What's Happening?
Quest Diagnostics is actively seeking an Epic Sr. Manager for Resolute Billing to lead its Epic Resolute Professional Billing (PB) application team. This role is critical for ensuring that the system fully supports Quest Diagnostics’ revenue cycle, operational,
and financial objectives. The manager will be responsible for guiding a team that configures, maintains, and optimizes the company's billing systems. Key responsibilities include leading and motivating a high-performing team of Epic Resolute Analysts, setting clear goals, providing coaching, and conducting performance reviews. The manager will also oversee the portfolio of all revenue cycle projects, implement and manage a project governance framework, and guide the team in risk mitigation and issue resolution. Furthermore, the role involves reviewing and approving complex system builds to ensure data accuracy and regulatory compliance, directing the team to provide actionable analytics, and serving as a key escalation point for Epic PB issues.
Why It's Important?
This hiring initiative by Quest Diagnostics highlights the increasing complexity and critical importance of robust revenue cycle management in the U.S. healthcare industry. The Epic Resolute system is a widely used electronic health record (EHR) and billing platform, and optimizing its performance directly impacts a healthcare provider's financial health and operational efficiency. A skilled manager in this role can significantly reduce denial trends, minimize revenue leakage, and improve workflow efficiencies, which are major challenges for healthcare organizations. The focus on data accuracy, regulatory compliance (including HIPAA and CMS requirements), and system stability is crucial in a highly regulated environment. This position also underscores the growing demand for specialized IT and management talent within healthcare, particularly those with expertise in Epic systems, to navigate the intricate landscape of medical billing and financial operations.
What's Next?
The successful candidate for the Epic Sr. Manager, Resolute Billing position will be tasked with translating Quest Diagnostics' strategic business needs into technical execution. This involves partnering with leadership to execute the strategic vision for Resolute, ensuring the system is scalable, secure, and aligned with enterprise goals. The manager will also be responsible for establishing and enforcing configuration governance and change-management standards to maintain system integrity, and managing upgrades to ensure stability and business continuity. The role will involve fostering a culture focused on the optimization of Epic Resolute, potentially leveraging automation, RPA, or AI to modernize billing operations. Continuous improvement methodologies like Lean Six Sigma or Agile, and experience with data visualization tools, are preferred qualifications, indicating a forward-looking approach to enhancing billing processes.
Beyond the Headlines
The emphasis on optimizing Epic Resolute billing systems reflects a broader industry trend towards digital transformation and the use of advanced analytics in healthcare administration. Beyond the immediate financial implications, efficient billing systems contribute to a better patient experience by reducing errors and streamlining administrative processes. The role's focus on data accuracy and regulatory compliance also speaks to the increasing scrutiny on healthcare providers to adhere to complex legal and ethical standards. The integration of technology and management expertise in this position highlights how healthcare is becoming more reliant on sophisticated IT infrastructure to deliver services and manage operations. This shift can lead to more transparent and accountable healthcare systems, but also necessitates a highly skilled workforce capable of managing these complex technological ecosystems. The demand for such specialized roles is likely to continue growing as healthcare organizations further embrace digital solutions.
