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

📋 Description

• Evaluate revenue cycle performance, payer composition, reimbursement frameworks, and workflows to pinpoint areas for improvement.

• Utilize expertise in Tribal health financing, encompassing AIR/OMB encounter rates, Purchased/Referred Care, and IHS/638/ISDEAA frameworks, to inform client recommendations.

• Develop financial and operational models to assess performance, fee frameworks, and business scenarios.

• Transform intricate data into actionable recommendations and client-ready presentations, proposals, and deliverables.

• Oversee deliverables, collaborate with clients and internal teams, and assist in business development and best practices.

• Support Tribal health organizations in enhancing billing, claims, payment, and reimbursement outcomes.

⛳️ Requirements

• Bachelor's or master's degree in business administration, healthcare, Tribal relations, economics, finance, or a related discipline, or an equivalent mix of education and relevant experience.

• A minimum of one year of applicable consulting or healthcare industry experience.

• Practical knowledge of revenue cycle best practices, hospital and outpatient billing, third-party reimbursement, and relevant regulations and policies.

• Familiarity with Tribal health reimbursement frameworks and payment methodologies.

• Experience with electronic medical records and practice management systems.

• Strong financial and operational analytical skills, including model development, trend identification, and the ability to present findings to executive and operational stakeholders.

• Proficient in Microsoft Excel, PowerPoint, and Word.

• Excellent communication, organizational skills, judgment, relationship management, discretion, and adaptability.

• Willingness to travel up to 25% locally and nationally.