Senior Strategic Consultant Revenue Integrity

The Wilshire Group

2d•Onsite

About The Position

We are seeking a highly experienced Senior Strategic Consultant of Revenue Integrity to support a large healthcare organization in California. This role will focus on revenue cycle optimization, revenue integrity, and Epic system enhancements, working closely with both operational and IT stakeholders. This individual will play a critical role in driving performance improvements, optimizing workflows, and supporting ongoing Epic initiatives, including post-live optimization and strategic revenue cycle transformation efforts.

Requirements

10+ years of Epic Revenue Cycle experience
Deep expertise in: Epic Resolute Hospital Billing (HB)
Epic Resolute Professional Billing (PB)
Proven experience in: Revenue Integrity
Charge capture optimization
CDM management and consolidation
Denial management and claims optimization
Strong background in Epic system build, configuration, and workflow design
Experience leading large-scale implementations or optimizations within complex health systems
Demonstrated ability to work as a liaison between operations and IT
Strong project management and stakeholder engagement skills
Strategic thinking with a strong execution focus
Ability to influence executive stakeholders
Analytical problem-solving skills
Strong communication and facilitation abilities
Ability to operate independently in a consulting environment

Nice To Haves

Epic Certifications in one or more: Resolute Hospital Billing
Resolute Professional Billing
Prelude / ADT / MyChart
Experience with Epic reporting tools: Reporting Workbench
SlicerDicer
Dashboards and Reporting Universes
Experience in academic medical centers or multi-hospital systems
Background in integrated clinical charge capture and workflow optimization

Responsibilities

Serve as a strategic advisor to Revenue Cycle and Revenue Integrity leadership
Lead and support Epic revenue cycle optimization initiatives, including Hospital Billing (HB) and Professional Billing (PB)
Partner with clinical, operational, and IT teams to improve charge capture, billing workflows, and reimbursement performance
Evaluate and enhance: Charge capture processes
CDM (Charge Description Master) strategy and maintenance
Workqueues and claim edits
Denial prevention and revenue recovery workflows
Provide project management leadership across multiple initiatives: Implementation planning
Operational readiness
Go-live and post-live support
Facilitate cross-functional meetings, including executive-level reporting and strategy sessions
Translate operational needs into Epic system design and build enhancements
Support workflow redesign and process improvement initiatives
Ensure compliance with payer, regulatory, and internal revenue integrity standards
Assist with financial reporting, analytics, and performance tracking