Business Solution Architect (Consulting)

Responsible for providing expert solution knowledge, recommended implementation and maintenance best practices, and process design representing their domain of expertise, 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 the overall solution design and architecture, supporting the full lifecycle from patient registration and access through revenue cycle operations, billing, remittance, and financial reporting. The Business Solution Architect oversees these functions throughout the implementation lifecycle, with a strong emphasis on behavioral health and public sector environments. Partnering closely with clients, this role evaluates current state workflows, leads solution design decisions, drives data collection and workflow analysis, and recommends industry aligned best practices to deliver scalable solutions that support operational efficiency, compliance, and accurate financial outcomes.

Leveraging deep experience in billing system implementations, including Medicaid/Medi-Cal, Medicare, Managed Care, and California DHCS regulated workflows, the Business Solution Architect provides hands on leadership across credentialling, enrollments, eligibility, scheduling, claims, remittance, accounts receivable, and downstream financial reporting. As the key solution lead, the Financial Solution Architect acts as a trusted advisor for complex troubleshooting and issue resolution, manages client expectations, and coaches solution teams to ensure consistent methodology, high quality delivery, and successful client outcomes

Responsibilities:

Provide expertise during client engagement to deliver workflow and solution design to achieve defined benefits.

Responsible for guiding clients through current workflows, upgrades, system changes, enhancements, and ongoing system maintenance while considering other system integration points.

Critically assess client workflows and identify opportunities for integration with other solutions and potential pitfalls.

Act as a primary consultant for the client's solution troubleshooting, consultation, and knowledge transfer

Accountable for relationships with clients to provide appropriate escalation of issues, solution knowledge, and engagement support.

Proactively seek to resolve escalated problems and issues using solution knowledge and expertise during installation, operation, maintenance, or testing.

Manage client expectations and ensure project delivery meets goals of engagement.

Coach, mentor and guide solution teams and new associates on recommended methodology practices and roles.

Bachelor's degree or equivalent relevant work experience

At least 4 years of health care information technology implementation or consulting working experience

At least 2 years Netsmart EHR solution work experience

At least 1 year of project management experience

Ability to communicate effectively with technical, clinical, and operational teams

Ability to document and present architecture concepts, often narrowing complex ideas to a single overview

Ability to build strong client relationships and delivering client-centric solutions

Ability to make sense of complex, high quantity and sometimes contradictory information to effectively solve problems

Preferred

At least 2 years Netsmart EHR solution work experience (myAvatar)

Experience with billing system implementations, ideally within healthcare or behavioral health environments

California healthcare billing experience, including MediCal and county or statelevel programs

Proficiency in CPT/HCPCS coding for behavioral health, including inpatient and outpatient services

Handson experience with 837P/837I claims, UB04 formatting, and clearinghouse workflows

Familiarity with California DHCS requirements, including eligibility transactions (270/271) and claims submission

Skilled in remittance processing, 835 interpretation, and denial management

Strong accounts receivable (A/R) knowledge, including aging, reconciliation, and followup strategies

Experience with Medicaid and Medicare... For full info follow application link.

For more than 50 years, we've been a healthcare software company developing technology and providing services in the behavioral health, human services, and Post-Acute markets. We collaborate with organizations and partner with our clients across the care spectrum to anticipate challenges, identify obstacles and recognize new opportunities as healthcare evolves. We continuously strive to advance our Netsmart technologies and offerings beyond the EHR by embracing new technology trends that empower healthcare professionals to provide the best possible care.