Tarpon Health, Inc. Senior Revenue Cycle AI Solution Architect Remote · Full time Company website

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Tarpon Health is a healthcare automation company that helps providers optimize their operations through technology. We bring together healthcare providers with like-minded organizations to accelerate automation in the revenue cycle. Our community of experts and peers helps teams overcome expertise and capacity constraints to build automations that enhance efficiency, reduce costs, and improve patient experience.

As a Senior Revenue Cycle AI Solution Architect at Tarpon Health, you will bring deep revenue cycle knowledge to designing and delivering automations for healthcare providers. You understand how billing, claims, denials, and collections really work, and you use that knowledge to architect intelligent solutions that make these processes faster, more accurate, and easier to scale.

 

This role is built for people who have designed automations that leverage both agentic and deterministic technology. You need to know how to match the right technology to the problem. You will serve as the design authority for the solutions you lead, translating complex operational workflows into technical blueprints and ensuring seamless delivery from idea through go-live and beyond. You do not need to be a programmer, but you should understand core coding and automation concepts and apply them in your designs to keep us moving efficiently from design to development. Tarpon will support your growth with training in different tools, so a genuine curiosity about technology and the capacity to deepen your technical knowledge over time are essential.

 

Key Responsibilities:

• Identify and quantify where automation can remove manual work, reduce errors, and deliver measurable impact across billing, claims, denials, and collections; lead the evaluation of opportunities from financial, operational, and technical angles.
• Translate complex revenue cycle processes into clear requirements, workflow logic, and decision points that serve as the foundation for designing and building scalable, modular solutions, providing guidance on solution design for complex initiatives.
• Serve as the design authority for solutions you lead, owning documentation including process maps, technical specifications, and workflow logic that guide development, implementation, and long-term maintenance.
• Design, build, and optimize AI and agentic solutions using tools like Claude Code, independently delivering complex solutions and establishing best practices.
• Write, test, and refine prompts, scripts, and automations that solve complex revenue cycle challenges with a focus on scalability and quality.
• Partner with internal teams to take solutions from idea to production, providing technical leadership and revenue cycle expertise throughout the development lifecycle while ensuring timely delivery of automation milestones.
• Validate and review AI outputs against revenue cycle rules and approved designs to ensure solutions are accurate, reliable, and aligned with business requirements.
• Lead go-live activities and ongoing production support, monitoring automation effectiveness and driving continuous improvement to maximize solution performance.
• Partner with clients by leading solution discussions, explaining how solutions work, and guiding successful adoption of AI-powered workflows.
• Share your expertise, mentor junior team members, and help build a library of revenue cycle knowledge, solution patterns, and best practices the whole team can use.

 

Required Qualifications:

• 6+ years of hands-on revenue cycle experience across billing, coding, claims, denials, and/or collections, with working knowledge of front, middle, and back-end workflows.
• Automation design experience integrating across diverse system interfaces and data exchange standards (ideally including API, HL7/FHIR, EDI, and screen-based/RPA automation) in complex healthcare tech environments.
• Strong AI fluency, with active use of AI tools and a practical understanding of agentic workflows and automation.
• Eagerness to build, with the motivation to learn tools like Claude Code to design and deliver agentic solutions.
• Clear communicator who can translate revenue cycle complexity for technical audiences and work comfortably with data, spreadsheets, and software systems.

 

Preferred Qualifications:

• Familiarity with multiple EHRs (Epic/Cerner/Athenahealth), EDI transaction data (835/277), process mapping tools, and LLM integration in revenue cycle workflows
• Lean Six Sigma certification or equivalent experience in process improvement and workflow optimization
• Enterprise automation experience using platforms such as UiPath, Power Automate, or equivalent

 

Note: This job description is not intended to be exhaustive. Additional duties and responsibilities may be assigned as necessary to meet the needs of the organization.

 

We are proud to be an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. All employment decisions are made based on qualifications, merit, and business needs.