Revenue Cycle Architect

Claritev•New York, NY

8d•$130,000 - $150,000

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Within that, the Professional Services team plays a critical role, we partner closely with clients to implement solutions, optimize performance, and deliver measurable value. It’s not just about deploying technology, but about driving real transformation. What makes Claritev especially compelling is the opportunity it offers to build a meaningful career within Professional Services. It’s a space where you can develop deep industry expertise, work directly with clients, and grow into leadership roles while making a tangible impact on healthcare delivery. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

Requirements

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
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

Nice To Haves

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

Responsibilities

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
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
Partner with finance, operations, and technical teams to define requirements and priorities
Lead design sessions and communicate effectively with executive and technical audiences
Support testing, go-live, and stabilization activities
Identify gaps and drive process improvements to optimize performance
Serve as an SME in revenue cycle operations and payer regulations (Medicare, Medicaid, commercial)
Ensure compliance with CMS, HIPAA, and data governance standards
Mentor team members and support strategic initiatives, proposals, and solution development

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, unless the laws of the state in which the employee is located provide for more generous sick time benefits