Associate Director, Client Systems Integration

Alteva RCM
Queens, NY
On-site

Who this role is best for

Integration experts with revenue cycle management experience in healthcare will find this leadership role in client systems integration.

Best fit for

  • Candidates with experience building integration playbooks and leading cross-functional teams in healthcare RCM
    — “build the playbook, standards, and team that determine how Alteva connects to client systems”
  • Professionals who have previously worked in client-facing integration roles at RCM vendors or health-tech firms
    — “Experience connecting to client-owned systems you did not control, ideally at an RCM company, outsourcer, or health-tech vendor”
  • Individuals with a strong grasp of technical standards like HL7, FHIR, and X12, and how they align with RCM workflows
    — “Hands-on experience with HL7, FHIR, and X12 transactions (837, 835, 276/277)”

Things to consider

  • The role involves navigating complex client environments without direct control over their systems
    — “Experience connecting to client-owned systems you did not control”
  • Candidates must be prepared to translate technical requirements into operational workflows for non-technical staff
    — “Translate Operations needs into clear technical requirements for engineers”
  • This role requires a high level of coordination with client executives and IT teams
    — “Lead engagement with client CIOs, IT teams, and EHR teams to get access approved”

How to stand out

  • Highlight experience in designing integration strategies for multiple EHR platforms
    — “Experience across multiple EMR/EHR platforms”
  • Showcase ability to align technical integration with RCM processes like coding and billing
    — “Working knowledge of coding, billing, A/R resolution, and IDR”
  • Emphasize proven success in enabling operational teams to work within client EHR systems
    — “Experience enabling staff to work inside client EHRs”
  • Demonstrate ability to coordinate with Epic Program Managers and manage Epic-specific clients
    — “Work with the Epic Program Manager, who provides dedicated Epic specialization”
  • Quantify your experience in resolving interface and data feed issues in RCM environments
    — “Diagnose and resolve feed and interface issues”
Pace · SteadyCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • successful client system integration
  • reduced operational delays
Typical background
client systems integrationoperational managementtechnical requirements

Skills & requirements

Required

Client Systems IntegrationData IntegrationOperational ManagementTechnical Requirements

Preferred

Epic DepthAthenahealthEclinicalworks

Stack & domain

HL7FHIRX12 TransactionsApisRPAHealthcare

About the role

Original posting from Alteva RCM via Greenhouse

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

About the Role

Alteva’s teams work inside client-owned EHR and practice management environments, and exchange data with them, across a wide range of health systems and physician groups. This is a newly created function. As the Associate Director, you will build the playbook, standards, and team that determine how Alteva connects to client systems, and you will apply them consistently instead of solving each client as a one-off.

You will sit at the intersection of Technology, Operations, and the client. You’ll design integrations, decide the right operating model for each client, and make sure the coders, billers, and A/R specialists who depend on your work can use it.

What You’ll Do

Build and own the client systems integration function, including the standards, playbook, and team.

Assess each new client and recommend whether Alteva should exchange data, work directly in the client’s system, or use a combination, based on the services the client has purchased.

Choose the right connection method for each client (interface, extract, file transfer, API, or RPA) and see the design through to delivery.

Lead engagement with client CIOs, IT teams, and EHR teams to get access approved and work prioritized in organizations that don’t report to you.

Enable Alteva staff to work effectively inside client EHRs, including access, security, build requirements, and training.

Partner with Technology on claims intake and data pipelines.

Diagnose and resolve feed and interface issues and explain them to Operations in workflow terms.

Translate Operations needs into clear technical requirements for engineers.

Work with the Epic Program Manager, who provides dedicated Epic specialization, to coordinate on Epic-based clients.

Prepare and train operational teams for workflow changes, so go-lives succeed operationally as well as technically.

What You’ll Bring

Integration expertise

Hands-on experience with HL7, FHIR, and X12 transactions (837, 835, 276/277).

Experience with extracts, file transfers, APIs, and RPA where interfaces aren’t available.

Experience across multiple EMR/EHR platforms. Epic depth is a strong advantage, but the role is EMR-agnostic. Experience with athenahealth, eClinicalWorks, NextGen, Oracle Health, or similar platforms is equally valued.

Revenue cycle knowledge

Working knowledge of coding, billing, A/R resolution, and IDR, sufficient to design data flows around them (for example, knowing why a missing 835 field stalls a denial appeal, or why an incomplete encounter shouldn’t reach coding).

Client-facing and operating experience

Experience connecting to client-owned systems you did not control, ideally at an RCM company, outsourcer, or health-tech vendor.

Proven ability to build credibility quickly with client executives and IT teams.

Sound judgment on operating models and build-versus-extract-versus-RPA tradeoffs.

A builder’s mindset, with comfort creating structure, standards, and teams from scratch.

Strong translation skills between technical and operational audiences.

Preferred Qualifications

Experience enabling staff to work inside client EHRs, not just moving data between systems.

Experience building or working with a claims intake pipeline.

Exposure to anesthesia, out-of-network, and IDR workflows.

Experience training and preparing operational staff for workflow changes.

Epic certifications (Resolute PB/HB, Bridges) or a background as an Epic analyst or interface developer.

Typical Background

Candidates often come from an Epic analyst or interface role at a health system, or from integration work at an RCM vendor, followed by experience connecting to client environments. Multi-EHR integrators with RCM vendor backgrounds are equally competitive.

Pay Range$120,000—$165,000 USD 

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

Source: Alteva RCM careers (Greenhouse)

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