Senior Consultant - Revenue Cycle Management

Health Management Associates

About The Position

The Senior Consultant is responsible for helping organizations through healthcare-related research, technical assistance, grant writing, policy analysis, strategic planning, procurements, program development, quality improvement, financial and reimbursement strategies, operational support, evaluation, product development and a range of other tasks. As an experienced expert within the firm, the Senior Consultant is responsible for client services, project management, and supporting the firm’s efforts to develop business through participation in the competitive and/or non-competitive proposal development process. We are seeking a Senior Consultant within the Finance & Operations practice, to support Revenue Cycle engagements. In this role you will focus on healthcare revenue cycle services, including: Performance improvement planning and implementation Revenue cycle process optimization Net revenue enhancement and financial sustainability Coding and billing audits Denials management Technology evaluation and optimization Insourcing/outsourcing transition planning and vendor management Specific Responsibilities – Revenue Cycle Analyze large data sets and benchmark key performance indicators. Interpret data trends to identify root causes of revenue cycle performance issues. Translate analytical findings into improvements that drive measurable financial impact. Assess workflows and technology configuration. Identify operational bottlenecks and underutilized system functionality. Lead and manage revenue cycle improvement initiatives from planning through execution and measurement. Develop structured action plans, timelines, and milestones aligned to operational improvement goals. Lead cross-functional teams, interacting with management and front-line staff. Facilitate client meetings that lead to decisions and action. Translate complex operational and data insights into clear recommendations. Communicate effectively with management and executive-level client staff.

Requirements

Minimum of a bachelor’s degree in business management, public health, or a related discipline is required. Equivalent work experience in lieu of a bachelor’s degree, although not desired, may be determined as acceptable.
Minimum of 5 years of progressively increasing prior experience in work involving publicly funded healthcare including, but not limited to policy, administration, operations, compliance, research, consulting, or evaluation.
Strong project management skills.
Solid time management skills.
Excellent attention to detail.
Ability to multi-task and adhere to strict deadlines.
Capable of handling confidential information in a discreet manner.
Ability to work extended hours when deadlines are approaching.
Excellent internal and excellent professional networking skills.
Excellent critical thinking skills.
Exceptional oral and written communication skills.
Superior interpersonal skills, including leadership, contribution to culture, and acceptance of accountability.
Demonstrated thought leadership and deep expertise in more than one critical healthcare area.
Ability to maintain an approach to stay current in trends in areas of subject matter expertise.

Nice To Haves

Prior consulting experience in healthcare revenue cycle required.
Prior work experience in healthcare administration and/or revenue cycle operations highly valued.
Progressive experience in healthcare revenue cycle, patient access, billing, coding, revenue integrity, clinical documentation improvement, or related field.
Advanced data analytics skills, including financial modeling, complex formulas, and data validation techniques.
Advanced Microsoft Excel proficiency, including pivot tables, complex formulas, data modeling, and structured data analysis; experience with SQL is a bonus.
Experience working with complex revenue cycle data structures, including:
Accounts receivable and aged trial balance
Transaction level patient accounting data, including payments, adjustments, and reason codes
Electronic data interchange transactions
Integrated datasets across multiple source systems (billing, clearinghouse, payer, etc.)
Experience with data visualization tools such as Power BI, Tableau, or Python.
Strong understanding of industry-standard revenue cycle key performance indicators and benchmarks.
Strong understanding of healthcare payment structures and billing requirements.
Demonstrated ability to apply project management techniques, including workplans, status reporting, resource management, and quality management.
Ability to work effectively both independently and in collaborative team environments.
A master’s degree in a related discipline is strongly preferred.

Responsibilities

Analyze large data sets and benchmark key performance indicators.
Interpret data trends to identify root causes of revenue cycle performance issues.
Translate analytical findings into improvements that drive measurable financial impact.
Assess workflows and technology configuration.
Identify operational bottlenecks and underutilized system functionality.
Lead and manage revenue cycle improvement initiatives from planning through execution and measurement.
Develop structured action plans, timelines, and milestones aligned to operational improvement goals.
Lead cross-functional teams, interacting with management and front-line staff.
Facilitate client meetings that lead to decisions and action.
Translate complex operational and data insights into clear recommendations.
Communicate effectively with management and executive-level client staff.
Meets with clients and colleagues to understand requirements.
Gathers and organizes information about the issue to be solved or the procedure to be improved.
Analyzes data to identify and understand issues to be addressed.
Presents findings to internal colleagues, and clients.
Provides advice, implementation plans, and/or suggestions for improvement, according to project objectives.
Evaluates client needs, as warranted, and adjusts as appropriate.
Ensures that all deliverables are high-quality in all aspects (content, grammar, presentation, etc.).
Serves as a subject matter expert on projects.
Undertakes internal and external short-term and/or long-term project management to address identified issues and needs.
Develops and documents tools, analysis, frameworks, tracking tools, road maps, dashboards, and/or other approaches to manage a variety of large and small projects.
Supports firm business development activities to expand funded work from existing clients and/or new clients.
Develops and maintains a pipeline of future work
Participates in competitive and/or non-competitive proposal development and submission.
Leads and manages teams, provides developmental feedback, and advances internal initiatives.
Serves as a mentor for other staff members, as requested.
Ensures performance meets or exceeds HMA expectations in the following areas:
Billable hour target attainment.
Manages to budget/project caps established at the outset or assists in negotiating additional fees.
Meets quality and operational standards.
Participates in internal activities related to business strategies, forecasts, adoption of new technologies/platforms/approaches, and other process improvements.
Completes administrative requirements of the role in a punctual manner, including training, reporting, timesheets, expense reports, forecasting, and all other time-sensitive administrative duties.
All other duties as assigned.