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Principal Consultant (Revenue Cycle)- Oracle Healthcare / Albany NY

Company: Oracle
Location: Providence
Posted on: January 25, 2023

Job Description:

Job DescriptionOMH will be supported by (2) supplemental Cerner resources, referred to as Cerner Solution Architects. The supplemental resources, Cerner Solution Architects, will be to facilitate and coordinate activity between the Cerner teams supporting OMH inclusive of AMS, Upgrade Center, Help Desk and CMARS.Examples of the work to be performed by the Cerner Solution Architects are as follows:General operations and monitoring of the billing system which includes validating that all business and technical operations are performed and function as expected, as well as managing and meeting system performance requirements as specified in the RFP.ResponsibilitiesTechnical operations:

  • Monitoring and reconciliation of all system interfaces (i.e., OMH EMR, remittances, OMH data warehouse, etc.), including the identification and resolution of transmission failures.
  • Monitoring and resolution of any claim transmission errors to the clearinghouse. Actively monitoring and ensuring successful completion of all system scheduled and unscheduled activities, processes, and functions.
  • Monitoring system performance to ensure all the required service level agreements (SLAs) are met.
  • Job monitoring (ex. Validate that all scheduled jobs are successful and remediating any issues or failures that occur).
  • Work in conjunction with help desk support, Upgrade Center, and Application Management Support (AMS) to manage database administration and change control functions.Ongoing Services include Solution Architect which includes working in conjunction with Cerner Client Alignment Executive, Upgrade Center Team, and AMS and, when applicable, the contract management and recovery services (CMARS) team to provide ongoing services to support and maintain the Billing System. These services include:
    • A roadmap of planned releases and upgrades
    • Maintenance and upgrades to Billing System
    • Notification of all system changes including Release Notes
    • Testing of all releases, including planning for and facilitating UAT testing for pre- and post-Go Live releases
    • Management and deployment of updated versions of firmware and software for all environments Fulfillment of approved service requests for changes to the Billing System which include updates to system functionality configurations, or localizations including system tables (i.e., charge master, provider master, etc.), dropdowns, data fields, billing edits, billing rules, etc.
    • Maintenance: Initiated by the Vendor, or the upgrades, patches, hardware, and software changes etc. that are necessary to maintain and improve the Billing System over time and keep the Billing System compliant with all requirements. The Solution Architect will work in conjunction with the Cerner Client Alignment Executive, Upgrade Center Staff and AMS and CMARS representation when applicable to organize and complete the following events
    • Maintenance changes must be categorized, reviewed, approved and timeframes communicated to OMH through the Change Management Process. Changes may include system patches, security upgrades, changes to Federal and New York State regulations, policies, and standards, as well as changes to payor practices.
    • Service Requests: These are requests for support or changes to be made to the Billing System in the following categories:
    • Incident: An unplanned disruption in system or business operations either reported by OMH users, found by the Vendors staff, or uncovered by the Vendors monitoring tools. Incidents are reported to the Cerner Help Desk and tracked in Cerners ticketing system. Those incidents that are determined to be an error, flaw, mistake, failure, or fault in the Billing System are considered a defect.
    • Incidents are researched by the Cerner Help Desk, triaged and the severity level is determined by the impact
    • Timeframes for resolution are established based on the severity level
    • Incidents would not be processed through the change management process unless the incident was identified to be a defect which required a change to the system to resolve. If found to be a defect, the change required to resolve it would be categorized, reviewed, approved and timeframes communicated to OMH through the change management process.
    • Examples include password resets, user unable to access reports or unable to print, claims not generating etc.
    • Change Request: Initiated by OMH-SOFG Management, Changes include any addition to or modification of the requirements that result in a change to the system or to the services to be provided.
    • Change requests must be categorized, reviewed, approved by Cerner and OMH and timeframes communicated to OMH through the change management process.
    • Examples include: New business or technical requirements, design, and development of system enhancements such as new interfaces to OMH systems, transition to new EMR, implementation of a General Ledger system, new functionality, etc.Range and benefit information provided in this posting are specific to the stated location(s)California Pay Range: from $87,300 to $170,000 per annum. May be eligible for bonus and equity.Colorado Pay Range: from $82,500 to $153,000 per annum. May be eligible for bonus and equity.New York City Pay Range: from $82,500 to $161,500 per annum. May be eligible for bonus and equity.Washington Pay Range: from $92,200 to $161,500 per annum. May be eligible for bonus and equity.Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience and market conditions, as well as reflect Oracles differing products, industries and lines of business.Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.Oracle offers a comprehensive benefits package which includes the following:
    • Medical, dental, and vision insurance, including expert medical opinion
    • Short term disability and long term disability
    • Life insurance and AD&D
    • Supplemental life insurance (Employee/Spouse/Child)
    • Health care and dependent care Flexible Spending Accounts
    • Pre-tax commuter and parking benefits
    • 401(k) Savings and Investment Plan with company match
    • Flexible paid time off (unlimited or accrued vacation and sick leave)
    • Paid parental leave
    • Employee Stock Purchase Plan
    • Adoption assistance
    • Financial planning and group legal
    • Voluntary benefits including auto, homeowner and pet insuranceAbout UsAs a world leader in cloud solutions, Oracle uses tomorrows technology to tackle todays problems. True innovation starts with diverse perspectives and various abilities and backgrounds.When everyones voice is heard, were inspired to go beyond whats been done before. Its why were committed to expanding our inclusive workforce that promotes diverse insights and perspectives.Weve partnered with industry-leaders in almost every sectorand continue to thrive after 40+ years of change by operating with integrity.Oracle careers open the door to global opportunities where work-life balance flourishes. We offer a highly competitive suite of employee benefits designed on the principles of parity and consistency. We put our people first with flexible medical, life insurance and retirement options. We also encourage employees to give back to their communities through our volunteer programs.Were committed to including people with disabilities at all stages of the employment process. If you would like accessibility assistance or accommodation for a disability at any point, let us know at +1.888.404.2494, Option 1.Disclaimer:Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.Oracle is an Equal Employment Opportunity Employer*. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.* Which includes being a United States Affirmative Action Employer

Keywords: Oracle, Providence , Principal Consultant (Revenue Cycle)- Oracle Healthcare / Albany NY, Healthcare , Providence, Rhode Island

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