Consultant, Healthcare Revenue Cycle (Software)

Strata Decision Technology•Chicago, IL

6d•Hybrid

About The Position

As a Consultant on our Healthcare Revenue Analytics team, you will partner with health system finance and revenue cycle leaders to improve net revenue performance through payor contract modeling, pricing strategy, and reimbursement analysis. You will leverage StrataJazz® as a tool to implement these strategies and drive measurable financial impact. The StrataJazz® Decision Support suite is rated #1 in KLAS and is known as the “gold standard” for understanding financial outcomes. You will partner directly with and provide guidance to key team members and executive stakeholders at the largest health systems in the world. This role is intended for professionals with hands-on experience in healthcare revenue cycle, payor contracting, or reimbursement. This role is not a pure data, reporting, or IT role. Success in this position requires a deep understanding of healthcare reimbursement and revenue cycle operations.

Requirements

Experience in healthcare revenue cycle, reimbursement, or payor contracting
Understanding of: Payor/provider contract modeling
Payor negotiations
Medicare and/or Medicaid reimbursement
Clinical coding terminology
Chargemaster management
Experience leading clients through complex projects with a focus on timeline and budget
Strong problem-solving skills with the ability to translate data into business insights
Ability to communicate clearly with both technical and non-technical audiences, including executive leadership
Advanced Excel skills (i.e. Pivot Tables, VLOOKUPs, IF Statements)
Willingness to travel within the US as needed to customer locations up to 20–35%.

Nice To Haves

Experience with creating “what-if” scenarios and building reports and dashboards
Experience implementing and configuring software
Exposure to data tools ( e.g. SQL) is helpful but not ; this role is not a technical development position

Responsibilities

Partner with customers to design and implement payor contract strategies through modeling reimbursement terms, evaluating financial impact, and optimizing net revenue performance
Model financial impact of payor/provider contract terms, reimbursement changes, and strategic scenarios to support decision-making
Advise clients on best practices in revenue cycle performance, chargemaster strategy, and market positioning
Lead design sessions with customers to define user requirements, configure payor contract models, and validate results
Using the StrataJazz® software reporting capabilities, build reports, review net revenue results at the payor and claim level, and ensure accuracy of payor models
Review and analyze customer chargemaster details to provide advisement for trends and market comparisons
Collaborate with Strata's internal teams to continuously improve product capabilities and customer outcomes
Lead onsite and web-based customer training to ensure customers understand specific features and functions related to StrataJazz®
Communicate proactively with Strata team members, managers, project managers, and executives on issues and risks that may arise during customer engagements.
Proactively develop and execute action plans to mitigate risks and ensure successful project completion
Meaningfully contribute to operational improvement and strategic growth projects to enable Strata to continue to scale operations and continually improve our level of service to customers