Healthcare Consulting Director – Reimbursement Specialist

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Analyze intricate payer contracts and reimbursement strategies to assess financial and cash-flow effects.

• Oversee reimbursement assessments and presentations for strategic pricing and specialized initiatives.

• Convert detailed insights into concise, actionable recommendations.

• Provide guidance to Service Capture, CDI/Coding, and Managed Care teams regarding reimbursement, cash collections, and net revenue consequences.

• Collaborate with data and analytics teams to develop reimbursement models, methodologies, and project execution.

• Act as a subject matter expert for internal teams.

• Deliver findings and proposals to clients.

• Assist in the creation and enhancement of reimbursement, strategic pricing, and Service Capture methodologies.

• Work alongside Huron and client senior leadership to design and implement intricate, sustainable solutions.

• Lead teams while fostering client relationships, business development, and sales opportunities.

⛳️ Requirements

• A Bachelor’s degree is required.

• 8+ years of experience in healthcare consulting, provider reimbursement, managed care, revenue cycle, or performance improvement.

• Extensive knowledge of healthcare payer contracts and reimbursement methodologies.

• Capability to interpret contract clauses and evaluate financial and cash-flow implications.

• Experience in assessing reimbursement frameworks, contract stipulations, pricing strategies, and revenue cycle initiatives utilizing complex healthcare financial and operational data.

• Background in developing or applying reimbursement methodologies, contract modeling, pricing evaluations, or revenue optimization strategies.

• Ability to articulate technical contract and reimbursement concepts into clear business consequences.

• Excellent client-facing communication, presentation, and relationship management abilities.

• Competence to work effectively in a primarily internal advisory role.

• Willingness to travel based on client, enterprise, or project needs.

• Proficient in Microsoft Office (Word, PowerPoint, Excel).

• US Work Authorization is required.

🏝️ Benefits

• Annual incentive compensation program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Wellness programs.

• Remote work arrangement.

• Travel requirements currently averaging less than 25% annually.