Business Solution Architect (Consulting)

About the role

The Business Solution Architect at Netsmart is responsible for designing, implementing, and optimizing end-to-end business solutions across healthcare organizations. This role involves owning the overall solution design and architecture, supporting the full lifecycle from patient registration and access through revenue cycle operations, billing, remittance, and financial reporting.

Responsibilities

• Provide expertise during client engagement to deliver workflow and solution design to achieve defined benefits.
• Guide clients through current workflows, upgrades, system changes, enhancements, and ongoing system maintenance while considering other system integration points.
• Critically assess client workflows and identify opportunities for integration with other solutions and potential pitfalls.
• Act as a primary consultant for the client’s solution troubleshooting, consultation, and knowledge transfer.
• Accountable for relationships with clients to provide appropriate escalation of issues, solution knowledge, and engagement support.
• Proactively seek to resolve escalated problems and issues using solution knowledge and expertise during installation, operation, maintenance, or testing.
• Manage client expectations and ensure project delivery meets goals of engagement.
• Coach, mentor and guide solution teams and new associates on recommended methodology practices and roles.

Qualifications

• Bachelor's degree or equivalent relevant work experience
• At least 4 years of health care information technology implementation or consulting working experience
• At least 2 years Netsmart EHR solution work experience (myAvatar)
• At least 1 year of project management experience
• Ability to communicate effectively with technical, clinical, and operational teams
• Ability to document and present architecture concepts, often narrowing complex ideas to a single overview
• Ability to build strong client relationships and delivering client-centric solutions
• Ability to make sense of complex, high quantity and sometimes contradictory information to effectively solve problems

Preferred

• At least 2 years Netsmart EHR solution work experience (myAvatar)
• Experience with billing system implementations, ideally within healthcare or behavioral health environments
• California healthcare billing experience, including Medi-Cal and county or state-level programs
• Proficiency in CPT/HCPCS coding for behavioral health, including inpatient and outpatient services
• Hands-on experience with 837P/837I claims, UB-04 formatting, and clearinghouse workflows
• Familiarity with California DHCS requirements, including eligibility transactions (270/271) and claims submission
• Remittance processing, 835 interpretation, and denial management skills
• Strong accounts receivable (A/R) knowledge, including aging, reconciliation, and follow-up strategies
• Experience with Medicaid and Medicare billing, including Managed Care Organizations (MCOs)
• Understanding of healthcare reimbursement models, including fee-for-service, case rates, DRG, and value-based models
• Experience supporting or collaborating on county, public-sector, or state healthcare implementations
• Collaborative approach to aligning billing workflows with clinical documentation and compliance requirements
• Experience with EHR billing platforms (e.g., myAvatar, myEvolv or similar systems) is a plus
• Experience with end-to-end workflows supporting patient registration, revenue cycle, and financial reporting