[Remote] Revenue Cycle Policy Analyst (Senior Consultant)
Note: The job is a remote job and is open to candidates in USA. Tria Federal delivers digital services and technology solutions that support the health and safety of veterans, service members, and civilians. The Revenue Cycle Policy Analyst (Senior Consultant) will develop the enterprise policy, compliance, and standardization framework for back-end revenue cycle operations at Military Treatment Facilities, ensuring alignment with regulatory requirements and enhancing audit readiness.ResponsibilitiesDevelop enterprise SOPs: author and maintain standardized standard operating procedures, job aids, and workflows for back-end revenue cycle operations, spanning billing and follow-upDesign internal controls: define and document internal control mechanisms, control points, and updates to the UBO compliance checklist to support audit readinessLead policy development and updates, drafting, updating, and reconciling DHA UBO policy, guidance, and business rules that support standardized operationsTranslate enterprise standards into execution, defining policy, procedure, and control requirements across the enterprise and shared-service levelsEnsure regulatory and compliance alignment, aligning policies with DoD and DHA mandates, federal financial statement audit requirements, and applicable payer rulesConduct policy and compliance analysis, assessing current-state policies and procedures, identifying gaps, and recommending standardized updatesDefine roles, responsibilities, and decision rights, documenting accountability across enterprise and shared-service levels to support consistent execution and governanceCoordinate stakeholder review, facilitating policy review and approval cycles with DHA UBO leadership, the PAT, and MTF stakeholdersProduce policy deliverables and briefings, developing compliance documentation, policy summaries, and briefings tailored to senior DHA military and civilian audiencesProvide policy and compliance expertise to the program team, guiding junior analysts and ensuring quality and consistency across policy work productsSkills7+ years of healthcare revenue cycle policy, compliance, or operations experience in a federal or commercial settingStrong knowledge of the healthcare revenue cycle (charge capture, billing, collections, denials, and compliance) and how these functions interact across an enterpriseDemonstrated experience developing SOPs, internal controls, and policy and procedure documentation for standardized operationsExperience designing or assessing internal controls and supporting audit readinessKnowledge of healthcare compliance and regulatory requirements, including federal mandates and payer rulesKnowledge of federal and DoD policy development, including DoD Directives and Instructions (DoDDs/DoDIs), DHA-Procedural and Administrative Instructions (DHA-PIs/DHA-AIs), policy memoranda, and procedures manuals, and how enterprise procedures align to themStrong analytical skills, including current-state assessment, gap analysis, and translating findings into clear, well-supported recommendationsStrong written and verbal communication skills, with the ability to write clear, compliant policy and procedure for diverse audiences, including senior leadershipAbility to lead policy workstreams and manage competing priorities in a dynamic, deadline-driven environmentProficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and VisioBachelor's degree required; Master's degree preferredEligibility: U.S. citizenship; eligibility for a Department of Defense (DoD) Public TrustExperience within the Military Health System (MHS) or DHA environmentKnowledge of UBO operations and the three cost-recovery programs: Third Party Collection (TPC), Medical Service Accounts (MSA), and Medical Affirmative Claims (MAC)Familiarity with MHS GENESIS / Oracle Cerner Patient Accounting (CPA) and federal financial statement audit readinessFamiliarity with the Military Treatment Facility UBO Manual (DoD 6010.15-M) and DHA UBO policy and business rulesBenefitsWe offer a top-tier benefits package to invest in your physical, mental, and financial health and wellness so that you can be your best self - at work *and* in life.100% Remote within the United StatesUp to 15% of Travel Required (>1/4 weeks)Company OverviewTria Federal builds, modernizes, and operates mission-critical federal health platforms and programs. It was founded in 2021, and is headquartered in Arlington, Virginia, USA, with a workforce of 1001-5000 employees. Its website is https://triafed.com.