Application Analyst Consultant, Revenue Cycle

About the role

The Application Analyst Consultant, Revenue Cycle serves as an enterprise-level subject matter expert and technical-functional consultant for revenue cycle applications, platform strategy, and technology-enabled performance improvement. This role provides advanced guidance in the planning, design, implementation, optimization, and lifecycle management of highly complex revenue cycle systems and solutions across the organization.

Responsibilities

• Provide enterprise-level consulting, technical leadership, and functional guidance for highly complex revenue cycle application solutions, platform strategy, optimization, and lifecycle management.
• Serve as a trusted advisor to Revenue Cycle, Finance, Compliance, IT, and executive leadership on system strategy, optimization opportunities, regulatory impacts, vendor capabilities, and technology-enabled performance improvement.
• Translate business strategy, executive priorities, regulatory requirements, and operational needs into scalable, sustainable application solutions that support enterprise financial and operational goals.
• Lead or oversee multiple enterprise revenue cycle initiatives, including implementations, upgrades, integrations, workflow redesigns, payer initiatives, regulatory changes, and optimization programs.
• Ensure projects and initiatives are clearly defined, systematically executed, aligned with ScionHealth methodologies and change management standards, and focused on measurable business results.
• Define project scope, timelines, success metrics, risk mitigation strategies, testing approaches, and operational readiness plans for complex initiatives.
• Provide strategic oversight and ownership of revenue cycle application architecture, configuration standards, build governance, documentation standards, and lifecycle management practices.
• Establish and maintain frameworks for consistent application build, controlled change management, data integrity, system controls, and alignment with enterprise policies and regulatory requirements.
• Analyze highly complex revenue cycle workflows, system configurations, payer requirements, regulatory changes, and financial performance data to identify opportunities to improve revenue capture, reimbursement, denial prevention, A/R resolution, compliance, and operational efficiency.
• Advise, oversee, and support project teams in analyzing business requirements, evaluating feasible system and technical alternatives, documenting solution designs, and validating that solutions meet business needs.
• Direct and coordinate work of internal team members, vendors, and consulting resources as they collect, document, analyze, configure, test, validate, and implement system solutions.
• Lead development and governance of dashboards, reports, data extracts, and performance metrics that provide visibility into revenue cycle outcomes and support leadership decision-making.
• Ensure data integrity and alignment across revenue cycle applications, reporting platforms, clearinghouses, payer systems, and downstream financial systems.
• Prepare and conduct formal presentations for leadership regarding major initiatives, business impacts, risks, recommendations, new technology directions, vendor roadmaps, and regulatory changes.
• Provide expert-level support for escalated application, workflow, integration, reporting, EDI, payer, and reimbursement issues; use problem management and root cause analysis techniques to recommend and implement corrective actions.
• Partner with vendors and internal teams to evaluate product roadmaps, resolve complex issues, assess new functionality, and ensure application capabilities align with organizational strategy.
• Serve as coach, mentor, and advisor to less senior analysts and project team members; provide direction and education on application standards, revenue cycle workflows, documentation expectations, and best practices.
• Participate in candidate interviews, hiring recommendations, team development, and other departmental leadership activities as requested by management.
• Maintain current knowledge of healthcare revenue cycle regulations, payer requirements, application capabilities, industry trends, and ScionHealth Information Technology standards to support department success and professional growth.

Requirements

• Expert knowledge of the revenue cycle business area and the enterprise applications, workflows, integrations, data, and controls that support it.
• Highest level of functional and technical knowledge of revenue cycle applications, business applications, reporting tools, application architecture, testing methodologies, data validation, and system implementation practices related to the area supported.
• Ability to work independently, lead enterprise projects with minimal supervision, and provide consulting-level guidance in ambiguous or highly complex situations.
• Ability to understand ScionHealth’s Information Systems strategy and business strategy and translate both into practical revenue cycle technology solutions.
• Advanced ability to facilitate cross-functional decision-making, influence without direct authority, resolve competing priorities, and communicate recommendations to operational, technical, and executive audiences.
• Certified in relevant areas such as Epic, MEDITECH, HFMA/CRCR, PMP, ITIL, SQL/reporting, or other relevant certifications.
• Strong healthcare experience preferred; revenue cycle, reimbursement, payer operations, or revenue integrity experience strongly preferred.

Qualifications

• Bachelor’s Degree in Information Systems, Healthcare Administration, Business, Finance, Health Information Management, or related field (Required)
• Master’s Degree in Information Systems, Healthcare Administration, Business, Finance, Health Information Management, or related field (Preferred)
• Equivalent Combination of Education and Experience in information systems, healthcare revenue cycle, or related field (May be Considered)