Business Process Consultant - PRMO Operations Improvement (100% Remote Position)

Business Process Consultant - PRMO Operations Improvement (100% Remote Position)

Work Arrangement : Requisition Number : 247623 Regular or Temporary : Regular Location :

Durham, NC, US, 27710

Personnel Area : PRMO Date : Jul 8, 2024

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.

No matter where your talents lie, join us and discover how we can advance health together.

About Duke Health's Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle.

This includes scheduling, registration, coding, billing, and other essential revenue functions.

Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Business Process Consultant who will embrace our mission of Advancing Health Together.

The Business Process Consultant (BPC) serves as the primary technical and analytical resource supporting revenue cycle processes, systems and workflow .

The BPC is a subject matter expert in Epic (Maestro Care) and demonstrates a broad spectrum of operational expertise across multiple areas of the Revenue Cycle.

The BPC supports the Revenue Cycle departments and operational leaders within the Patient Revenue Management Organization (PRMO ) by identifying opportunities to improve operational efficiency and performance.

The BPC has a system focus and troubleshoots Maestro Care through monitoring of dashboards and key metrics to pro-actively identify and trend issues.

The BPC strategically supports operations by identifying opportunities to improve workflow and effectiveness through projects and innovative solutions to enhance automation, quality and efficiency through enhancement requests, report writing, analysis and business case development and data validation.

The BPC works directly with Duke Health Technology Solutions (DHTS) to develop, implement and oversee implementations.

• This position may have an opportunity to work remotely. All Duke University remote workers must reside in one of the following states or districts : Arizona;
• California; Florida; Georgia; Hawaii; Illinois; Maryland; Massachusetts; Montana; New Jersey; New York; North Carolina; Pennsylvania;

South Carolina; Tennessee; Texas; Virginia or Washington, DC.

Duties and Responsibilities of this Level :

Identification of System and / or Workflow Optimization Opportunities

• Identify existing and future revenue cycle-based improvement opportunities which can be addressed via enhancements and automations within the Epic system and / or through implementation of innovative technology in the marketplace
• Develop and document detailed technical specifications, design system enhancements, and build solutions within the Epic Resolute system and associated bolt-on systems to address outstanding business issues and improve PRM O operational performance
• Evaluate available functionality in existing and upcoming Epic upgrades to determine which features would provide value for PRMO to implement.

Summarize an d make recommendations about upgrade features to PRMO operational management and senior leadership.

• Focus efforts on complex technical and system opportunities that span multiple operational departments
• Lead PRMO discussions, evaluations, selections and prioritization of optimization opportunities, including the development of an ROI analysis to better understand and determine potential impact on overall PRMO performance
• Work closely with PRMO leadership to understand operation al goals and challenges in order to identify opportunities for system optimizations / enhancements
• Provide guidance to PRMO operational owners and DHTS Maestro Care staff on appropriate prioritization of system requests and allocation of resources

Research of Epic System Capabilities and Collaboration with other Health Care Systems

• Serve as primary technical subject matter expert for Epic Resolute system capabilities in support of questions and requests from PRMO operational owners.
• Develop and maintain thorough understanding of system functionality and capabilities of Epic Resolute revenue cycle suite, through ongoing training and Epic certification in multiple functionalities
• Provide feedback to DHTS Maestro Care team and Epic staff about future system enhancements that will address PRMO operational revenue cycle business needs
• Develop and maintain thorough understanding of how other health care providers are using Epic Resolute system to address revenue cycle-based business needs.

Develop a network of contacts at peer organizations using Epic to act as a resource for information and sharing of system and operational best practices.

Act as a technical resource to PRMO operational management and staff on existing / future Epic system functionality, in support of the documentation of staff training, job aids, workflows, and internal controls.

System Issues Resolution

• Serve as primary system troubleshooter to identify issues within Epic by reviewing and monitoring dashboards and key metrics
• Investigate issues to determine systematic root cause and work with PRMO leadership to develop and implement remediation plans
• Perform analytic al reviews of operational performance to identify recommendations an d change requests to improve system performance and operational efficiency
• Lead research efforts related to questions and provide responses to include detailed information regarding current state and historical comparative data

System Testing, Implementation and Validation

• Lead efforts to fully test system functionality associated with enhancements / updates, pulling in operational and IT staff as necessary to assist .
• Testing is completed within a timely fashion to not delay implementation
• Develop system testing programs, document test results, summarize and review outcomes , and obtain approvals as necessary from PRMO operational owners.
• Work with PRMO leadership to fully implement system updates within operational departments, including documentation of new workflows, training to staff, and associated changes to system logic.
• After system implementation, validate that changes are working as expected. Identify deficiencies in system or operational results, and follow through on mitigating strategies until resolved

Minimum Qualifications

Education

Bachelor's degree required. Master's degree preferred

Experience

Extensive knowledge of work flow and / or system design is required. Minimum of 7 years of experience with system design, process work flow design or business / systems consulting.

Revenue cycle experience preferred. Extensive knowledge of analytical tools, business intelligence tools and statistical packages.

Proven experience with workflows and / or technology that support mid-Revenue Cycle (Hospital Coding, Professional Coding, Charge Entry, Clinical Documentation Integrity, Billing workflows, Denials management, etc.

Also, an understanding of third party systems to Epic that support these workflows (such as 3M, SSI, Availity, etc.)

Degrees, Licensures, Certifications

Lean or Six Sigma certification a plus but not required.

Duke is an Affirmative Action / Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.

All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions : Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and / or mental abilities.

Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Nearest Major Market : Durham

Nearest Secondary Market : Raleigh