Financial Applications Analyst

Financial Applications Analyst – MEDITECH Revenue Cycle Nexus Health Systems | Corporate Office – Houston, TX Classification: Exempt Travel: Required to Nexus facilities; participation in an after-hours on-call rotation approximately once per month About Nexus Nexus Health Systems provides specialized care through a network of pediatric specialty hospitals and medical-model residential treatment centers across Texas.

Our teams support individuals with complex medical, behavioral, and neurodevelopmental needs, helping patients and families move toward greater health and independence. We’re seeking an experienced Financial Applications Analyst to support the systems behind our revenue cycle, admissions, and finance operations—and play a key role in our migration from MEDITECH Client/Server to MEDITECH Expanse .

About the Role

Reporting to the Clinical Applications Manager, the Financial Applications Analyst serves as the functional owner of MEDITECH revenue cycle and financial applications. You’ll partner with our Central Business Office, centralized Admissions, Finance, and IT teams to translate operational needs into system configuration, improve workflows, develop meaningful reports, and resolve application issues across multiple facilities.

This position combines hands-on application support with implementation leadership. You’ll help guide financial application build, testing, data validation, report conversion, and go-live support throughout the organization’s 14-month Expanse migration. Hands-on MEDITECH revenue cycle experience is required , including dictionary build and operational support in BAR 6.

x/Client/Server and/or RCG Expanse. Expanse RCG experience is strongly preferred. Candidates with deep MEDITECH 6.x/Client/Server revenue cycle expertise and readiness to learn Expanse will also be considered. What You’ll Do Lead Financial Applications Work for the Expanse Migration Partner with implementation consultants, Revenue Cycle, Admissions, Finance, and IT to support a successful transition to MEDITECH Expanse.

Lead financial dictionary review, mapping, and standardization across facilities. Validate converted financial data and develop unit, integrated, and parallel testing scripts. Support user acceptance testing and convert legacy NPR reports to Report Designer and Data Repository. Participate in cutover planning, onsite go-live support, and post-implementation stabilization.

Own Revenue Cycle and Financial Application Configuration Build, maintain, and troubleshoot MEDITECH BAR/RCG applications and related financial dictionaries. Support billing, accounts receivable follow-up, denial management, cash posting, electronic remittance processing, claim edits, interim billing, and CMS-1500 professional billing.

Configure payer contracts and reimbursement rules, including per diem, percentage-of-charge, stop-loss, and carve-out arrangements. Support Patient Access workflows in ADM and ARM, including referral management, authorization tracking, and real-time eligibility verification. Configure interim billing and continued-stay workflows for patients with extended inpatient or residential stays.

Maintain financial configuration across multiple entities, including facility identifiers, NPIs, and general ledger structures. Partner with Revenue Integrity and the Central Business Office to strengthen charge capture, charge description master maintenance, and billing accuracy. Build and test financial interfaces, including Solventum/3M and Corro.

Health integrations. Develop Reporting and Improve Performance Design and maintain financial and revenue cycle reports using NPR Report Writer, Report Designer, Data Repository, and SQL Server. Deliver reporting on bed-day revenue, payer mix, accounts receivable, authorization aging, and facility and program performance.

Support budgeting, forecasting, payer contract analysis, and financial data validation. Identify opportunities to reduce manual work, billing errors, rework, and denials through system improvements. Partner with Users and Support Reliable Operations Lead discovery sessions, gather business requirements, and document current and future workflows.

Translate operational challenges into practical system solutions and explain configuration changes clearly to end users. Develop training materials and deliver end-user and train-the-trainer sessions. Review and test MEDITECH updates, priority packs, and version enhancements. Serve as a primary contact for financial application issues and facility help desk escalations.

Maintain configuration documentation, testing records, and change control approvals. Protect confidential information and support organizational privacy, security, and compliance standards. Required Qualifications Bachelor’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.

At least three years of hands-on MEDITECH revenue cycle application experience in BAR 6.x/Client/Server and/or RCG Expanse, including direct responsibility for dictionary build and operational support. Healthcare provider revenue cycle experience in a hospital Central Business Office, patient accounting, or patient access setting.

Working knowledge of hospital billing operations, including accounts receivable, denials, cash posting, 835/ERA remittance processing, claim edits, interim billing, and professional billing. Financial and revenue cycle reporting experience using at least two of the following: MEDITECH Report Designer, Data Repository, SQL Server, or NPR Report Writer.

Working SQL skills using SQL Server. Experience gathering business requirements, documenting workflows, and developing and executing test scripts. Ability to create project documentation, including status reports, business requirements, and nontechnical design documents. Knowledge of system development lifecycle and change control practices.

Strong communication, analytical, troubleshooting, organizational, and end-user training skills. Proficiency with Microsoft Office, Teams, and Visio or a comparable process-mapping tool.

Preferred Qualifications

MEDITECH Expanse RCG experience. Participation in a MEDITECH Client/Server, 6.x, or MAGIC-to-Expanse migration. ADM/Patient Access and ARM build experience, including authorization tracking and real-time eligibility configuration. Experience configuring payer contracts and reimbursement rules. Experience supporting Solventum/3M encoder and grouper integrations, MEDITECH abstracting/case mix, or Corro.

Health applications. Experience with extended-stay inpatient or residential billing, continued-stay authorizations, pediatric Medicaid, Medicaid managed care, out-of-state Medicaid, or workers’ compensation. Multi-facility and multi-entity MEDITECH configuration experience. Experience in pediatric specialty hospitals, post-acute care, LTACHs, or residential treatment centers.

Familiarity with Lean/Six Sigma process improvement concepts. Master’s degree in a related field. Relevant certification, such as CRCR, CRCS, CPHIMS, or CHDA. Work Location and Additional Requirements This position is based at the Houston corporate office and requires travel to Nexus facilities in Houston, Shenandoah, The Woodlands, Conroe, Dallas, and San Antonio.

Onsite participation is required during critical implementation activities, including build validation, integrated testing, cutover, and go-live. The role also participates in an after-hours on-call rotation approximately once per month and requires successful completion of an annual criminal background check. Make an Impact at Nexus Bring your MEDITECH expertise to a role where reliable systems support timely admissions, accurate billing, and continuity of care.

Join Nexus and help shape the next generation of financial applications across our specialized care network.