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Convergenz

Revenue Cycle Workstream Lead

Convergenz, Boston, Massachusetts, us, 02298

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Position Summary

The Oracle Revenue Cycle Management Workstream Lead provides deep expertise across Oracle Health's end-to-end revenue cycle ecosystem, including RevElate, legacy Cerner/Oracle RCM modules, EDI interfaces, financial workflows, and operational design.

The architect leads the translation of revenue cycle operations into system build, testing strategies, data/financial integrity models, and future-state operational workflows.

This role is not a cloud engineer, but must understand how OCI hosting impacts RevElate, EDI, claim flows, environment refresh cycles, and operational performance.

Key Responsibilities

* Revenue Cycle Domain Architecture

* Lead enterprise architecture across Patient Access, Revenue Integrity, Charge Services, Billing, Claims, PFS, HIM, and Financial Clearance.

* Translate revenue cycle operational requirements into system design, build standards, and workflow architecture.

* Define encounter models, charge logic pathways, claims and remittance flows, and cross-functional handoffs between clinical operations and revenue operations.

* Serve as the domain authority for RevElate's account structure, workflow logic, reconciliation models, and operational implications.

* RevElate Design & Optimization

* Provide subject-matter leadership on RevElate -including:

* Account structure modeling

* Charge event logic

* Claim creation and submission rules

* Workqueues and staff workflows

* Conversion considerations (pre- and post-go-live)

* Translate legacy workflows into RevElate equivalents, identifying operational and financial risks.

* Data Migration Leadership (Financial & Revenue Cycle)

* Oversee the revenue cycle components of data migration, including:

* Encounter conversion

* Charge, payment, and adjustment data mapping

* Aged A/R strategy (what to convert vs. close out)

* Reconciliation models and validation rules

* Guide the financial integrity review cycles and defect remediation workflows.

* Testing Strategy & Financial Integrity

* Design comprehensive revenue cycle test plans that reflect:

* End-to-end operational flows

* Charge capture accuracy

* Payer-specific rules and CRD/accelerated edits

* Claims logic and denial scenario testing

* Reimbursement modeling, underpayment triggers, and audit checkpoints

* Partner with testing leadership to ensure scenarios cover complex payer mixes (Medicaid, Medicare, commercial, workers comp).

* EDI, Integrations & Payer Connectivity

* Oversee design and alignment across all revenue cycle-related interfaces:

* X12/EDI (837/835, 270/271, 278, attachments, secondary claims)

* Eligibility/authorization workflows

* Payer-specific nuance (Medicaid state rules, coverage carve-outs, program-specific edits)

* Ensure integration design supports real-time revenue cycle operations and financial performance.

* Cutover & Go-Live Revenue Cycle Strategy

* Lead the revenue cycle planning for cutover including:

* Encounter/account preparation

* Freeze logic for claims and charge processing

* Transitional workflows (split claims, shadow claims, manual reconciliation)

* Charge capture and clinical documentation dependencies

* Ensure stability in day 1-90 revenue operations and defect triage.

* Applied OCI Knowledge (Not a Cloud Architect)

While not responsible for cloud design, must clearly understand how OCI impacts revenue cycle through:

* Environment provisioning and refresh cycles

* Integration latency and message throughput

* RevElate performance behaviors on OCI

* Downtime workflows and revenue cycle contingency planning

* EDI and clearinghouse connectivity pathways

* DR/BCP implications for billing, claims, authorizations, and front-end operations

This ensures the architect can anticipate issues and make aligned design recommendations.

* Cross-Functional Leadership

* Collaborate with clinical, technical, integration, data migration, and operational leads to ensure cohesive, end-to-end design.

* Mentor analysts and builders working across revenue cycle domains.

* Establish governance standards and reusable patterns for the EHR CoE.

* Client & Executive Communication

* Serve as a trusted advisor to CFOs, VPs of Revenue Cycle, PFS Directors, Clinical/Operational Leadership, and CIO/CTO partners.

* Communicate revenue cycle impacts and design decisions clearly, including risks and mitigation options.

Required Qualifications

* 5+ years of Oracle Health revenue cycle experience , spanning multiple domains.

* Experience with RevElate -workflow logic, build, account structure, and operational impacts.

* Expertise in:

* Revenue cycle architecture and future-state design

* EDI/claim workflows and payer rules

* Financial testing and reimbursement modeling

* Data migration (financial/encounter data)

* Cutover planning for revenue cycle operations

* Strong understanding of how OCI hosting affects revenue cycle performance .

* Ability to lead teams in complex, multi-vendor implementations.

* Strong grounding in hospital and ambulatory revenue cycle operations.

Preferred Qualifications

* Experience with large-scale EHR modernization.

* Background with AMCs, IDNs, multi-hospital networks, or state agencies.

* Familiarity with CRD, coverage rules engines, authorization workflows, and Medicaid-specific requirements.

* Prior consulting experience.