Managing Consultant – Revenue Cycle Analytics – Healthcare

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

📋 Description

• Conduct both quantitative and qualitative data gathering, along with industry and subject-matter research, to address client challenges.

• Create and implement data-driven analytics solutions that support Revenue Cycle initiatives, focusing on denials avoidance, revenue integrity, and process enhancement.

• Develop and sustain dashboards, reports, and data visualizations that convert complex analytics into actionable insights and recommendations for clients.

• Offer expertise in insurance denial protocols and propose data-informed solutions for clients.

• Utilize appropriate tools and methodologies; engage with research journals and online resources as necessary.

• Lead engagement work stream initiatives while supervising qualitative and quantitative analyses.

• Manage representative-level client relationships and customize communication for various stakeholders.

• Review practices and conduct data analysis, interviews, and shadowing to ensure quality and identify opportunities or risks.

• Identify subsequent steps and alternatives to enhance independent work capabilities.

• Mentor and assist junior team members in analytic techniques and knowledge of revenue cycle domains.

• Foster a positive team environment while meeting client deadlines and quality standards.

• Enhance existing client relationships and take part in business development efforts.

⛳️ Requirements

• A minimum of 5 years of experience in Revenue Cycle is required.

• Ideally already at the Manager level in consulting or within the healthcare sector.

• Bachelor’s degree, Master’s degree, or equivalent in analytics, computer science, economics, finance, accounting, statistics, econometrics, public health, engineering, or related fields.

• Proven experience in leading Denials Avoidance/Prevention and Avoidable Write-Offs initiatives that yield measurable financial outcomes.

• Background in process redesign and improvement.

• Experience across the entire Revenue Cycle, including Patient Access, HIM/Coding, and Patient Financial Services.

• Familiarity with Cerner or Epic; Cerner Patient Accounting experience is a plus.

• Demonstrated proficiency with SQL/Snowflake and Tableau/Power BI is essential.

• Knowledge and experience with Python, R, SAS, SPSS, Stata, MS Access, Alteryx, or Databricks are advantageous.

• Openness to expanding analytical capabilities.

• Strong verbal and written communication skills.

• Ability to clearly present findings to client executives and internal leadership.

• Willingness to travel infrequently, up to 20%, based on project needs and client expectations.

• Must provide verification of legal authorization to work in the U.S. without company sponsorship.

🏝️ Benefits

• Equal Opportunity Employer.

• Reasonable accommodation for essential job functions.