Subject Matter Expert - Revenue Cycle Management

Clearance Level
None
Category
Healthcare Claims
Location
Falls Church, Virginia

REQ#: RQ84395

Travel Required: 10-25%
Public Trust: NACLC (T3)
Requisition Type: Regular

At GDIT, people are our differentiator. As a Subject Matter Expert supporting the Defense Health Agency (DHA), Veterans Affairs (VA) and Indian Health Services (IHS), you will be trusted to work on enhancement business and revenue cycle management processes, as well as complex problem solving. This role will be based out of Falls Church, VA, but may be REMOTE.

In this role, a typical day will include:

  • Applying expert knowledge and experience within Military Health, specifically Defense Health Agency (DHA), Veterans Affairs (VA) and/or Indian Health Services (IHS), to create best practices, and efficiency in workflows and processes
  • Partnering with the government customer to proactively identify and develop opportunities
  • Identifying trends and providing information to decision-makers
  • Applying senior-level knowledge of claims and healthcare administration to create business process, quality and systems design improvements
  • Providing recommendations and guidance with the ability to influence planning strategies and decisions
  • Developing and maintaining project strategies
  • Developing ad-hoc whitepapers, briefs and other artifacts as needed

WHAT YOU’LL NEED:

  • Bachelor’s Degree
  • 8+ Years Claims and/or Revenue Cycle Management Experience
  • Complete T3 or higher Background Investigation
  • An understanding of claims data and payer workflow
  • Experience working with ASC X12, HL7 and other standards
  • Hands-on experience working with claims data, preferentially within Military Health
  • Knowledge of all related claims processing systems, claim processing rules and healthcare policy
  • Experience with healthcare information technology and data analytics
  • Ability to perform research and analysis of business processes, and the development of protocols to address issues or improvement opportunities
We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.

GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.