Business Solution Architect (Consulting)
Netsmart
- New York, New York, United States
- New York, New York, United States
Über
Netsmart, a healthcare software company for over 50 years, develops technology and services in behavioral health, human services, and post‑acute markets. We partner with organizations to anticipate challenges, recognize opportunities, and advance technologies beyond the EHR by embracing new trends that empower healthcare professionals. Role Overview
The Business Solution Architect serves as the primary lead responsible for designing, implementing, and optimizing end‑to‑end business solutions across healthcare organizations. This role owns overall solution design and architecture, supporting the full lifecycle from patient registration to revenue cycle operations, billing, remittance, and financial reporting, with a strong emphasis on behavioral health and public sector environments. Responsibilities
Provide expertise during client engagement to deliver workflow and solution design that achieves defined benefits. Guide clients through current workflows, upgrades, system changes, enhancements, and ongoing system maintenance, considering integration with other solutions. Critically assess client workflows to identify integration opportunities and potential pitfalls. Act as a primary consultant for solution troubleshooting, consultation, and knowledge transfer. Maintain client relationships, providing escalation of issues, solution knowledge, and engagement support. Proactively resolve escalated problems during installation, operation, maintenance, or testing. Manage client expectations and ensure project delivery meets engagement goals. Coach, mentor, and guide solution teams and new associates on recommended methodology practices and roles. Required Qualifications
Bachelor's degree or equivalent relevant work experience. At least 4 years of health care information technology implementation or consulting experience. At least 2 years of Netsmart EHR solution work experience. At least 1 year of project management experience. Strong communication skills with technical, clinical, and operational teams. Ability to document and present architecture concepts clearly. Strong client relationship building and client‑centric solution delivery. Ability to analyze complex, high‑quantity, sometimes contradictory information to solve problems effectively. Preferred Qualifications
At least 2 years of Netsmart EHR solution work experience (myAvatar). Experience with billing system implementations, ideally within behavioral health environments. California healthcare billing experience, including Medi‑Cal and county or state‑level programs. Proficiency in CPT/HCPCS coding for behavioral health, inpatient and outpatient services. Hands‑on experience with 837P/837I claims, UB‑04 formatting, and clearinghouse workflows. Familiarity with California DHCS requirements, eligibility transactions (270/271) and claims submission. Skilled in remittance processing, 835 interpretation, and denial management. Strong accounts receivable (A/R) knowledge: aging, reconciliation, follow‑up strategies. Experience with Medicaid and Medicare billing, including Managed Care Organizations (MCOs). Understanding of healthcare reimbursement models: fee‑for‑service, case rates, DRG, 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 (myAvatar, myEvolv or similar). End‑to‑end workflow support for patient registration, revenue cycle, and financial reporting. Expectations
Travel expected up to 20% of the time as needed. Position may require extended or irregular hours outside traditional office hours to support clients and projects across multiple time zones. Equal Opportunity 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. Netsmart celebrates diversity and is committed to creating an inclusive environment. All employment decisions at Netsmart 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 protected status. All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship. Netsmart participates in E‑Verify and adheres to the Fair Labor Standard Act.
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Sprachkenntnisse
- English
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