Manager, Healthcare Performance Improvement – Revenue Integrity
About The Position
The Performance Improvement Healthcare Consulting team helps healthcare organizations achieve sustainable results by addressing margin erosion through targeted improvement strategies. By aligning strategic, operational, and financial initiatives, the team identifies opportunities and supports leadership in implementing impactful changes, strengthening margins so providers can fulfill their mission and thrive in an evolving healthcare environment. The Manager leads and supports large-scale performance improvement initiatives, with a strong emphasis on revenue integrity. Client work may include price transparency compliance, pricing strategy development, payor contracting, payment variance analysis, chargemaster reviews, charge capture optimization, and charge reconciliation. The role quantifies the financial impact of assessment findings and translates them into actionable implementation plans, including financial modeling for charge setting and strategic pricing decisions. The Manager manages and analyzes large, complex data sets to inform engagement strategies and drive measurable outcomes, translates data-driven findings into actionable recommendations aligned with client objectives, and develops high-quality analytics, reports, and presentations that demonstrate tangible value. The role also prepares materials and supports communications with C-suite executives, management teams, steering committees, and boards of directors, while mentoring junior team members through guidance, knowledge sharing, and professional development support.
Requirements
- Bachelor’s degree in Finance, Accounting, Healthcare, or a related field.
- At least 5 years of relevant healthcare experience.
- Experience in hospital charge setting and managed care contract modeling.
- Strong analytical skills and ability to manage and interpret large, complex data sets efficiently.
- Proficiency in leveraging technologies and data analytics tools to enhance revenue and charge capture processes across hospital and clinic settings.
- Proficiency in Microsoft Office Suite.
Nice To Haves
- Master’s degree.
- Prior consulting experience.
- Experience with PowerBI or Tableau.
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Professional Coder (CPC) credential.
Responsibilities
- Lead and support large-scale performance improvement initiatives, particularly in revenue integrity.
- Contribute to client engagements involving price transparency compliance, pricing strategy development, payor contracting, payment variance analysis, chargemaster reviews, charge capture optimization, and charge reconciliation.
- Quantify the financial impact of assessment findings and develop actionable implementation plans, including financial modeling for charge setting and strategic pricing decisions.
- Manage and analyze large, complex data sets to uncover insights that inform engagement strategies and drive measurable outcomes.
- Translate data-driven findings into clear, actionable recommendations aligned with client objectives.
- Develop analytics, reports, and presentations that meet client expectations and demonstrate tangible value.
- Prepare materials and support communications for C-suite executives, management teams, steering committees, and boards of directors.
- Mentor junior team members through guidance, knowledge sharing, and professional development support.
Benefits
- Group health plan benefits, subject to eligibility.
- 401(K), subject to eligibility.
- Bonuses, subject to eligibility.
- Profit-sharing contributions, subject to eligibility.
- Flexible time off, subject to eligibility.
- Parental leave, subject to eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
