We are seeking a highly experienced SAP Functional Analyst for a critical project. This role is dedicated to implementing new Accounts Receivable (AR) functionality and managing complex financial interfaces between SAP ECC and external medical claims and clearinghouse systems.
As our primary SME, this resource will lead the functional design for end-to-end payment and reimbursement flows (including CFB, VBP, and MA PPO), ensuring our internal team is mentored and prepared to support these integrations long-term.
Role Overview
- Duration: 6–9 Months (Contract)
- Location: Hybrid or Remote
- Environment: SAP ECC 6.0 EHP7 on HEC
Key Responsibilities
- Interface Design & Lead: Design and configure complex interfaces for medical claims systems, ensuring seamless flow of AP provider payment requests and AR host claim reimbursements.
- AR Implementation: Lead the functional configuration of new AR functionality, including high-volume bulk invoicing (CFB) and automated payment postings.
- Testing & Go-Live Support: Develop and execute detailed functional test scenarios, integration test cases, and User Acceptance Testing (UAT). Troubleshoot posting errors, interface failures, and performance issues to achieve a stable production rollout.
- Knowledge Transfer: Actively mentor the current full-time Functional Analyst through paired design sessions and comprehensive documentation of all new interface mappings and configuration logic.
Required Technical Skills & Experience
- Expert FI-AR & FI-AP: 8+ years of deep functional experience, specifically in high-volume payment processing and complex AR posting logic.
- Healthcare Integration: Strong understanding of healthcare-specific processes, including 837/835 transactions, HIPAA-compliant data flows, and remittance advice processing.
- Technical Proficiency: Skilled in SAP enhancements (User Exits, BAdIs), debugging techniques, and collaborating with ABAP teams for custom developments.
- Advanced Integration (PI/PO/EDI): Proven expertise in interfacing SAP with external systems via IDocs, file-based exchanges, and Payment Medium Workbench (PMW).
- ECC 6.0 Expertise: Deep knowledge of SAP ECC 6.0 (EHP7) functionality and core financial table structures.
Specific Functional Focus Areas
- AP & AR Flows: Integration of medical claim payment requests (AP) and processing Host claim reimbursements and PCPS Self-Payments (AR).
- Invoicing: Management of Consolidated Financial Billing (CFB) for VBP and MA PPO fee structures.
- Banking: Configuration of ACH and Check payment files and return file processing (Electronic Bank Statements).
- Reconciliation & Reporting: Setup of automated reconciliation tools, aging reports, and analytics to support accurate financial closing and audit readiness.
Preferred Qualifications
- Previous experience in a Payer/Insurance environment.
- Experience operating within a HANA Enterprise Cloud (HEC) environment.
- Ability to translate complex medical billing logic into standard SAP financial postings.
