Epic Sr. Manager, Resolute Billing

Quest Diagnostics Incorporated

Lansdowne (MD)

Sur place

USD 145 000 - 160 000

Plein temps

Il y a 6 jours
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Résumé du poste

Quest Diagnostics Incorporated seeks an experienced Resolute Application Manager to lead the Epic Resolute Professional Billing (PB) team in Lansdowne, MD. You will translate strategic business needs into technical execution, guiding the team that configures, maintains, and optimizes our billing systems to support revenue cycle goals.

The role emphasizes maximizing team performance, ensuring data accuracy and regulatory compliance, and delivering an optimized, high-quality billing experience for

Qualifications

  • 7+ years in healthcare revenue cycle including Epic Resolute
  • 4+ years in a management capacity
  • Deep understanding of Resolute PB workflows
  • Experience in large-scale project management and data analysis
  • Proven experience building a high performing team
  • Governance frameworks for Epic deployments or complex billing platforms
  • Strong HIPAA, CMS and payer compliance knowledge

Responsabilités

  • Lead, motivate, and manage a high-performing team of Epic Resolute Analysts
  • Set clear goals and accountability metrics; provide coaching and feedback to develop the team's capabilities
  • Oversee portfolio of revenue cycle projects and ensure alignment with strategic priorities
  • Establish governance and change-management standards for projects
  • Guide risk mitigation, issue resolution, and stakeholder communication
  • Review and approve complex system builds for data accuracy and compliance
  • Provide analytics to identify root causes of operational issues and inform improvements
  • Serve as escalation point for Epic PB issues and drive resolution
  • Translate analytics into concrete business cases for process improvements
  • Collaborate with Finance, Revenue Cycle Operations, and IT to align with enterprise goals

Connaissances

Epic Resolute
Revenue cycle
Team leadership
Governance
Data analysis
HIPAA knowledge
Project management

Formation

B.S. in Computer Science or related
Graduate degree
EpicResolute Certification
PB Operations/ Claims Certification

Outils

Tableau
Power BI

Description du poste

Job Description

The Resolute Application Manager provides day-to-day leadership for the Epic Resolute Professional Billing (PB) application team, ensuring the system fully supports Quest Diagnostics’ revenue cycle, operational, and financial goals. This role is responsible for guiding the team that configures, maintains, and optimizes our critical billing systems. Reporting to the Leader of Epic Resolute, this manager will translate strategic business needs into technical execution. The core focus is on maximizing team performance, ensuring the quality and integrity of all system builds, and delivering an optimized, high-quality billing experience.

Pay Range: $145,000 - $160,000 / year

Responsibilities
  • Lead, motivate, and manage a high-performing team of Epic Resolute Analysts
  • Set clear goals and accountability metrics; provide coaching and feedback to develop the team's technical and professional capabilities
  • Conduct performance reviews, define individual development plans, and cultivate a pipeline for future Resolute team leadership
  • Oversee the portfolio of all revenue cycle projects, from small optimizations to large-scale implementations, ensuring alignment with strategic priorities
  • Implement and manage a project governance framework to standardize project intake, prioritization, and status reporting
  • Guide the team in risk mitigation, issue resolution, and effective stakeholder communication to ensure projects are delivered on time and within scope
  • Review and approve complex system builds to guarantee data accuracy, regulatory compliance, and system stability
  • Direct the team to provide robust, actionable analytics that identify root causes of operational issues (e.g., denial trends, revenue leakage, workflow inefficiencies)
  • Serve as a key escalation point for complex Epic PB issues, performing root cause analysis and driving resolution
  • Ensure analytical findings are translated into concrete recommendations and business cases for process improvement projects
  • Establish and enforce configuration governance and change-management standards to ensure system integrity
  • Partner with leadership to execute the strategic vision for Resolute, translating high-level goals into actionable team projects
  • Collaborate with stakeholders in Finance, Revenue Cycle Operations, and IT to ensure Resolute is scalable, secure, and aligned with enterprise goals
  • Create a culture focused on optimization of Epic Resolute
  • Manage upgrades to ensure stability, security and business continuity
Qualifications

Required:

  • 7+ years of progressive experience in healthcare revenue cycle including Epic Resolute, configuration, implementation and support
  • 4+ years in a management capacity
  • Deep understanding of Resolute PB workflows, including charge router, claims, remittance and payment posting
  • Experience in large scale project management and data analysis within healthcare environment
  • Proven experience in creating a high performing team
  • Experience establishing and operating governance frameworks for large-scale Epic deployments or complex billing platforms
  • Strong knowledge of HIPAA, CMS and commercial payer compliance requirements applicable to laboratory services

Preferred:

  • Experience leveraging automation, RPA, or AI to modernize billing operations
  • Background in continuous improvement methodologies e.g. Lean Six Sigma, Agile
  • Experience with data visualization tools e.g. Tableau, Power BI
  • Cross-certification in other Epic modules

People Leader Responsibility:

  • Team of Analysts in PB and Claims

Work Environment:

  • Work requires handling light and simple weight material and equipment.Visual activity requires the ability to tolerate prolonged periods of close computer screens. Work requires speed, accuracy and adeptness to operate in system application. Fast-paced work environment. After hours, weekend and holiday work will occasionally be required as determined by the Application Mgr to support software/hardware patches, upgrades, downtimes and potential disasters.

Travel Required - Must be willing to travel 25% (About one week a month)

Education:

  • B.S. in Computer Science, Business Administration, Healthcare Administration or a related field. (Required)
  • Graduate degree in Computer Science or related field. (Preferred)

Certifications:

  • EpicResolute Certification - in either Professional or Hospital Billing (Required)
  • PB Experience in operations and Claims Certification (Preferred)
  • Certifications across Epic modules (Preferred)
    • Beaker, MyChart, Aura, Prelude Registration, Cadence Scheduling, EpicCare Ambulatory for Genetic Counseling, Cheers Call Management & Campaigns, EpicCare Link Portal, Nebula Cloud Platform, Base Payer Platform Network for Providers,and Gallery DMS.

55546

Quest Diagnostics honors our service members and encourages veterans to apply.

While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

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