Senior Consultant - Finance and Operations

Overview

This role focuses on providing expert support in hospital finance with an emphasis on Medicare and Medicaid reimbursement, cost reporting, and supplemental payment programs such as Disproportionate Share Hospital (DSH), Indirect Medical Education (IME), and Graduate Medical Education (GME). Responsibilities include delivering technical analysis, developing and validating financial models, performing advanced data analytics, collaborating with cross-functional teams, supporting client communications and project management, and contributing to business development efforts.

Responsibilities

• Serve as a subject matter expert on Medicare and Medicaid reimbursement methodologies, supporting hospital clients with complex financial and regulatory requirements.
• Provide technical support and analysis related to Medicare cost reporting, including preparation, review, and interpretation of cost reports and related work papers.
• Support projects involving Medicare add-on payments such as DSH, IME, GME, and other supplemental or special payment programs.
• Apply working knowledge of Medicaid programs, including state-specific payment methodologies and Medicaid supplemental payment programs, to support client financial strategy and compliance.
• Develop, review, and validate financial models and analytic tools used to assess hospital reimbursement, financial performance, and policy impacts.
• Perform detailed data analysis using Excel and other analytic tools to support reimbursement studies, financial projections, and client deliverables.
• Collaborate with multidisciplinary teams to translate complex reimbursement rules and financial data into actionable insights and client recommendations.
• Support client communications by preparing clear, accurate, and professional presentations, reports, and technical documentation.
• Contribute to project management activities, including meeting deadlines, managing workplans, and ensuring high-quality deliverables.
• Participate in business development efforts by supporting proposal development and identifying opportunities related to hospital finance and reimbursement work.
• Manage client relationships by understanding requirements, gathering and organizing information, analyzing data, presenting findings, and providing advice or implementation plans.
• Lead and manage teams, provide developmental feedback, and serve as a mentor for other staff members.
• Ensure performance meets or exceeds expectations in billable hours, budget management, quality standards, and participation in internal initiatives.
• Complete administrative duties such as training, reporting, timesheets, expense reports, and forecasting in a timely manner.

Qualifications

Education

• Bachelor’s degree in Business Management, Public Health, or a related discipline is required.
• Equivalent work experience may be considered but is not preferred.
• Master’s degree in a related discipline is strongly preferred.

Experience

• Minimum of 7 years of progressively responsible experience in hospital finance, healthcare reimbursement, consulting, auditing, or a related field.
• At least 5 years of experience involving publicly-funded healthcare including policy, administration, operations, compliance, research, consulting, or evaluation.

Knowledge, Skills, and Abilities

• Deep knowledge of Medicare reimbursement methodologies, including cost reporting and related add-on payment programs.
• Demonstrated experience working with Medicare cost reports and supporting documentation/workpapers.
• Strong understanding of Medicaid programs and Medicaid supplemental payment structures.
• Advanced data analytics and Excel skills, including financial modeling, complex formulas, and data validation techniques.
• Prior consulting or audit experience with a Medicare Administrative Contractor (MAC) is strongly preferred.
• Strong project and time management skills with excellent attention to detail.
• Ability to multi-task, meet strict deadlines, and handle confidential information discreetly.
• Excellent oral and written communication skills with the ability to clearly explain complex regulatory and financial concepts.
• Superior interpersonal skills including leadership, accountability, and contribution to team culture.
• Demonstrated thought leadership and expertise in multiple critical healthcare areas.
• Ability to stay current with trends in areas of subject matter expertise.
• Ability to work effectively both independently and collaboratively.
• Willingness to travel frequently to client sites and offices.

Performance Metrics

Success in this role is measured by:

• Accuracy and quality of Medicare and Medicaid reimbursement analyses and deliverables.
• Effective application of hospital finance expertise to support client objectives and regulatory compliance.
• Client satisfaction, retention, and repeat engagements related to hospital finance work.
• Quality and effectiveness of data analytics, modeling, and financial reporting outputs.
• Collaboration with internal teams and contribution to knowledge-sharing within the hospital finance practice.
• Support of business development efforts through technical input, proposal support, and identification of new opportunities.

Compensation & Benefits

• Estimated salary range: $120,000 to $170,000 annually, dependent on experience, education, training, skills, certifications, and organizational needs.
• Benefits package includes health, dental, vision insurance; group life/AD&D and voluntary life/AD&D insurance; short-term and long-term disability; paid parental leave; paid time off and holidays; 401(k) employer match and safe harbor contribution; and a long-term equity incentive plan.

Location

This position requires frequent travel to client sites and company offices.