Managing Consultant - Revenue Cycle - Healthcare

Job description

We Do Consulting Differently The Integrated Health Solutions (IHS) practice at Berkeley Research Group (BRG) provides end-to-end advisory support to healthcare providers, payers, investors, and other stakeholders navigating complex strategic, operational, financial, and clinical challenges. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment. Our four core service offerings include: Business Transformation Advisory Margin & Operational Improvement Clinical & Quality Transformation AI & Digital Solutions Margin & Operational Improvement drives measurable financial improvement by providing clients with comprehensive solutions designed to increase revenue, optimizing cost containment strategies. This division utilizes innovative approaches to transform operating models and deliver true sustainable margin improvement. Our team of operational leaders, business analysts and experienced subject matter experts focuses on implementing solutions around the following focus areas: Workforce productivity and Human Resources Supply chain and Corporate Overhead performance Revenue Cycle effectiveness Managed care, Revenue Integrity and Pricing Strategies Ambulatory Operations and Physician Enterprise The Managing Consultant position is a mid-to-senior level consulting staff position. This position requires a highly motivated problem solver with strong analytical ability and a desire to advance within the organization. An individual with an entrepreneurial spirit and an ability to apply creative solutions is a natural fit for this position. The work of a Managing Consultant will involve both execution and oversight of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include management of junior staff, design of statistical and financial analysis, modeling of financial data and markets, quality control, development and presentation of client deliverables, management of existing client relationships, industry research, and business development and practice growth. Responsibilities Plan and manage all aspects of small to medium sized client engagements and discrete segments of larger projects. Responsible for leading initiatives that span the Revenue Cycle continuum including Patient Access, HIM/Coding, Charge Capture, Revenue Integrity, Denials/Underpayments Management and Recovery, Patient Financial Services. Accountable for achieving operational and financial performance improvements for each engagement, including but not limited to reducing Discharged Not Final Billed (DNFB) and A/R days, driving cash acceleration activity, increasing insurance verification rates, increasing Medicaid eligibility conversions, increasing timely claim submissions, preventing denials and collections inefficiencies, managing vendor relationships, and decreasing bad debt. Lead current-state assessments, opportunity quantification analyses, and development of actionable recommendations to improve revenue cycle performance. Responsible for creating project charters, workplans, realization schedules, benefit tracking tools, client deliverables/work products, and transition planning documents. Delegate assignments to staff, instruct and monitor progress, and review work products for completeness and accuracy. Develop analyses and financial models using transactional data and/or financial data. Develop and maintain benefit realization models and monitor project performance against established operational and financial targets. Generate client deliverables and make valuable contributions to practice articles and whitepapers. Manage client relationships with senior-level client leadership and communicate results and work products to executive stakeholders. Demonstrate creativity and efficient use of relevant software tools, analytical methods and computer models to develop solutions. Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting. Adhere to project budget and hours by prioritizing assignments and responsibilities in order to meet goals and deadlines. Qualifications Bachelor’s or Master’s degree (e.g., BS, BBA, MBA, MHA, M.A., M.S., etc.) with a preferred focus in Management, Accounting, Finance, Healthcare Administration, Business Administration, or related discipline. Applicable industry certification is preferred (e.g., CRCR, CHFP, CHAM, CRCE-I, CRCE-P, etc.). 5-8+ years of healthcare industry or consulting work experience in Revenue Cycle operations including performance improvement and process re-engineering, revenue management and redesign, and reimbursement and recovery strategies. Extensive operational expertise in any of the following Revenue Cycle functions: Patient Access, HIM/Coding, Charge Capture, Revenue Integrity, Denials/Underpayments Management and Recovery, Patient Financial Services. Strong project management experience and proven success contributing to assessments and project implementations Experience leveraging revenue cycle technologies, automation tools, AI-enabled workflows, and analytics platforms to drive operational and financial performance improvements. Ability to draft work plans, project budgets, timelines, and deliverables Excellent interpersonal skills with the ability to effectively manage team and client relationships Strong written, verbal, and presentation communication skills. Ability to present findings and recommendations to Vice Presidents, CFOs, Revenue Cycle Executives, and other senior healthcare leaders. Ability to succeed in a high-performance and rapid team environment where client expectations are consistently met or exceeded Demonstrated ability to lead project teams, mentor junior consultants, and manage multiple concurrent workstreams. Strong proficiency in Microsoft Office applications, including Word, PowerPoint, Excel, Access, and Outlook Familiarity with Epic, Cerner, Allscripts, MEDITECH, Athena/IDX desired Willing to travel extensively (50% - 80%, depending on project requirements and client expectations) Consultant Salary Range: $90,000 – $135,000 per year. Managing Consultant Salary Range: $120,000 – $165,000 per year Job title and compensation to be determined based on qualifications and experience. Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship. About BRG BRG combines world-leading academic credentials with world-tested business expertise and purpose-built emerging technologies. Our culture centers on agility and connectivity which sets us apart and gets you ahead. At BRG, our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of real-world experience, data, and human and artificial intelligence, to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges facing organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking. When paired with our global reach and resources, our diverse perspectives and technical capabilities make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world. At BRG, we don’t just show you what’s possible. We’re built to help you make it happen. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.