Senior Consultant/Managing Consultant, Healthcare Revenue Integrity
About The Position
Guidehouse is seeking a Manager to lead client engagements focused on Revenue Integrity, charge capture, charge reconciliation, and Epic EHR optimization. The Manager will leverage a data-driven approach to evaluate the full spectrum of a client’s revenue integrity operations — identifying trends, benchmarking performance, and isolating root causes of revenue leakage or inefficiency. Using these insights, the Manager will design and oversee implementation of comprehensive recommendations that may address people, process, and technology improvements. This may include redefining governance structures, enhancing staff roles and training, streamlining charge workflows, or optimizing Epic system functionality. The Manager will ensure that recommendations are both strategic and practical, aligning operational execution with organizational objectives and measurable outcomes across both hospital and professional charging environments. As a Senior Consultant in Revenue Integrity, you’ll leverage your expertise to improve financial performance, ensure compliance, and optimize charge capture processes for both hospital and professional billing environments. We are seeking a Senior Consultant with deep experience in Revenue Integrity, charge capture, and charge reconciliation, along with a strong working knowledge of Epic EHR. The Senior Consultant will partner with healthcare clients to assess current-state charge capture operations, utilize data to uncover patterns and trends that reveal areas of financial or operational opportunity, and develop actionable, evidence-based recommendations. These recommendations may span people, process, and technology domains — from redesigning workflows and refining staff roles to enhancing system configuration and reporting capabilities. The Senior Consultant will play a pivotal role in transforming data insights into operational improvements that drive measurable results, ensuring alignment with regulatory requirements and best practices across both hospital and professional charging environments.
Requirements
- Bachelor's degree
- 5+ years of revenue cycle management experience, focused on optimization and performance improvement (for Manager role)
- 5+ years of management consulting/consulting like, professional services, and/or project management experience (for Manager role)
- Demonstrated ability to present to large groups, both externally and within the practice
- Proven success in driving operational process improvement and change management for revenue cycle optimization projects within hospitals and/or health systems
- Intermediate to advanced data manipulation and analytical skills using Excel
- 3+ years of revenue cycle management experience, focused on optimization and performance improvement (for Senior Consultant role)
- 3+ years of management consulting/consulting like, professional services, and/or project management experience (for Senior Consultant role)
- Deep experience in Revenue Integrity, charge capture, and charge reconciliation (for Senior Consultant role)
- Strong working knowledge of Epic EHR (for Senior Consultant role)
Nice To Haves
- Master's degree or higher in Business Administration, Health Care Administration, Clinical Administration
- Certifications in Epic
- AI technology experience in Healthcare Revenue Cycle
Responsibilities
- Lead revenue integrity consulting projects.
- Guide clients through operational transformation.
- Ensure the delivery of measurable financial outcomes.
- Lead client engagements focused on Revenue Integrity, charge capture, charge reconciliation, and Epic EHR optimization.
- Leverage a data-driven approach to evaluate the full spectrum of a client’s revenue integrity operations.
- Identify trends, benchmark performance, and isolate root causes of revenue leakage or inefficiency.
- Design and oversee implementation of comprehensive recommendations addressing people, process, and technology improvements.
- Redefine governance structures, enhance staff roles and training, streamline charge workflows, or optimize Epic system functionality.
- Ensure recommendations are strategic and practical, aligning operational execution with organizational objectives and measurable outcomes.
- Improve financial performance, ensure compliance, and optimize charge capture processes.
- Assess current-state charge capture operations.
- Utilize data to uncover patterns and trends that reveal areas of financial or operational opportunity.
- Develop actionable, evidence-based recommendations.
- Transform data insights into operational improvements that drive measurable results.
- Ensure alignment with regulatory requirements and best practices.
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Parental Leave and Adoption Assistance
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Student Loan PayDown
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
- Mobility Stipend
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What This Job Offers
Job Type
Full-time
Career Level
Senior
