Manager, Healthcare AI & Revenue Cycle Management
KPMG Advisory practice is at the forefront of transformation, offering excellent opportunities for individuals to advance their careers and expertise. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. With a wealth of learning and career development opportunities, a world-class training facility, and leading market tools, we help our people continue to grow both professionally and personally.
About the role
KPMG is currently seeking a Manager, Healthcare AI Revenue Cycle Management to join our Provider Modernization Practice. This role involves contributing to assessments of provider organization patient access and revenue cycle capabilities, leveraging AI tools, and working with clients to design or redesign business processes for optimized efficiency.
Responsibilities
- Independently and collaboratively contribute to assessments of provider organization patient access and revenue cycle capabilities, including clinical departments, contact centers, central billing offices, and all related front-end/back-end functions through site observations, stakeholder interviews, document review, data-driven insights, and process mapping.
- Leverage AI building capabilities to enable revenue cycle and access functions including Electronic Health Record (EHR) platforms, Customer Relationship Management (CRM), payment management, process automation, mobile experience, and analytic tools.
- Work with clients to design or redesign business processes integrating AI tools for optimized efficiency, incorporating tools and techniques such as RPA/IA while utilizing and adapting to KPMG methodologies and tools.
- Facilitate program and project management office activities, preparation and review of engagement work papers, written briefings, and status reports for healthcare clients, including action items and issue/risk logs.
- Conduct research, perform data collection, analysis, synthesis, and narrative development to support project deliverables and presentation content for clients and the KPMG project team.
- Manage an internal team of engagement resources to achieve desired outcomes, provide mentoring services to peers and staff-level resources, and serve as Performance Management Leader for Associates, including annual performance reviews.
Requirements
- Minimum five years of consulting experience focused on operations performance improvement, systems integration, or equivalent industry experience (front, middle, and back office experience preferred).
- Minimum two years of direct supervisory experience, with preference for two to three years of experience managing teams.
- Bachelor's degree from an accredited college/university; preferred concentrations include Health Care Administration, Business, Management Information Systems, Economics, Industrial Engineering, and Accounting.
- Progressive experience using AI tools in implementing operational improvement plans across all phases of healthcare revenue cycle management and patient access, including financial clearance, scheduling, referral management, billing, follow-up/collections, and vendor management.
- Experience building AI tools to handle, analyze, and evaluate large data sets with advanced analytics and visualization tools; working with project management teams, drafting status reports, tracing issues, monitoring resources, and workflow analysis/design.
- Deep understanding of the intersection of AI capabilities around scheduling/registration functions, financial clearance, clinical documentation, care delivery and care coordination, patient flow/throughput, referral management, clinical/operational/financial analytics, reporting, and key initiatives such as patient experience transformations.
- Proficiency with foundational consulting skills such as analytical, written, and verbal communication; appropriate client presence, facilitation, and presentation abilities.
- Ability to travel as necessary.
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
Benefits
KPMG offers a comprehensive compensation and benefits package, including:
- A variety of medical and dental plans, vision coverage, disability and life insurance.
- 401(k) plans.
- A robust suite of personal well-being benefits to support mental health.
- Personal Time Off per fiscal year, depending on job classification, standard work hours, and years of service.
- Two annual breaks where employees will not be required to use Personal Time Off: one at year-end and another around the July 4th holiday.
Additional details about benefits can be found on the KPMG US Careers site.
Pay
KPMG complies with all local/state regulations regarding displaying salary ranges. Salary is determined based on relevant factors such as applicant's skills, job responsibilities, prior relevant experience, certain degrees and certifications, and market considerations. For city-specific salary ranges outside of California, visit KPMG's Pay Transparency page.