Financial Applications Analyst

Nexus Health Systems•Houston, TX

1d•Hybrid

About The Position

Under the general direction of the IT Clinical Applications Manager, the Financial Applications Analyst serves as the functional owner of MEDITECH revenue cycle and financial applications supporting Nexus Health Systems' Central Business Office, centralized Admissions, and Finance across a network of pediatric specialty hospitals and medical-model residential treatment centers in Houston, Shenandoah, The Woodlands, Conroe, Dallas, and San Antonio. The Analyst translates business requirements into system configuration, designs and delivers financial reporting across both MEDITECH platforms, and serves as the financial applications lead on the organization's 14-month migration from MEDITECH Client/Server to MEDITECH Expanse. Hands-on MEDITECH Expanse experience in revenue cycle or financial applications is required for this position. This position is based at the Houston corporate office [hybrid: onsite X days per week / remote with travel to Nexus facilities approximately X times per quarter — HR and hiring leadership to finalize]. Onsite presence at Nexus campuses, including Dallas and San Antonio, is required during Expanse build validation, integrated testing, cutover, and other critical implementation events.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Information Systems, or a related field, or an equivalent combination of education and directly relevant healthcare revenue cycle and MEDITECH experience.
Hands-on MEDITECH EXPANSE experience in revenue cycle and/or financial applications (Patient Accounting/BAR, Patient Access/ADM, ARM, ABS, GL), obtained through implementation, optimization, or production support in a live Expanse environment.
Hands-on MEDITECH Client/Server experience in the same module set, sufficient to support the current production environment through migration.
Healthcare provider revenue cycle experience in a hospital Central Business Office, patient accounting, or patient access setting.
Experience eliciting business requirements, documenting workflows, and developing and executing test scripts.
Experience producing project artifacts, including status reports, business requirements, and non-technical design documents.
MEDITECH applications (required proficiency in both Client/Server and Expanse): ADM / Patient Access — centralized admissions, insurance verification for out-of-state payers; ARM — authorization and referral tracking for long-stay patients; BAR / Patient Accounting — interim billing, contract management, per diem and case-rate reimbursement; ABS / Case Mix — LTACH and rehabilitation grouping; 3M/Solventum integration; GL — multi-entity general ledger; ITS — therapy charge capture and reconciliation; EMR — financial content; NPR Report Writer (Client/Server); Report Designer and Data Repository (Expanse).
Working SQL (SQL Server) required; report design and data validation.
Requirements analysis, workflow documentation, test script development, and user acceptance testing.
Knowledge of system development lifecycle and change control practices.
Microsoft Word, Excel, PowerPoint, Teams, and Visio or equivalent process-mapping tool.
Ability to translate between finance/CBO terminology and technical configuration; facilitation of cross-functional stakeholder groups; strong issue tracking and follow-through; ability to teach system functionality to end users.
Must pass a criminal background check on an annual basis.
Participates in the after-hours on-call rotation, approximately once per month.
Travel to Nexus Health Systems facilities in Houston, Shenandoah, The Woodlands, Conroe, Dallas, and San Antonio as required; onsite presence at all campuses during Expanse testing, cutover, and go-live events.
Familiarity with the Nexus ticketing system and internal platforms expected within 90 days of hire.

Nice To Haves

Master's degree in a related field
Participation in a MEDITECH Client/Server or MAGIC to Expanse migration, including financial dictionary mapping, data conversion validation, integrated testing, and report conversion.
Long-length-of-stay inpatient and residential billing experience: interim billing, continued-stay authorization, per diem and case-rate contracts, pediatric Medicaid and Medicaid managed care, out-of-state Medicaid, workers' compensation.
Multi-facility, multi-entity MEDITECH configuration.
Post-acute, LTACH, pediatric specialty hospital, or residential treatment center experience.
Lean/Six Sigma process improvement concepts (preferred).
HFMA Certified Revenue Cycle Representative (CRCR), AAHAM Certified Revenue Cycle Specialist (CRCS), CPHIMS, or CHDA (for reporting-intensive seats).

Responsibilities

Serves as the primary, cross-functional single point of contact for the Central Business Office, Admissions, and Finance on MEDITECH financial application functionality, enhancements, and issue resolution, including help desk escalation support for facilities.
Serves as financial applications lead on the MEDITECH Expanse implementation, partnering with the implementation partner, Revenue Cycle, Admissions, Finance, and the IT project team.
Leads financial dictionary review, mapping, and standardization across all facilities; validates converted financial data.
Develops and executes unit, integrated, and parallel test scripts for financial modules and interfaces; supports user acceptance testing.
Inventories, rationalizes, and converts legacy NPR reports to Report Designer and Data Repository.
Supports cutover planning, go-live command center coverage at all campuses, and post-live stabilization.
Configures, maintains, and troubleshoots MEDITECH financial modules and dictionaries in both Client/Server and Expanse environments.
Configures interim billing cycles, authorization tracking, and continued-stay workflows for long-length-of-stay inpatient and residential patients.
Maintains multi-entity financial configuration (facility identifiers, NPIs, GL entity structure) across hospital and residential treatment center facility types.
Supports charge capture integrity, including therapy charge capture through ITS, CDM maintenance, claim edits, remittance posting, and denial workflows in partnership with Revenue Integrity and the CBO.
Builds and tests interfaces for the financial modules, including 3M/Solventum (coding, grouping, reimbursement) and CorroHealth (revenue integrity, pricing, charge management).
Designs, builds, and maintains revenue cycle and financial reports using NPR Report Writer, Report Designer, and Data Repository SQL.
Delivers census-driven reporting: bed-day revenue, payer mix, AR by facility and program, authorization aging, and program-level performance across New Directions, Jump Start, RISE, Harbor, True North, and Life Care.
Leads discovery sessions with business stakeholders to define requirements prior to build; documents current- and future-state workflows and process maps; applies Lean/Six Sigma concepts to process evaluation.
Reviews, tests, and educates users on MEDITECH updates, priority packs, and version enhancements affecting financial modules.
Develops and delivers end-user training and train-the-trainer sessions; creates education and go-live rollout plans.
Provides regular status, schedule, and effort estimates to project and IT leadership.
Participates in the after-hours on-call rotation (approximately once per month).
Serves as project team lead on EHR platforms for the assigned service line.
Partners with centralized Admissions and clinical liaisons to ensure referral-to-registration, insurance verification, and pre-authorization workflows in ADM and ARM support timely admission and uninterrupted care for patients arriving from across the country.
Ensures authorization tracking and continued-stay workflows function reliably so patient care is not disrupted by administrative delays.
Supports accurate, understandable patient and family billing through correct charge capture, contract configuration, and statement processing.
Responds to end-user and facility issues promptly, recognizing that financial system downtime or errors affect frontline staff and the families they serve.
Ensures all activities adhere to healthcare regulations and organizational policies.
Participates in quality improvement initiatives to enhance service delivery.
Promotes a culture of patient safety which results in the identification and reduction of unsafe practices.
Submits all configuration changes through the Clinical Technology Governance Board change control process; maintains build documentation and an audit trail for financial system changes.
Monitors financial modules for proper utilization and data integrity; reports findings and action plans to leadership.
Ensures system configuration supports accurate GL posting, month-end close, payer contract terms, and internal and external financial audit requirements.
Maintains corporate safety initiatives and government regulations so they are reflected in electronic processes.
Completes annual education requirements.
Maintains competency, as evidenced by completion of competency validation requirements.
Maintains competency and knowledge of current standards of practice, trends, and developments.
Participates in relevant workshops, seminars, and continuing education courses to stay current with industry trends, healthcare regulations, and best practices.
Maintains current knowledge of MEDITECH Expanse release content, revenue cycle regulatory changes (Medicaid, managed care, workers' compensation), and MEDITECH user community resources such as MUSE.
Promotes stewardship of hospital resources while ensuring quality patient care.
Supports revenue integrity and cash flow through accurate contract, charge, and billing configuration.
Identifies opportunities to reduce manual effort, rework, and denials through system optimization, and quantifies expected financial impact.
Supports Finance leadership with system-based data for budgeting, forecasting, and payer contract analysis.
Performs other duties as assigned.