Senior Consultant - Revenue Cycle Management

Overview

A Senior Consultant position is available within the Finance & Operations practice to support healthcare revenue cycle engagements. This role involves providing expertise in healthcare-related research, technical assistance, grant writing, policy analysis, strategic planning, program development, quality improvement, financial and reimbursement strategies, operational support, evaluation, and product development.

Responsibilities

Revenue Cycle Focus

• Analyze large data sets and benchmark key performance indicators.
• Interpret data trends to identify root causes of revenue cycle performance issues.
• Translate analytical findings into improvements that drive measurable financial impact.
• Assess workflows and technology configurations.
• Identify operational bottlenecks and underutilized system functionality.
• Lead and manage revenue cycle improvement initiatives from planning through execution and measurement.
• Develop structured action plans, timelines, and milestones aligned with operational improvement goals.
• Lead cross-functional teams, interacting with management and front-line staff.
• Facilitate client meetings that lead to decisions and action.
• Translate complex operational and data insights into clear recommendations.
• Communicate effectively with management and executive-level client staff.

General Consulting and Project Management

• Meet with clients and colleagues to understand requirements.
• Gather and organize information about issues or procedures to be improved.
• Analyze data to identify and understand issues.
• Present findings to internal colleagues and clients.
• Provide advice, implementation plans, and suggestions for improvement.
• Evaluate client needs and adjust approaches as appropriate.
• Ensure all deliverables meet high standards of quality.
• Serve as a subject matter expert on projects.
• Manage short-term and long-term projects, developing tools, frameworks, tracking tools, road maps, dashboards, and other approaches.

Business Development and Leadership

• Support business development activities to expand funded work from existing and new clients.
• Develop and maintain a pipeline of future work.
• Participate in competitive and non-competitive proposal development and submission.
• Lead and manage teams, provide developmental feedback, and advance internal initiatives.
• Mentor other staff members as requested.

Performance and Administrative Duties

• Meet or exceed billable hour targets.
• Manage projects within budget or assist in negotiating additional fees.
• Meet quality and operational standards.
• Participate in internal activities related to business strategies, forecasts, and process improvements.
• Complete administrative requirements punctually, including training, reporting, timesheets, expense reports, and forecasting.
• Perform other duties as assigned.

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

Requirements

Education

• Minimum of a bachelor’s degree in business management, public health, or a related discipline is required.
• Equivalent work experience may be considered but is not preferred.
• A master’s degree in a related discipline is strongly preferred.

Experience

• Minimum of 5 years of progressively increasing experience in publicly funded healthcare involving policy, administration, operations, compliance, research, consulting, or evaluation.
• Prior consulting experience in healthcare revenue cycle is required.
• Experience in healthcare administration and/or revenue cycle operations is highly valued.
• Progressive experience in patient access, billing, coding, revenue integrity, clinical documentation improvement, or related fields.

Skills and Knowledge

• Advanced data analytics skills, including financial modeling, complex formulas, and data validation.
• Advanced proficiency in Microsoft Excel (pivot tables, complex formulas, data modeling, structured data analysis); SQL experience is a plus.
• Experience with complex revenue cycle data structures such as accounts receivable, aged trial balance, transaction-level patient accounting data, electronic data interchange transactions, and integrated datasets across multiple source systems.
• Experience with data visualization tools such as Power BI, Tableau, or Python.
• Strong understanding of industry-standard revenue cycle key performance indicators and benchmarks.
• Strong understanding of healthcare payment structures and billing requirements.
• Demonstrated project management skills including workplans, status reporting, resource management, and quality management.
• Ability to work independently and collaboratively.
• Strong project and time management skills with excellent attention to detail.
• Ability to handle confidential information discreetly.
• Ability to work extended hours when necessary.
• Excellent oral and written communication skills.
• Superior interpersonal skills including leadership and accountability.
• Demonstrated thought leadership and expertise in multiple critical healthcare areas.
• Ability to stay current with trends in areas of subject matter expertise.

Performance Metrics

Success in this role is measured by:

• Accuracy and quality of revenue cycle assessment analysis and deliverables.
• Effective application of healthcare revenue cycle expertise to support client objectives and financial improvement.
• Client satisfaction, retention, and repeat engagements.
• Quality and effectiveness of data analytics, modeling, and financial reporting.
• Collaboration and knowledge-sharing within the team and practice.
• Support of business development efforts through technical input and proposal support.

Equal Opportunity

This employer is an Equal Opportunity Employer and complies with all applicable laws regarding non-discrimination and pay transparency.