Implementation Consultant Jobs

About The Position

Requirements

• Bachelor's degree or equivalent relevant work experience
• At least 2 years of health care information technology implementation experience including troubleshooting data and software applications
• At least 1 year of process improvement experience
• At least 1 year of project execution experience

Nice To Haves

• Experience with programing solutions similar to JAVA Script, HTML, CSS, Asp.NET, C#, Visual Basic, VB.net
• Experience with Netsmart EHR solutions
• Experience within the Netsmart client industries (clinical, human services, long term care, senior living, etc.
• Experience with reporting solutions similar to Crystal Reports, SSRS, SQL, Tableau, SSIS
• At least 2 years Netsmart EHR solution work experience (myAvatar)
• Experience in Billing system maintenance or implementation
• Experience with CPT/HCPCS coding for behavioral health, including inpatient and outpatient services.
• Experience with 837P/837I claims, and clearinghouse workflows.
• Knowledge of remittance processing, 835 interpretation, and denial management.
• A/R knowledge, including aging, reconciliation, and follow-up strategies.
• Familiar with eligibility verification and Medicaid/Medicare billing, including MCOs.
• Understanding of reimbursement models (FFS, CCBHC, case rates, DRG, value-based).
• Collaborative approach to aligning billing with clinical documentation and compliance.

Responsibilities

• Complete complex system configuration and assist with testing as necessary; ensure proper configuration management and change control processes
• Gather and document business requirements based upon client requirements and known system functionality
• Lead design sessions to uncover interdependencies and design decision impacts using recommended practices
• Responsible for training, coaching, guiding and mentoring Application Analysts and Consultants
• Identify, resolve and report solution status, risks, and issues to client and Netsmart leadership; analyze data to determine configuration readiness
• Develop client relationships and navigate through conflict and complex relationship situations to achieve business objectives
• Identify and execute process improvement opportunities and efficiencies
• Identify and generate documentation for best practices in methodology

Benefits

• Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law.
• All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience.
• Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
• All applicants for employment must be legally authorized to work in the United States.
• Netsmart does not provide work visa sponsorship for this position.