Healthcare Consulting Manager [Primary Care/Behavioral Health]

About the role

This position supports the Healthcare Group within CohnReznick’s Assurance practice. The Healthcare group partners with community health centers and mission-driven healthcare organizations to help them strengthen operations, remain compliant, and advance access to care. The role involves conducting assessments of revenue cycle processes, developing recommendations, analyzing performance metrics, and supporting the optimization of EHR and practice management systems.

Responsibilities

• Conduct assessments of revenue cycle processes, staffing models, and service delivery structures.
• Develop recommendations and actionable implementation plans to improve operational efficiency, regulatory compliance, and revenue optimization.
• Analyze RCM performance metrics (AR aging, denial trends, clean claims rate, charge lag) and prepare data-driven reports and presentations for clients.
• Support the optimization of EHR and practice management systems, including templates, workflows, billing rules, and charge capture processes.
• Review third party contracts for favorable payment terms and assist providers with contract negotiations.
• Analysis of Value Based Care agreements and assistance with managing/improving quality performance metrics.
• Manage project timelines, deliverables, and client expectations to ensure high quality outcomes.
• Stay current on policy changes, payer regulations, and industry trends affecting behavioral health reimbursement.
• Advise clients on outpatient medical/behavioral health payer rules, Medicaid and Medicare billing requirements, documentation standards, and managed care processes.
• Support regulatory readiness efforts related to billing, documentation, and compliance.
• Facilitate on-site meetings, stakeholder interviews, and process observations to inform assessment and solution design.
• Maintain up-to-date knowledge of outpatient coding guidelines.
• Participate in audits to ensure data quality and regulatory compliance.

Requirements

• Bachelor’s degree in Healthcare Administration, Public Health, or a related field required; Master’s degree preferred.
• Minimum 5 years of professional experience in healthcare consulting, healthcare operations, or a related management role within medical/behavioral health operations.
• Strong understanding of payer requirements across Medicaid, Medicare, and commercial insurers.
• Experience with data analysis, performance improvement methodologies, and project management.
• Excellent verbal and written communication skills, with the ability to translate complex concepts into clear, actionable insights.
• Ability to work collaboratively in a hybrid environment and travel for client engagements as needed.
• Familiarity with major electronic health record and practice management system platforms across outpatient medical, behavioral health and substance use providers.
• Firsthand experience with practice management and revenue cycle systems, including registration, eligibility, coding, claims, and denials workflows.
• Experience reviewing third-party payer contracts, with the ability to identify favorable reimbursement terms and payment methodologies.
• Demonstrated ability to support or lead contract negotiations with payers on behalf of healthcare providers.
• Strong understanding of Value-Based Care (VBC) models, including quality metrics, incentive structures, and performance measurement.
• Advanced Excel skills, including pivot tables, lookups, and data modeling.
• Familiarity with telehealth platforms and virtual care workflows.
• Proficiency with project management and collaboration tools (Microsoft Project, Teams, SharePoint).
• Strong proficiency with Microsoft 365 (Word, PowerPoint, Excel, Outlook, Teams, SharePoint/OneDrive).
• Understanding of HIPAA requirements, PHI handling, and secure data exchange concepts.
• Certified Profession Coder (CPC) preferred.

Qualifications

• Must be legally authorized to work in the United States.
• Must be able to pass a background check.

Skills

• Strong analytical and problem-solving skills.
• Excellent interpersonal and communication skills.
• Ability to work independently and as part of a team.
• Strong attention to detail and organizational skills.
• Ability to manage multiple projects simultaneously.
• Knowledge of healthcare regulations and compliance.
• Experience with healthcare revenue cycle management.
• Experience with healthcare technology and systems.
• Experience with healthcare reimbursement and contracting.
• Experience with healthcare data analysis and reporting.
• Experience with healthcare regulatory compliance and readiness.

Benefits

At CohnReznick, we offer a comprehensive benefits package that includes:

• Generous PTO
• A flexible work environment
• Expanded parental leave
• Extensive learning & development
• Paid time off for volunteering

Pay

In New York, the salary range for a Healthcare Consulting Manager is $105,000 to $175,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications, and location, and applicable employment laws.

Schedule

The position is considered hybrid, with team members expected to be thoughtful and intentional in how they create opportunities for in-person collaboration. While the cadence of in-office presence is determined at the team level, professionals are encouraged to be in the office/together in person on average 3 days a week.