Healthcare Consulting Manager [Primary Care/Behavioral Health]

CohnReznick• , NY

3d•$105,000 - $175,000•Hybrid

About The Position

As CohnReznick grows, so do our career opportunities. As one of the nation’s top professional services firms, CohnReznick creates rewarding careers in advisory, assurance, and tax with team members who value innovation and collaboration in everything they do! CohnReznick helps organizations optimize performance, manage risk, and maximize value through CohnReznick LLP (assurance services) and CohnReznick Advisory LLC (advisory and tax services). Together, the firm provides leaders with deep industry knowledge and relationships, solutions to address clients’ unique business goals and risks, and insight on how emerging market forces can drive opportunity. With offices nationwide, the firm serves organizations around the world as an independent member of Nexia. We currently have an exciting career opportunity for a Healthcare Consulting Manager to join the Healthcare Consulting team in our Assurance practice in our New York City office.. CohnReznick is a hybrid firm and most of our professionals are located within a commutable distance to one of our offices. This position is considered hybrid which means team members are expected to be thoughtful and intentional in how they create opportunities for in-person collaboration. While the cadence of in-office presence is determined at the team level, our professionals are encouraged to be in the office/together in person on average 3 days a week. YOUR TEAM. This position will support our Healthcare Group . partners with community health centers and mission‑driven healthcare organizations to help them strengthen operations, remain compliant, and advance access to care. The group serves a wide range of federally qualified health centers and community-based providers, delivering specialized support across audit and assurance, tax, and healthcare advisory services. With deep industry knowledge and a collaborative, firmwide approach, the Community Health Group helps organizations navigate complex regulatory requirements, improve financial sustainability, and stay focused on their mission of serving underserved and vulnerable populations. WHY COHNREZNICK? At CohnReznick, we’re united by a common mission to create opportunity, value, and trust for our clients, our people, and our communities. Whether it’s working alongside your peers to solve a client challenge, or volunteering together at the local food bank, there are so many ways to find your “why” at the firm. We believe it’s important to balance work with everyday life – and make time for enjoyment and fun. We invest in a robust Total Rewards package that includes everything from generous PTO, a flexible work environment, expanded parental leave, extensive learning & development, and even paid time off for employees to volunteer. YOUR ROLE. Responsibilities include but not limited to: Conduct assessments of revenue cycle processes, staffing models, and service delivery structures. Develop recommendations and actionable implementation plans to improve operational efficiency, regulatory compliance, and revenue optimization. Analyze RCM performance metrics (AR aging, denial trends, clean claims rate, charge lag) and prepare data-driven reports and presentations for clients. Support the optimization of EHR and practice management systems, including templates, workflows, billing rules, and charge capture processes. Review third party contracts for favorable payment terms and assist providers with contract negotiations. Analysis of Value Based Care agreements and assistance with managing/improving quality performance metrics. Manage project timelines, deliverables, and client expectations to ensure high quality outcomes. Stay current on policy changes, payer regulations, and industry trends affecting behavioral health reimbursement. Advise clients on outpatient medical/behavioral health payer rules, Medicaid and Medicare billing requirements, documentation standards, and managed care processes. Support regulatory readiness efforts related to billing, documentation, and compliance. Facilitate on-site meetings, stakeholder interviews, and process observations to inform assessment and solution design. Maintains up‑to‑date knowledge of outpatient coding guidelines Participate in audits to ensure data quality and regulatory compliance. YOUR EXPERIENCE. Bachelor’s degree in Healthcare Administration, Public Health, or a related field required; Master’s degree preferred. Minimum 5 years of professional experience in healthcare consulting, healthcare operations, or a related management role within medical/behavioral health operations. Demonstrated expertise in medical/behavioral health programs, including outpatient primary care, mental health, substance use disorder services, crisis services, or integrated behavioral health. Strong understanding of payer requirements across Medicaid, Medicare, and commercial insurers. Experience with data analysis, performance improvement methodologies, and project management. Excellent verbal and written communication skills, with the ability to translate complex concepts into clear, actionable insights. Ability to work collaboratively in a hybrid environment and travel for client engagements as needed. Familiarity with major electronic health record and practice management system platforms across outpatient medical, behavioral health and substance use providers. Firsthand experience with practice management and revenue cycle systems, including registration, eligibility, coding, claims, and denials workflows. Experience reviewing third‑party payer contracts, with the ability to identify favorable reimbursement terms and payment methodologies. Demonstrated ability to support or lead contract negotiations with payers on behalf of healthcare providers. Strong understanding of Value‑Based Care (VBC) models, including quality metrics, incentive structures, and performance measurement. Advanced Excel skills, including pivot tables, lookups, and data modeling. Familiarity with telehealth platforms and virtual care workflows Proficiency with project management and collaboration tools (Microsoft Project, Teams, SharePoint). Strong proficiency with Microsoft 365 (Word, PowerPoint, Excel, Outlook, Teams, SharePoint/OneDrive). Understanding of HIPAA requirements, PHI handling, and secure data exchange concepts. Certified Profession Coder (CPC) preferred In addition, please take a moment to review our Universal Job Standards. Studies have shown that we are less likely to apply to jobs unless we meet every single qualification. At CohnReznick, we are dedicated to building a diverse, equitable, and inclusive workplace, so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we still encourage you to apply. You may be just the right candidate for this or one of our other roles.

Requirements

Bachelor’s degree in Healthcare Administration, Public Health, or a related field required; Master’s degree preferred.
Minimum 5 years of professional experience in healthcare consulting, healthcare operations, or a related management role within medical/behavioral health operations.
Demonstrated expertise in medical/behavioral health programs, including outpatient primary care, mental health, substance use disorder services, crisis services, or integrated behavioral health.
Strong understanding of payer requirements across Medicaid, Medicare, and commercial insurers.
Experience with data analysis, performance improvement methodologies, and project management.
Excellent verbal and written communication skills, with the ability to translate complex concepts into clear, actionable insights.
Ability to work collaboratively in a hybrid environment and travel for client engagements as needed.
Familiarity with major electronic health record and practice management system platforms across outpatient medical, behavioral health and substance use providers.
Firsthand experience with practice management and revenue cycle systems, including registration, eligibility, coding, claims, and denials workflows.
Experience reviewing third‑party payer contracts, with the ability to identify favorable reimbursement terms and payment methodologies.
Demonstrated ability to support or lead contract negotiations with payers on behalf of healthcare providers.
Strong understanding of Value‑Based Care (VBC) models, including quality metrics, incentive structures, and performance measurement.
Advanced Excel skills, including pivot tables, lookups, and data modeling.
Familiarity with telehealth platforms and virtual care workflows
Proficiency with project management and collaboration tools (Microsoft Project, Teams, SharePoint).
Strong proficiency with Microsoft 365 (Word, PowerPoint, Excel, Outlook, Teams, SharePoint/OneDrive).
Understanding of HIPAA requirements, PHI handling, and secure data exchange concepts.

Nice To Haves

Certified Profession Coder (CPC) preferred

Responsibilities

Conduct assessments of revenue cycle processes, staffing models, and service delivery structures.
Develop recommendations and actionable implementation plans to improve operational efficiency, regulatory compliance, and revenue optimization.
Analyze RCM performance metrics (AR aging, denial trends, clean claims rate, charge lag) and prepare data-driven reports and presentations for clients.
Support the optimization of EHR and practice management systems, including templates, workflows, billing rules, and charge capture processes.
Review third party contracts for favorable payment terms and assist providers with contract negotiations.
Analysis of Value Based Care agreements and assistance with managing/improving quality performance metrics.
Manage project timelines, deliverables, and client expectations to ensure high quality outcomes.
Stay current on policy changes, payer regulations, and industry trends affecting behavioral health reimbursement.
Advise clients on outpatient medical/behavioral health payer rules, Medicaid and Medicare billing requirements, documentation standards, and managed care processes.
Support regulatory readiness efforts related to billing, documentation, and compliance.
Facilitate on-site meetings, stakeholder interviews, and process observations to inform assessment and solution design.
Maintains up‑to‑date knowledge of outpatient coding guidelines
Participate in audits to ensure data quality and regulatory compliance.