Tria Federal (Tria) · 1 week ago
Revenue Integrity Clinical & Business Process Engineer
United States
Full-time
Remote
Senior Level
5+ years expTria Federal delivers digital services and technology solutions to support the health and safety of veterans, service members, and civilians. They are seeking a Revenue Integrity Clinical & Business Process Engineer to optimize enterprise-wide revenue integrity workflows across the Military Health System. This role involves applying clinical operations insight and process engineering methodologies to enhance revenue cycle workflows and improve financial performance.
ConsultingInformation Technology
No H1B
Security Clearance Required
Responsibilities
Lead current-state assessments of clinical and revenue cycle workflows, including scheduling, registration, documentation, coding, charge capture, billing, and denials
Facilitate process mapping, value stream analysis, root cause analysis, and stakeholder working sessions across clinical, financial, and operational teams
Design and document future-state workflows, standard work, and control plans aligned to DHA revenue integrity objectives
Collaborate with Cerner/MHS GENESIS solution owners, coding, billing, analytics, and revenue cycle stakeholders to ensure workflows align with system capabilities and regulatory requirements
Identify, define, and operationalize key performance metrics and KPIs, including DNFB, late charges, denial rates, and charge lag
Drive continuous process improvement initiatives using Lean, Six Sigma, or similar methodologies, including pilots and phased implementations
Partner with data and BI teams to ensure availability of accurate, actionable dashboards for clinical and business stakeholders
Develop training, change management, and communication materials to support adoption of redesigned workflows and controls
Communicate findings, risks, and recommendations to DHA leadership through clear documentation, briefings, and executive-level reporting
Ensure redesigned processes comply with DHA policies, TRICARE requirements, and federal financial management guidance
Qualification
Required
Bachelor's degree in Industrial Engineering, Systems Engineering, Healthcare Administration, Business, or related field; Master's degree preferred
5+ years of experience in healthcare operations improvement, revenue integrity, revenue cycle consulting, or process engineering
Demonstrated experience applying Lean, Six Sigma, or similar methodologies in clinical or revenue cycle environments (Green Belt or higher preferred)
Strong understanding of end-to-end revenue cycle workflows and key control points impacting charge capture, billing, and reimbursement
Experience working with enterprise EHR and billing systems, preferably MHS GENESIS (Oracle/Cerner)
Familiarity with healthcare analytics and reporting tools (e.g., Excel, Power BI, Tableau, SAS)
Proven ability to lead cross-functional initiatives involving clinical, financial, IT, and operational stakeholders
Advanced analytical and documentation skills, with the ability to translate data findings into actionable, enterprise-level recommendations
Proficiency with Microsoft Excel (pivot tables, data analysis) and PowerPoint for executive-level communication
Excellent written and verbal communication skills, including experience briefing senior and cross-functional stakeholders
Ability to obtain and maintain a Public Trust clearance
Benefits
Top-tier benefits package
Physical, mental, and financial health and wellness
Company
Tria Federal (Tria)
Tria Federal (Tria) delivers digital services and technology solutions that support the health and safety of veterans, service members and civilians.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2021-09-01Seed
Leadership Team
Tim Borchert
Chief Executive Officer
Murali Mallina
Chief Technology Officer
Recent News
Washington Technology
2026-01-14
Washington Technology
2025-10-21
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