle operations, technical resources, implementation teams, and other stakeholders.
Participate in requirements sessions, workflow reviews, configuration discussions, testing, implementation planning, and post-implementation support.
Communicate system capabilities, limitations, configuration options, and potential operational impacts to business stakeholders.
Support change management and adoption by helping operational teams understand new system functionality and redesigned workflows.
Maintain knowledge of assigned system functionality and revenue cycle processes to provide ongoing configuration and operational support.