Revenue Integrity Clinical & Business Process Engineer

Who We Are:

Tria Federal delivers digital services and technology solutions that support the health and safety of veterans, service members and civilians. For two decades, federal agencies have relied on Tria companies to advance their critical missions and modernize their systems, so that they can uphold their commitment to the American people. Today, we are pushing the boundaries of possibility through partnerships and investments in artificial intelligence and emerging technologies, developing solutions for the biggest challenges that will face government tomorrow.

Tria Federal is seeking a Revenue Integrity Clinical & Business Process Engineer to support the Defense Health Agency (DHA) in optimizing enterprise-wide revenue integrity workflows across the Military Health System (MHS). This role applies clinical operations insight, process engineering, and Lean/Six Sigma methodologies to assess, design, and standardize end-to-end revenue cycle workflows that improve charge capture accuracy, billing timeliness, and financial performance.

The ideal candidate brings deep experience across front-, mid-, and back-end revenue cycle processes and can translate operational and clinical complexity into scalable, compliant, and data-driven process improvements.

**This opportunity is contingent upon award.**

Key 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.

Required Skills & Experience:

• 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.

Why Tria?
What defines the Tria brand is more than just our dedication to excellence in our craft; it's our incredible team of dedicated, talented, and passionate people that make Tria so exceptional. As people powering possible, we are all partners in our team's shared success.

As a company that cares about people, we seek to cultivate a culture in which all can thrive personally and professionally. We 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. At Tria, we are growth-minded, entrepreneurial in spirit, and committed to fostering a culture of inclusion and opportunity for all. Whatever your background, your role, your department, or stage in your professional journey, here you will have opportunities to learn new skills, seize new challenges, and advance your career as we grow.

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