Summary
Sidra Medicine is seeking a Contracts Management Specialist to support its Revenue Cycle Contract Management and Claim Scrubber applications. The role manages insurance plans and business rules, gathers and validates requirements, recommends application changes, and contributes to implementation, testing, maintenance, and support. It also involves issue resolution, functional documentation, project estimates, and management of small IT projects. Applicants should have at least 8 years of healthcare revenue cycle application experience, including 3 years with Cerner Revenue Cycle solutions; fluency in written and spoken English and Arabic is required.
The posting
As published on sidra.org. Pulled from the employer's site and shown as they wrote it.
JOB SUMMARY
The Specialist – Contracts acts as the Subject Matter Expert for the Contract Management and Claim applications and solutions provided by the Supply Chain Department. The Specialist is responsible for maintaining Sidra’s Insurance plans and business rules in these applications. The Specialist interacts with the business stakeholders in order and analyzes, communicates, and validates requirements for system changes. The Specialist – Contracts Management under the guidance of the Manager investigates business problems and opportunities in the context of the requirements and recommends solutions that enable the organization to achieve its goals.
Responsibilities
KEY ROLE ACCOUNTABILITIES
Supports the Revenue Cycle Contract Management and Claim Scrubber application implementation and provides effective customer support.
Works closely with client departments, IT managers and staff to support a full suite of Revenue Cycle applications, third party solutions and other technological solutions to meet the goals of the organization
Manages updating of insurance plans and business rules in the application.
Defines overall application functionality by discussing business requirements with end users.
Recommends application modifications/configurations/processes for solutions as per functional requirements.
Creates test plans for the project.
Establishes cost and time estimates for development/implementation of projects.
Analyses, designs and develops Process flow.
Develops and applies project management techniques throughout the implementation of the application and thereafter.
Contributes to all aspects of the application lifecycle including implementation planning, design, build, testing, maintenance, and support.
Responds to service requests and severe incident escalation and oversees issue resolution.
Devises or modifies procedures to solve complex problems considering computer equipment capacity and limitations, operating time, and form of desired results.
Designs, develops and tests applications extensions and interfaces and may customize application software to support the business requirements
Documents any relevant applications issues and their resolutions and writes functional specifications and creates business process documentation
Works independently on complex problems with the ability to develop system solutions for operational problems
Develops an in-depth knowledge and understanding of the Revenue Cycle application set.
Manages small IT projects when assigned.
Handles stressful situations, critical deadlines, and a customer base with both high service level delivery and technical sophistication
Investigates and studies the impact of proposed changes on system performance or end user experience
Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies
Adheres to and promotes Sidra’s Values
Qualifications
QUALIFICATIONS, EXPERIENCE AND SKILLS – SELECTION CRITERIA
ESSENTIAL
PREFERRED
Education
Bachelor’s Degree in relevant discipline (IT, Business, Finance)
Master’s in Business Administration, Healthcare or other related field.
Postgraduate training specialized in Supply Chain Management
Experience
8+ years’ experience as an Application Specialist within a Health Care Revenue Cycle environment including 3+ years’ experience with Cerner Revenue Cycle solutions (ProFit and/or RevWorks) including patient access (Registration/Scheduling), HealthInformation Management (HIM), and patient accounting.
Understanding of Health Care insurance systems from a provider perspective
Experience in a Healthcare Environment
Certification and Licensure
PMP, ITIL Foundation, MCIPS
Professional Membership
HFMA, HIMSS, PMI
Job Specific Skills and Abilities
Strong knowledge about best practices in procurement, contractual negotiations and vendor management
Demonstrated ability to negotiate contracts and support procurement in maintaining compliance with legal standards.
Demonstrated expertise in Revenue Cycle Contract Management applications.
Excellent analytical and problem solving skills.
Demonstrated experience in a computerized ERP environment
Expert knowledge of Revenue Cycle Contract Management applications.
Ability to conceptualize business solutions.
Expert in managing customer requirements and expectations.
Proficient knowledge of Cerner Millennium Revenue Cycle solutions.
Demonstrated experience in Project Management
Proficiency with Microsoft Office suite
Fluency in written and spoken English
Fluency in written and spoken Arabic