Financial Applications Analyst

Position Summary Under the general direction of the IT Clinical Applications Manager, the Financial Applications Analyst serves as the functional owner of MEDITECH revenue cycle and financial applications supporting Nexus Health Systems' Central Business Office, centralized Admissions, and Finance across a network of pediatric specialty hospitals and medical-model residential treatment centers in Houston, Shenandoah, The Woodlands, Conroe, Dallas, and San Antonio. The Analyst translates business requirements into system configuration, designs and delivers financial reporting across both MEDITECH platforms, and serves as the financial applications lead on the organization's 14-month migration from MEDITECH Client/Server to MEDITECH Expanse.

Hands-on MEDITECH Expanse experience in revenue cycle or financial applications is required for this position.

This position is based at the Houston corporate office [hybrid: onsite X days per week / remote with travel to Nexus facilities approximately X times per quarter — HR and hiring leadership to finalize]. Onsite presence at Nexus campuses, including Dallas and San Antonio, is required during Expanse build validation, integrated testing, cutover, and other critical implementation events.

Job-specific Responsibilities

• Service

oConsistently supports and communicates the Mission, Vision, and Values of Nexus Health Systems

oUpholds the Standards of conduct and corporate compliance

oDemonstrates honest behavior in all matters. To the best of the employee’s knowledge and understanding, complies with all Federal and State laws and regulations.

oMaintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job.

oAdheres to all Nexus Health Systems policies on Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)

oCollaborates effectively with colleagues and other departments to ensure seamless service delivery.

oServes as the primary, cross-functional single point of contact for the Central Business Office, Admissions, and Finance on MEDITECH financial application functionality, enhancements, and issue resolution, including help desk escalation support for facilities.

o

• Excellence

oMEDITECH EXPANSE Migration

Serves as financial applications lead on the MEDITECH Expanse implementation, partnering with the implementation partner, Revenue Cycle, Admissions, Finance, and the IT project team.

Leads financial dictionary review, mapping, and standardization across all facilities; validates converted financial data.

Develops and executes unit, integrated, and parallel test scripts for financial modules and interfaces; supports user acceptance testing.

Inventories, rationalizes, and converts legacy NPR reports to Report Designer and Data Repository.

Supports cutover planning, go-live command center coverage at all campuses, and post-live stabilization.

oRevenue Cycle and Financial Application Ownership

Configures, maintains, and troubleshoots MEDITECH financial modules and dictionaries in both Client/Server and Expanse environments.

Configures interim billing cycles, authorization tracking, and continued-stay workflows for long-length-of-stay inpatient and residential patients.

Maintains multi-entity financial configuration (facility identifiers, NPIs, GL entity structure) across hospital and residential treatment center facility types.

Supports charge capture integrity, including therapy charge capture through ITS, CDM maintenance, claim edits, remittance posting, and denial workflows in partnership with Revenue Integrity and the CBO.

Builds and tests interfaces for the financial modules, including 3M/Solventum (coding, grouping, reimbursement) and CorroHealth (revenue integrity, pricing, charge management).

oReporting and Analytics

Designs, builds, and maintains revenue cycle and financial reports using NPR Report Writer, Report Designer, and Data Repository SQL.

Delivers census-driven reporting: bed-day revenue, payer mix, AR by facility and program, authorization aging, and program-level performance across New Directions, Jump Start, RISE, Harbor, True North, and Life Care.

oAnalysis and Project Delivery

Leads discovery sessions with business stakeholders to define requirements prior to build; documents current- and future-state workflows and process maps; applies Lean/Six Sigma concepts to process evaluation.

Reviews, tests, and educates users on MEDITECH updates, priority packs, and version enhancements affecting financial modules.

Develops and delivers end-user training and train-the-trainer sessions; creates education and go-live rollout plans.

Provides regular status, schedule, and effort estimates to project and IT leadership.

Participates in the after-hours on-call rotation (approximately once per month).

Serves as project team lead on EHR platforms for the assigned service line

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• Patient Experience and Advocacy

oPartners with centralized Admissions and clinical liaisons to ensure referral-to-registration, insurance verification, and pre-authorization workflows in ADM and ARM support timely admission and uninterrupted care for patients arriving from across the country.

oEnsures authorization tracking and continued-stay workflows function reliably so patient care is not disrupted by administrative delays.

oSupports accurate, understandable patient and family billing through correct charge capture, contract configuration, and statement processing.

oResponds to end-user and facility issues promptly, recognizing that financial system downtime or errors affect frontline staff and the families they serve.

• Quality Assurance and Compliance:

oEnsures all activities adhere to healthcare regulations and organizational policies.

oParticipates in quality improvement initiatives to enhance service delivery.

oPromotes a culture of patient safety which results in the identification and reduction of unsafe practices.

oSubmits all configuration changes through the Clinical Technology Governance Board change control process; maintains build documentation and an audit trail for financial system changes.

oMonitors financial modules for proper utilization and data integrity; reports findings and action plans to leadership.

oEnsures system configuration supports accurate GL posting, month-end close, payer contract terms, and internal and external financial audit requirements.

oMaintains corporate safety initiatives and government regulations so they are reflected in electronic processes.

• Professional Growth and Continuing Education:

oCompletes annual education requirements.

oMaintains competency, as evidenced by completion of competency validation requirements.

oMaintains competency and knowledge of current standards of practice, trends, and developments.

oParticipates in relevant workshops, seminars, and continuing education courses to stay current with industry trends, healthcare regulations, and best practices.

oMaintains current knowledge of MEDITECH Expanse release content, revenue cycle regulatory changes (Medicaid, managed care, workers' compensation), and MEDITECH user community resources such as MUSE.

• Finance:

oPromotes stewardship of hospital resources while ensuring quality patient care.

oSupports revenue integrity and cash flow through accurate contract, charge, and billing configuration.

oIdentifies opportunities to reduce manual effort, rework, and denials through system optimization, and quantifies expected financial impact.

oSupports Finance leadership with system-based data for budgeting, forecasting, and payer contract analysis.

• Performs other duties as assigned.

Education POSITION QUALIFICATIONS:

• Required:

oBachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Information Systems, or a related field, or an equivalent combination of education and directly relevant healthcare revenue cycle and MEDITECH experience.

• Preferred:

oMaster's degree in a related field

Experience

• Required:

oHands-on MEDITECH EXPANSE experience in revenue cycle and/or financial applications (Patient Accounting/BAR, Patient Access/ADM, ARM, ABS, GL), obtained through implementation, optimization, or production support in a live Expanse environment.

oHands-on MEDITECH Client/Server experience in the same module set, sufficient to support the current production environment through migration.

oHealthcare provider revenue cycle experience in a hospital Central Business Office, patient accounting, or patient access setting.

oExperience eliciting business requirements, documenting workflows, and developing and executing test scripts.

oExperience producing project artifacts, including status reports, business requirements, and non-technical design documents.

• Preferred:

oParticipation in a MEDITECH Client/Server or MAGIC to Expanse migration, including financial dictionary mapping, data conversion validation, integrated testing, and report conversion.

oLong-length-of-stay inpatient and residential billing experience: interim billing, continued-stay authorization, per diem and case-rate contracts, pediatric Medicaid and Medicaid managed care, out-of-state Medicaid, workers' compensation.

oMulti-facility, multi-entity MEDITECH configuration.

oPost-acute, LTACH, pediatric specialty hospital, or residential treatment center experience.

Skills

• MEDITECH applications (required proficiency in both Client/Server and Expanse):

oADM / Patient Access — centralized admissions, insurance verification for out-of-state payers

oARM — authorization and referral tracking for long-stay patients

oBAR / Patient Accounting — interim billing, contract management, per diem and case-rate reimbursement

oABS / Case Mix — LTACH and rehabilitation grouping; 3M/Solventum integration

oGL — multi-entity general ledger

oITS — therapy charge capture and reconciliation

oEMR — financial content

oNPR Report Writer (Client/Server); Report Designer and Data Repository (Expanse)

• Technical and analytical:

oWorking SQL (SQL Server) required; report design and data validation.

oRequirements analysis, workflow documentation, test script development, and user acceptance testing.

oKnowledge of system development lifecycle and change control practices.

oLean/Six Sigma process improvement concepts (preferred).

oMicrosoft Word, Excel, PowerPoint, Teams, and Visio or equivalent process-mapping tool.

• Professional:

oAbility to translate between finance/CBO terminology and technical configuration; facilitation of cross-functional stakeholder groups; strong issue tracking and follow-through; ability to teach system functionality to end users.

Licensure/Certification

• Preferred:

oHFMA Certified Revenue Cycle Representative (CRCR), AAHAM Certified Revenue Cycle Specialist (CRCS), CPHIMS, or CHDA (for reporting-intensive seats).

Additional Requirements

• Must pass a criminal background check on an annual basis.
• Participates in the after-hours on-call rotation, approximately once per month.
• Travel to Nexus Health Systems facilities in Houston, Shenandoah, The Woodlands, Conroe, Dallas, and San Antonio as required; onsite presence at all campuses during Expanse testing, cutover, and go-live events.
• Familiarity with the Nexus ticketing system and internal platforms expected within 90 days of hire.