Business Performance Improvement - Healthcare Revenue Cycle Transformation Manager

Protiviti • Washington, DC

10d • $129,000 - $219,000 • Hybrid

About The Position

Protiviti is seeking a Revenue Cycle Transformation Manager for its growing Healthcare practice. The Manager leads revenue cycle initiatives for healthcare provider clients, partnering with finance, operations, and clinical leaders to address complex challenges. The role manages projects from assessment through implementation, oversees teams, timelines, and deliverables, and provides data-driven recommendations to support executive decision-making. Managers also help grow accounts, develop client relationships, mentor consultants and senior consultants, and contribute to practice capabilities and thought leadership.

The role includes leading revenue cycle assessments and transformations, optimizing workflows from patient access through cash collections and posting, analyzing revenue cycle performance, advising on regulatory and reimbursement matters, and guiding implementation and change management. Protiviti uses a hybrid workplace model combining in-person work and remote work; requirements vary by client, project, team, and other business factors. Work may take place in local Protiviti offices and on client sites, with local or out-of-state travel depending on project needs.

The position offers a base salary range of $129,000–$219,000, with a 12% bonus target opportunity and an estimated total cash range of $144,480–$245,280. Benefits include medical, dental, and vision coverage; FSA and HSA accounts; life and accident insurance; adoption and fertility assistance; paid parental leave; short- and long-term disability; a 401(k) plan with employer match; Choice Time Off; and paid holidays.

Requirements

• Bachelor’s degree in a relevant field such as Accounting, Finance, IT, Healthcare Administration, HIM, Economics, or Business.
• At least 5 years of experience in healthcare consulting, advisory services, compliance, internal audit, or provider revenue cycle operations serving large, complex healthcare providers.
• Experience leading revenue cycle improvement initiatives across hospitals, physician groups, or integrated health systems.
• Ability to assess current-state operations, identify root causes, and design practical process and performance improvements.
• Experience working with revenue cycle data and KPIs to support decision-making and performance tracking.
• Experience translating findings into clear recommendations and implementation plans.
• Strong project management skills, including managing scope, timelines, deliverables, and multiple workstreams.
• Strong communication skills for adapting messages to executive and operational audiences.
• Strong understanding of reimbursement, payer regulations, CMS guidelines, and revenue integrity practices.
• Experience building analyses, dashboards, or models to support operational and financial improvement.
• Experience with top commercial electronic health record systems, including Epic modules such as Resolute HB/PB, Cadence, and Prelude.
• Knowledge of RPA and AI applications across revenue cycle, clinical operations, analytics, and related areas.
• Ability to lead engagements in both audit/assessment and consultative environments.
• Interest in mentoring junior team members and contributing to a collaborative team culture.

Nice To Haves

• Epic certification.
• Healthcare industry-specific certifications such as CHIAP, CRCR, CHFP, CHC, CHPC, CHRC, CRIP, or CHRI, or similar certifications.

Responsibilities

• Lead revenue cycle initiatives and complex engagements for healthcare provider clients, from assessment through implementation.
• Lead revenue cycle assessments across healthcare clients to evaluate operational effectiveness, financial performance, and regulatory compliance.
• Serve as the primary client-facing manager and facilitate executive discussions with senior financial, operational, and clinical leaders.
• Translate operational findings and analyses into clear recommendations, implementation plans, and executive guidance.
• Manage project scope, timelines, deliverables, budgets, client communications, and multiple workstreams.
• Assess and redesign revenue cycle workflows from patient access through cash collections and posting.
• Identify root causes of revenue leakage and develop corrective action plans.
• Design and implement process improvements to improve revenue cycle KPIs, including Days in A/R, clean claim rate, denial and net collection rate, avoidable adjustments, and charge lag.
• Analyze daily, weekly, and monthly revenue cycle metrics; develop dashboards and reporting tools; and conduct benchmarking and financial impact modeling.
• Monitor operational and financial indicators to identify risks and performance gaps, and help define success metrics and quantify impact.
• Advise clients on CMS regulations, third-party payor guidelines, reimbursement policies, compliance requirements, and payer contract terms.
• Support clients in mitigating timely filing risk and audit exposure.
• Lead implementation of redesigned workflows and operational protocols; develop policies, procedures, and training materials; and facilitate staff education and leadership workshops.
• Guide clients through transitions from current-state to optimized future-state operations.
• Supervise and mentor consultants and senior consultants, share best practices, and contribute to team development.
• Support proposal development, RFP responses, and scope-of-work creation; identify opportunities to expand client relationships and consulting work.
• Contribute to thought leadership and internal healthcare practice capabilities.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Flexible spending account (FSA)
• Health savings account (HSA)
• Life and accident insurance
• Adoption assistance
• Fertility assistance
• Paid parental leave up to 10 weeks
• Short- and long-term disability insurance
• 401(k) plan with employer match of 50% on the first 6% of contributions
• Choice Time Off for vacation, personal needs, and sick time; new hires receive up to 20 days per calendar year
• Up to 11 paid holidays per calendar year
• Annual bonus plan with a 12% target opportunity, including additional cash and/or discretionary stock compensation opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Manager