Revenue Cycle Architect

at MultiPlan in Naperville, Illinois, United States

Job Description

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.
Within that, the Professional Services team plays a critical role, we partner closely with clients to implement solutions, optimize performance, and deliver measurable value. It's not just about deploying technology, but about driving real transformation.

What makes Claritev especially compelling is the opportunity it offers to build a meaningful career within Professional Services. It's a space where you can develop deep industry expertise, work directly with clients, and grow into leadership roles while making a tangible impact on healthcare delivery.
Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!
JOB ROLES AND RESPONSIBILITIES:

The Senior Revenue Cycle Architect leads the design and delivery of end-to-end revenue cycle solutions for the Commonwealth of Massachusetts (COMA). This role combines deep revenue cycle expertise with healthcare IT architecture and cross-functional leadership.

Program Leadership & Delivery
Lead the (COMA) revenue cycle workstream (patient access, billing, claims, AR) aligned with program goals
Drive planning, execution, and delivery while managing risks, dependencies, and go-live readiness
Solution Architecture & Design
Design end-to-end revenue cycle solutions across patient access, coding, billing, and reimbursement
Translate business needs into scalable, compliant system designs
Guide system configuration and integrations across EHR and financial systems
Stakeholder Collaboration
Partner with finance, operations, and technical teams to define requirements and priorities
Lead design sessions and communicate effectively with executive and technical audiences
Implementation & Optimization
Support testing, go-live, and stabilization activities
Identify gaps and drive process improvements to optimize performance
Subject Matter Expertise
Serve as an SME in revenue cycle operations and payer regulations (Medicare, Medicaid, commercial)
Ensure compliance with CMS, HIPAA, and data governance standards
Leadership
Mentor team members and support strategic initiatives, proposals, and solution development
JOB SCOPE:
The Senior Consultant works under minimal direction and uses independent judgment to identify issues, trends & problems and recommend action plans and evaluate results on initiatives that may not be clearly defined and are large in scope. Work is varied and complex, requiring the individual to use a broad range of knowledge gained through experience. The position works with internal and external sources to complete objectives, keeping the needs of external and internal customers as a priority when making decisions and taking action. Senior Consultant has increased responsibility, leadership, and strategic influence expected at the senior level.

As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.  Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled