Senior Manager or Associate Principal, Physician Strategy Alignment Consulting

ECG Management Consultants • St. Louis, MO

11d • $205,000 - $260,000 • Hybrid

About The Position

With over 50 years of proven success, ECG, ranked as a Best Midsized Firm to Work For 2025 by Consulting Magazine, is the most experienced healthcare consulting firm in the U.S. Working exclusively in this space, our people consistently demonstrate their ability to solve challenges for providers and achieve better outcomes for patients. Across our eight office locations, we’re seeking individuals who will demonstrate the courage to find innovative solutions and make a direct impact on the delivery of healthcare services nationwide.
About ECG
ECG is a national consulting firm that is redefining healthcare together with its clients. We provide a broad range of strategic, financial, operational, and technology-enabled consulting services to the full continuum of care, including hospitals, health systems, medical groups, academic medical centers, children’s hospitals, cancer centers, ambulatory surgery centers, investors, and payers/health plans.
Our work focuses on creating practical, tailored solutions that help clients maximize resources and achieve sustainable results. We value collaboration, integrity, and innovation, and are committed to fostering an inclusive and supportive work environment.
Join Our Medical Group Optimization (MGO) Division
ECG's MGO Division works with providers to design strategies that drive alignment while being sustainable, scalable, and adaptable. As part of our team, you’ll help independent organizations to improve the performance of medical groups, with a focus on governance and leadership, operations, integration, infrastructure, and provider compensation.
Compensation Advisory, Design, and Administration Services
Our MGO team develops solutions for improving hospital-physician alignment and integration. We partner with our healthcare clients in the development and design, implementation, and administration of physician and advanced practice provider compensation strategies, balancing their goals of market competitiveness, equity, financial sustainability, and regulatory compliance.
Health System Alignment: This area aligns units/components of the health system to enable strategy and drive performance. This includes corporate/structural design; governance affiliations, professional services agreements, and comanagement models; organization and management structures; financial incentives; and funds flow.
Academic: This area works with academic medical centers/academic health systems and universities to advance their academic missions. This includes education and research planning and performance improvement, accreditation-related assistance, new program/medical school development, and affiliations.
Your Opportunity with ECG: Senior Manager or Associate Principal
As a senior manager or associate principal at ECG, you’ll play a key leadership role in driving client engagements, shaping strategy, and contributing to the firm’s growth. You’ll work alongside industry leaders, tackle complex business challenges, and advance your career in an environment that values expertise, collaboration, and innovation.
These roles are significant steps toward partnership and equity ownership in the firm. Senior managers and associate principals are recognized as emerging or established thought leaders with a proven ability to manage and sell complex engagements and build lasting client relationships.

Requirements

• Strong knowledge of and passion for the healthcare industry
• Master’s degree in business administration and/or a health-related field; bachelor’s degree in business or a health-related field preferred
• Eight years or more of progressive experience in physician strategy alignment and compensation design with expertise in assisting hospitals and health systems, children’s hospitals, and/or academic medical centers; consideration to be given to years of experience as a hospital senior executive combined with consulting experience
• Demonstrated record of solving complex problems, directing and managing individuals, and completing challenging projects
• Track record of managing multiple engagements, including work plans, deliverables, budgets and schedules, and accounts receivable
• Demonstrated record of achievement in selling and managing engagements
• Recognized as a thought leader through marketing activities such as networking with potential clients, participating in professional societies, and publishing and presenting thought leadership (whitepapers, speeches, and articles)
• Demonstrated focus on staff development, coaching, and retention, with a refined ability to provide constructive and timely feedback
• Strong written and verbal presentation skills
• Ability to travel at least 50% of the time

Responsibilities

• Leading engagements and assuming ultimate responsibility for high-quality client deliverables
• Working with the client to articulate complex issues requiring attention and strategizing with consultant teams on project approach
• Leading project teams by executing work plans; providing direction, timeline, and budget management; and facilitating data-gathering and problem-solving processes
• Leading meetings and presentations for client leadership
• Overseeing the design and implementation of recommended solutions
• Coaching and mentoring staff, writing and delivering performance reviews, and assisting with recruiting new consultants
• Associate principal level: contributing to firm growth by identifying and pursuing follow-on and new business opportunities, targeting $500,000 revenue per year
• Senior manager level: contributing to firm growth by identifying and pursuing follow-on and new business opportunities, targeting $200,000 in revenue per year
• Managing the preparation of complex proposals
• Establishing and sharing thought leadership and deep subject matter expertise
• Being a leader within the firm and contributing to the firm’s culture and success

Benefits

• We offer an attractive compensation package, challenging work, and an entrepreneurial environment where you can take ownership of your career—and get out as much as you put in.
• The job is also eligible to participate in ECG’s benefit plans, which include medical, dental, and vision coverage; a 401(k) matching program; unlimited PTO; and other wellness programs.

What This Job Offers

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