Healthcare Revenue Cycle Transformation Manager

Protiviti•Washington, DC

20h•$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 revenue cycle challenges. The role manages projects from assessment through implementation, oversees teams, timelines, and deliverables, and provides data-driven recommendations to support executive decision-making. It also contributes to account growth by identifying opportunities, supporting proposals, and strengthening client relationships. The Manager mentors consultants and senior consultants and contributes to internal capabilities, best practices, and thought leadership. The position includes client advisory and engagement leadership; revenue cycle optimization and transformation; analytics and performance management; regulatory and reimbursement advice; implementation and change management; and team leadership and business development. Work includes assessing and redesigning workflows from patient access through cash collections and posting, identifying revenue leakage, improving performance metrics, building dashboards and financial impact analyses, and guiding clients through operational change. Protiviti uses a hybrid workplace model combining purposeful in-person work and remote work. The balance varies by client, project, team, and business factors. Work may take place in local Protiviti offices and client sites, with local or out-of-state travel depending on project and client needs. The stated base salary range is $129,000–$219,000, with a 12% bonus target opportunity.

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.
Comfort working with revenue cycle data and KPIs for decision-making and performance tracking.
Experience translating findings into clear recommendations and implementation plans.
Strong project management skills, including managing scope, timelines, and multiple workstreams.
Strong communication skills, including adapting messages for 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.
Knowledge of RPA and AI applications across revenue cycle, clinical operations, analytics, and related areas.
Ability to lead complex engagements while balancing delivery quality, client expectations, and team performance.
Ability to collaborate across teams, mentor junior team members, and contribute to a collaborative team culture.

Nice To Haves

Experience working with leading commercial electronic health record systems, including Epic Resolute HB/PB, Cadence, Prelude, or related modules.
Epic certification.
Healthcare-specific certifications such as CHIAP, CRCR, CHFP, CHC, CHPC, CHRC, CRIP, CHRI, or similar.
Experience serving integrated health systems.

Responsibilities

Lead revenue cycle engagements and assessments for healthcare provider clients, evaluating operations, financial performance, and regulatory compliance.
Serve as the primary client-facing manager for complex engagements and facilitate discussions with CFOs and senior financial, operational, and clinical leaders.
Manage project scope, timelines, budgets, deliverables, 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 enhance revenue cycle KPIs, including Days in A/R, clean claim rate, denial and net collection rates, avoidable adjustments, and charge lag.
Analyze revenue cycle performance metrics and develop executive dashboards and reporting tools.
Perform benchmarking and financial impact modeling to quantify ROI opportunities and monitor risks and performance gaps.
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, and develop policies, procedures, and training materials.
Facilitate staff education sessions and leadership workshops to support adoption and guide clients through operational transitions.
Mentor and supervise consultants and senior consultants.
Support proposal development, RFP responses, and scope-of-work creation.
Contribute to thought leadership, best practices, and internal capability development.
Build and maintain client relationships and identify opportunities to expand consulting work.

Benefits

Medical, dental, and vision coverage.
Flexible spending accounts and health savings accounts.
Life and accident insurance.
Adoption and fertility assistance.
Paid parental leave up to 10 weeks.
Short- and long-term disability coverage.
Company 401(k) savings and investment plan with a 50% employer match on the first 6% of employee contributions.
Choice Time Off for vacation, personal needs, and sick time; new hires receive up to 20 days per calendar year, with the amount varying by years of service.
Up to 11 paid holidays per calendar year.
Annual bonus plan with a 12% target opportunity, including eligible cash and/or discretionary stock compensation opportunities.