Strategy & Operations Managing Consultant – Physician Enterprise Revenue Cycle, Dental Care

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

📋 Description

• Oversee client workstreams from evaluating current states and identifying opportunities to redesigning workflows, implementing changes, and ensuring sustained performance.

• Evaluate and enhance patient access, eligibility and benefits verification, prior authorization, treatment estimates, point-of-service collections, charge capture, coding, claims submission, payment posting, denial management, underpayment recovery, accounts receivable follow-up, refunds, and patient billing.

• Standardize scalable revenue cycle processes across multiple dental practices.

• Ensure precise capture of preventive, restorative, surgical, orthodontic, and other specialty dental services.

• Analyze revenue leakage and drive enhancements in net and gross collection rates, clean claim rates, days in accounts receivable, accounts receivable over 90 days, denial and write-off rates, appeal success, cash acceleration, and cost to collect.

• Utilize expertise in dental coding, documentation, payer-specific billing regulations, coordination of benefits, pre-authorizations, PPO plans, Medicaid, fee-for-service reimbursement, and specialty billing requirements.

• Create dashboards, benchmarks, root-cause analyses, business cases, executive presentations, implementation roadmaps, and performance monitoring routines.

• Assess and optimize dental and medical practice management systems, revenue cycle technologies, automation, and reporting tools.

• Collaborate with executives, providers, operations, finance, clinical, credentialing, payer relations, information technology, and frontline teams.

• Travel intermittently to client locations, averaging around 80% based on engagement needs.

⛳️ Requirements

• A Bachelor's degree in healthcare administration, business, finance, health information management, or a related field is required.

• Experience in progressive healthcare revenue cycle management, physician enterprise, dental groups, or consulting is necessary.

• Experience in a dental service organization, multi-site dental group, or large ambulatory setting is strongly preferred.

• Proven ability to lead complex assessments, operational improvement initiatives, or technology-enabled transformations in client-facing or cross-functional environments.

• Extensive knowledge of front-end, mid-cycle, and back-end workflows in physician enterprises and dental settings.

• Familiarity with Current Dental Terminology coding, dental claims, treatment plan estimates, coordination of benefits, payer workflows, and reimbursement specifics across general and specialty dentistry.

• Advanced capability to interpret financial and operational data, identify root causes, quantify opportunities, and track results via meaningful key performance indicators.

• Strong competencies in workflow assessment, standardization, operating model design, implementation planning, change management, and continuous improvement.

• Ability to establish trusted relationships, facilitate discussions with executives and frontline staff, manage multiple priorities, and lead cross-functional teams in complex settings.

• Exceptional written, verbal, presentation, and facilitation skills.

• Comfortable working independently, handling ambiguity, quickly learning new systems, and balancing strategic thinking with hands-on execution.

• Willingness to adhere to a weekly travel schedule and work across various time zones.

• Must be authorized to work in the United States.

• Preferred certifications include those from the Healthcare Financial Management Association, American Association of Healthcare Administrative Management, Certified Revenue Cycle Representative, Certified Professional Coder, dental coding, Lean Six Sigma, or project management credentials.

• A Master of Healthcare Administration, Master of Business Administration, or related advanced degree is preferred.

🏝️ Benefits

• Eligibility for annual performance bonuses.

• Additional benefits and perks may be available based on the position and employment terms.

• Remote-friendly work arrangements when not traveling.

• Flexible scheduling based on client and project requirements.

• Supportive, enjoyable, honest, and autonomous work environment.

• A diverse and inclusive atmosphere where employees feel valued and empowered.