Revenue Cycle Architect
About The Position
The Revenue Cycle Architect provides enterprise-level technical leadership for the design, optimization, governance, and strategic evolution of revenue cycle processes, systems, and technologies across MyMichigan Health. This role is responsible for developing and maintaining a comprehensive revenue cycle architecture that supports patient access, charging, coding, billing, claims management, reimbursement, denial prevention, and revenue integrity initiatives. This position focuses on long-term strategy related to revenue cycle design, standardization, governance, risk mitigation, system optimization, and financial sustainability rather than day-to-day operational support. The Revenue Cycle Architect serves as a subject matter expert and strategic advisor, enabling operational teams while reducing organizational risk, inefficiencies, and revenue leakage.
Requirements
- Primary address located within the state of Michigan or willing to move to Michigan.
- 8-10+ years of Healthcare IT experience or equivalent experience.
- 3+ years in an architecture or technical leadership role.
- Deep expertise with Epic Bridges and interface engines (e.g., Rhapsody).
- Strong knowledge of HL7, FHIR, APIs, and batch integrations.
- Excellent communication and leadership skills.
- Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
- Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
Nice To Haves
- Master's Degree preferred.
- Epic certifications preferred.
Responsibilities
- Define and maintain enterprise revenue cycle architecture across Epic Revenue Cycle applications, third-party solutions, and operational workflows.
- Establish and enforce revenue cycle standards, best practices, and governance frameworks that promote consistency, compliance, and operational efficiency.
- Design future-state workflows and system configurations that support organizational financial goals and industry best practices.
- Ensure alignment between revenue cycle operations, clinical workflows, regulatory requirements, and enterprise strategic objectives.
- Develop and maintain documentation of revenue cycle processes, system dependencies, and architectural standards.
- Assist with development and maintenance of the enterprise revenue cycle roadmap.
- Evaluate Epic functionality, third-party applications, and vendor solutions to support organizational objectives.
- Identify opportunities to improve efficiency, reduce administrative burden, enhance reimbursement, and minimize revenue leakage.
- Partner with operational, technical, compliance, and analytics teams to identify, prioritize, implement, and measure AI, automation, and predictive analytics use cases that improve revenue cycle performance and workforce efficiency.
- Align revenue cycle strategy with organizational financial, operational, regulatory, and patient experience goals.
- Support business case development and prioritization of revenue cycle investments, including emerging technologies and AI-driven initiatives.
- Collaborate with Revenue Integrity, Patient Access, Health Information Management, Clinical Operations, Finance, Analytics, Compliance, and Information Technology teams.
- Serve as a strategic liaison between operational stakeholders, technology teams, vendors, and external partners.
- Participate in governance committees, steering committees, and architecture review boards.
- Facilitate alignment between revenue cycle initiatives and enterprise-wide strategic priorities.
- Architect solutions that minimize compliance risks, denials, reimbursement issues, and revenue leakage.
- Evaluate regulatory changes and payer requirements for impacts to revenue cycle workflows and systems.
- Participate in root cause analysis and corrective action planning related to revenue cycle performance issues.
- Monitor industry trends, regulatory developments, and emerging technologies to identify opportunities for continuous improvement.
- Recommend innovative approaches that improve financial performance, operational efficiency, and organizational sustainability.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
