System Transition Lead

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview

Under the supervision of the Finance Operations Director, the Finance Administration team is seeking a highly organized and experienced consultant to support the transition of our finance operations into the HealthEdge (HealthRules Payor) system. This individual will serve as a key liaison between the Finance department and the HealthEdge project team (HRP), ensuring that financial workflows are accurately documented, communication is streamlined, and staff are adequately trained during the migration.

This is a temporary position with expected duration of August 2025 - April 2026.

Workflow Documentation

• Parallel testing
• Assess and document current finance workflows and processes that will transition to HealthEdge.
• Identify gaps and propose recommendations for optimization or alignment with the new system.
• Create clear, user-friendly documentation for future reference and training.

Coordination & Communication

• Serve as the primary point of contact between Finance and HRP teams.
• Facilitate regular meetings to capture finance requirements, address concerns, and ensure timely updates.
• Translate finance-specific needs into actionable requirements for the implementation team.

Training & Support

• Assist in the development and delivery of training materials tailored for Finance staff.
• Provide hands-on support during system testing, user acceptance testing (UAT), and go-live.
• Offer post-implementation support to ensure smooth adoption.

Project Management Assistance

• Track deliverables, deadlines, and follow-ups related to finance tasks in the implementation plan.
• Support change management efforts and user readiness initiatives.

• Bachelor's Degree required with a minimum of 5 years of experience industry related (business, health care, insurance).
• Experience in large system transitions, preferably involving HealthEdge/HealthRules Payor or other healthcare finance platforms.
• Solid understanding of finance operations within a healthcare setting.
• Claims experience.
• Exceptional communication and stakeholder management skills.
• Proven ability to document complex workflows and translate technical concepts into plain language.
• Strong project coordination or project management background
• Familiarity with training design and delivery is a plus.

Preferred Skills

• Experience in healthcare finance operations, revenue cycle, or payment systems.
• Background in business analysis or systems implementation.
• Proficiency with Microsoft Office Suite, project tracking tools (e.g., JIRA, Smartsheet, or Asana).

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