Senior Consultant - Finance and Operations - Revenue Cycle

Responsibilities

• Work Performed and Job Requirements
• Client management
• Gathers and organizes information about the issue to be solved or the procedure to be improved.
• Analyzes data to identify and understand issues to be addressed.
• Presents findings to internal colleagues, and clients.
• Provides advice, implementation plans, and/or suggestions for improvement, according to project objectives.
• Evaluates client needs, as warranted, and adjusts as appropriate.
• Serves as a subject matter expert on projects.
• Project management
• Undertakes internal and external short-term and/or long-term project management to address identified issues and needs.
• Develops and documents tools, analysis, frameworks, tracking tools, road maps, dashboards, and/or other approaches to manage a variety of large and small projects.
• Business development
• Supports firm business development activities to expand funded work from existing clients and/or new clients.
• Develops and maintains a pipeline of future work.
• Participates in competitive and/or non-competitive proposal development and submission.
• Leadership
• Led and managed teams, provided developmental feedback, and advanced internal initiatives.
• Served as a mentor for other staff members, as requested.

Qualifications

• Education/Training
• Minimum of a bachelor’s degree in business management, public health, or a related discipline is required.
• A master’s degree in a related discipline is strongly preferred.
• Experience
• Minimum of 5 years of progressively increasing prior experience in work involving publicly funded healthcare including, but not limited to policy, administration, operations, compliance, research, consulting, or evaluation.
• Knowledge, Skills And Abilities
• Strong project management skills.
• Solid time management skills.
• Excellent attention to detail.
• Ability to multi-task and adhere to strict deadlines.
• Capable of handling confidential information in a discreet manner.
• Ability to work extended hours when deadlines are approaching.
• Excellent internal and excellent professional networking skills.
• Excellent critical thinking skills.
• Exceptional oral and written communication skills.
• Superior interpersonal skills, including leadership, contribution to culture, and acceptance of accountability.
• Demonstrated thought leadership and deep expertise in more than one critical healthcare area.
• Ability to maintain an approach to stay current in trends in areas of subject matter expertise.

Additional Info

This addendum defines the specific expertise, experience, and responsibilities required for success with this Practice area. It supplements the core Job Description and is used for hiring, development, and performance management. The Senior Consultant is responsible for supporting Revenue Cycle and Medical Coding engagements. This specialization focuses on healthcare revenue cycle services, including:

• Performance improvement planning and implementation
• Revenue cycle process optimization
• Net revenue enhancement
• Professional/outpatient coding services and guidance
• Coding and billing audits
• Medicaid billing technical assistance
• Federally Qualified Health Center (FQHC) billing support
• Denials management

Preferred Expertise And Knowledge

• At least 3 years of prior management consulting experience in healthcare revenue cycle required.
• Prior work experience in healthcare administration and/or revenue cycle operations highly valued.
• Minimum of 7 years of progressive experience in healthcare revenue cycle, billing, and coding.
• Certified Outpatient Coder (COC) and/or Certified Professional Coder (CPC) with at least 3 years as a practicing coder.
• Deep experience working in the Federally Qualified Health Center environment.
• Demonstrated expertise in Medicare and Medicaid billing rules, claims and enrollment; Medi-Cal experience preferred.
• Advanced data analytics skills, including financial modeling, complex formulas, and data validation techniques.
• Advanced Microsoft Excel proficiency, including pivot tables, complex formulas, data modeling, and structured data analysis; experience with SQL is a bonus.
• Strong understanding of industry-standard revenue cycle key performance indicators and benchmarks.
• Demonstrated ability to apply project management techniques, including workplans, status reporting, resource management, and quality management.
• Ability to work effectively both independently and in collaborative team environments.