Healthcare Consulting Associate Director - Reimbursement

About the role

The Healthcare Consulting Associate Director - Reimbursement role at Dean Dorton is responsible for leading reimbursement consulting engagements, managing project scope, timelines, deliverables, and client expectations. This role involves performing and reviewing Medicare and Medicaid reimbursement analyses, analyzing reimbursement methodologies, interpreting CMS regulations, and preparing and presenting reimbursement findings to executive leadership.

Responsibilities

• Lead reimbursement consulting engagements from planning through completion while managing project scope, timelines, deliverables, and client expectations.
• Perform and review Medicare and Medicaid reimbursement analyses, including cost reports, reimbursement modeling, payment optimization, and regulatory compliance.
• Analyze reimbursement methodologies and identify opportunities to improve reimbursement outcomes and financial performance.
• Interpret CMS regulations, payer guidance, and reimbursement policies to provide practical recommendations to clients.
• Prepare and present reimbursement findings, financial analyses, and strategic recommendations to executive leadership.
• Review supporting analyses and workpapers to ensure technical accuracy, consistency, and quality.
• Identify reimbursement risks and proactively develop solutions to mitigate financial exposure.
• Monitor reimbursement trends, regulatory changes, and industry developments while translating complex guidance into actionable client recommendations.
• Collaborate with multidisciplinary consulting teams to provide integrated solutions for healthcare clients.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, public health, or related field required; master’s degree preferred.
• Minimum of 7 to 10 years of progressive experience in healthcare consulting or healthcare operations.
• CPA preferred.
• Demonstrated experience leading projects, managing teams, and overseeing client engagements.
• Strong understanding of healthcare operations, revenue cycle, payer relations, and regulatory environments.
• Experience working with physician practices, hospitals, or multi-specialty groups.
• Excellent communication skills with the ability to present to executives and stakeholders.
• Proven ability to build and maintain client relationships.
• Experience mentoring or managing consulting or operational staff preferred.