Senior Manager or Associate Principal, Radiology

ECG Management Consultants•Boston, MA

84d•Hybrid

About The Position

ECG, a leading healthcare consulting firm with over 50 years of experience, is seeking individuals to join its Radiology Practice. The practice focuses on optimizing radiology services for health systems, academic medical centers, and physician groups by addressing physician alignment, governance, compensation design, operational improvement, and performance management. The goal is to strengthen radiologist engagement, enhance care delivery, and establish sustainable models that support both clinical excellence and financial performance. Senior managers and associate principals at ECG are experienced consulting leaders responsible for guiding complex engagements, shaping client strategy, and contributing to the firm's growth. They influence executive-level decision-making, coach consultants, and contribute to business development and client relationships. Senior managers typically lead large engagement portions and team execution, while associate principals offer broader strategic influence and focus on relationship development and market growth. Both roles require strong judgment, leadership maturity, and accountability.

Requirements

Master’s degree in business administration and/or master’s degree in a health-related field preferred
Senior Manager: Typically 8+ years of experience in healthcare consulting, healthcare operations, or analytics
Associate Principal: Typically 10+ years of experience in healthcare consulting, operations, or analytics
7 or more years of progressive leadership, consulting, or practice management experience within radiology, including physician practice operations, strategic planning, financial management, compensation design, and organizational performance improvement
Recognized subject matter expertise in radiology practice management, including professional billing, revenue cycle operations, physician productivity measurement, funds flow methodologies, compensation models, benchmarking, staffing, and operational performance analytics
Experience working within a radiology group practice, academic radiology department, faculty practice plan, radiology management organization, imaging services company, or physician services platform, with responsibility for practice operations, financial performance, and physician engagement
Experience supporting or leading radiology operations within an academic medical center (AMC), integrated health system, private practice radiology group, imaging services organization (e.g., RadNet), or private equity-backed radiology or physician practice management platform preferred
Demonstrated understanding of radiology business models across academic, employed, independent, and private equity-backed practice environments, including governance structures, physician alignment strategies, professional services agreements, and enterprise partnerships
Deep expertise in radiology data and performance management, including productivity reporting, physician compensation analytics, work RVU benchmarking, staffing models, service-level performance metrics, access management, and financial reporting
Experience developing and evaluating radiology funds flow methodologies, faculty compensation plans, call coverage arrangements, and physician incentive programs that align organizational, departmental, and physician objectives
Previous healthcare consulting experience serving radiology practices, academic departments, health systems, physician groups, or imaging organizations, with a demonstrated ability to lead client engagements, develop executive-level recommendations, and drive implementation of strategic and operational initiatives
Proven ability to establish credibility and serve as a trusted advisor to radiology department chairs, chiefs, executive committees, physician leaders, health system executives, and administrative leaders on complex organizational, operational, and financial issues
Exceptional analytical, communication, and relationship management skills, with the ability to translate complex operational and financial data into actionable strategies for physician and executive audiences
Proven ability to lead complex engagements, influence senior clients, and develop high‑performing teams
Advanced analytical, communication, and executive presentation skills
Demonstrated experience contributing to or leading business development efforts
Strong judgment and ability to operate effectively in dynamic, ambiguous environments
Ability to thrive in a hybrid consulting environment and travel as needed
Having the permanent legal right to work in the United States is a condition of employment. ECG is not currently able to provide assistance to candidates requiring sponsorship or a visa.

Nice To Haves

Experience supporting or leading radiology operations within an academic medical center (AMC), integrated health system, private practice radiology group, imaging services organization (e.g., RadNet), or private equity-backed radiology or physician practice management platform preferred

Responsibilities

Lead major client engagements or critical work streams.
Influence executive‑level decision-making.
Coach and develop consultants at multiple levels.
Contribute to business development and long‑term client relationships.
Lead significant components of complex client engagements, ensuring accurate, insightful, and actionable deliverables.
Integrate quantitative and qualitative analyses across multiple data sources to generate evidence‑based insights.
Facilitate strategic, sensitive, or politically complex discussions with stakeholders at all organizational levels.
Anticipate and manage project risks, competing priorities, and organizational dynamics.
Lead or support change management efforts and help clients navigate ambiguity.
Design and oversee advanced analytical models, frameworks, and methodologies.
Diagnose root causes of complex, systemic issues and guide teams through structured problem‑solving.
Synthesize findings into clear, high‑impact insights that inform strategic decision‑making.
Ensure analytical rigor, relevance, and consistency across project teams.
Coach, mentor, and develop talent at multiple levels through regular feedback and sponsorship.
Foster high‑performing, inclusive teams built on trust, accountability, and learning.
Model self‑awareness, situational judgment, and adaptive leadership in high‑stakes environments.
Support talent identification, development planning, and internal advancement.
Lead high‑impact communication with internal teams and client stakeholders.
Present complex analyses and recommendations clearly and confidently to senior leaders and executives.
Adjust message, tone, and framing in real time to drive alignment and decision‑making.
Bring cross‑client insights and experience to elevate strategic dialogue.
Identify systemic strategic, operational, and performance challenges affecting healthcare organizations.
Apply advanced problem‑solving methods to shape practical, client‑ready solutions.
Anticipate long‑term risks and opportunities and guide mitigation strategies.
Continuously refine tools, approaches, and processes to improve engagement effectiveness.
Identify and pursue opportunities to expand client relationships and service offerings.
Contribute to proposal development, pitches, and strategic pursuits.
Help manage portfolios of client relationships that lead to repeat and expanded work.
Support or lead initiatives that strengthen ECG’s market presence and internal capabilities.