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Business Solution Architect- Post Implementation myAvatar

Netsmart

Overview Netsmart is a leading healthcare software company that has been improving care delivery for over 50 years. Our platform and services span the behavioral health, human services, and post‑acute markets.The Business Solution Architect – Financial Solutions (Post‑Implementation) serves as a trusted subject‑matter expert and client advisor, partnering with healthcare and human services organizations to optimize financial and revenue cycle workflows after system implementation. This role is deeply hands‑on and highly consultative, supporting clients by diagnosing challenges, evaluating real‑world system usage, and delivering practical best‑practice guidance that drives operational efficiency, compliance, and accurate financial outcomes. Focused primarily on finance and revenue cycle management within behavioral health and public sector environments, the architect works closely with Medicaid, Medicare, Managed Care, and state‑regulated billing workflows. 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. Act as a primary consultant for the client’s solution troubleshooting, consultation, and knowledge transfer. Cultivate and sustain relationships with clients to provide appropriate escalation of issues, solution knowledge, and engagement support. 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 on recommended methodology practices. Act as a lead resource for post‑go‑live support, facilitating client sessions, health checks, and escalations, often uncovering root causes by investigating system configuration, workflow design, asking the right questions, and translating complex issues into clear actionable recommendations. Qualifications Required: 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 Electronic Health Record solution work experience. 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 deliver 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. 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. Skilled in remittance processing, 835 interpretation, and denial management. 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. Expectations Travel expected up to 20% of the time as needed. Position may at times require extended or irregular hours outside of traditional office hours. EEO Statement Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate. Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug‑free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post‑offer candidates are required to successfully complete a pre‑employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of a valid prescription to Netsmart’s third‑party screening provider. All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position. #J-18808-Ljbffr Netsmart

Vacancy posted 2 days ago
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