Senior Manager or Associate Principal, Radiology

With over 50 years of proven success, ECG is the most experienced healthcare consulting firm in the US, ranked as a Best Midsize Firm to Work For 2026 by Consulting Magazine. We work exclusively in healthcare, helping providers solve challenges and achieve better patient outcomes. Across eight office locations, we seek individuals who will drive innovative solutions and make a direct impact on healthcare delivery nationwide.

About ECG

ECG is a national consulting firm redefining healthcare together with its clients. We provide strategic, financial, operational, and technology-enabled consulting services to hospitals, health systems, medical groups, academic medical centers, children’s hospitals, cancer centers, ambulatory surgery centers, investors, and payers/health plans. Our work focuses on creating practical, tailored solutions that help clients maximize resources and achieve sustainable results. We value collaboration, integrity, and innovation, and are committed to fostering an inclusive and supportive work environment.

About the Role

ECG’s Radiology Practice helps health systems, academic medical centers, and physician groups optimize radiology services through physician alignment, governance, compensation design, operational improvement, and performance management. The practice focuses on strengthening radiologist engagement, improving care delivery, and creating sustainable models that support both clinical excellence and financial performance across the radiology enterprise.

Senior Managers and Associate Principals at ECG are experienced consulting leaders who guide complex engagements, shape client strategy, and contribute meaningfully to the firm’s people, offerings, and market presence. At this level, you will lead major client engagements, influence executive-level decision-making, coach and develop consultants, and contribute to business development and long-term client relationships. Senior Managers typically focus on leading large portions of engagements and advancing team and project execution, while Associate Principals bring broader strategic influence, trusted-adviser presence, and increased responsibility for relationship development and market growth.

Responsibilities

• Client Service and Project Leadership
  • Lead significant components of complex client engagements, ensuring accurate, insightful, and actionable deliverables.
  • Integrate quantitative and qualitative analyses across multiple data sources to generate evidence-based insights.
  • Facilitate strategic, sensitive, or politically complex discussions with stakeholders at all organizational levels.
  • Anticipate and manage project risks, competing priorities, and organizational dynamics.
  • Lead or support change management efforts and help clients navigate ambiguity.
• Analytical and Strategic Leadership
  • Design and oversee advanced analytical models, frameworks, and methodologies.
  • Diagnose root causes of complex, systemic issues and guide teams through structured problem-solving.
  • Synthesize findings into clear, high-impact insights that inform strategic decision-making.
  • Ensure analytical rigor, relevance, and consistency across project teams.
• Leadership and People Development
  • Coach, mentor, and develop talent at multiple levels through regular feedback and sponsorship.
  • Foster high-performing, inclusive teams built on trust, accountability, and learning.
  • Model self-awareness, situational judgment, and adaptive leadership in high-stakes environments.
  • Support talent identification, development planning, and internal advancement.
• Communication and Executive Presence
  • Lead high-impact communication with internal teams and client stakeholders.
  • Present complex analyses and recommendations clearly and confidently to senior leaders and executives.
  • Adjust message, tone, and framing in real time to drive alignment and decision-making.
  • Bring cross-client insights and experience to elevate strategic dialogue.
• Strategic Thinking and Problem-Solving
  • Identify systemic strategic, operational, and performance challenges affecting healthcare organizations.
  • Apply advanced problem-solving methods to shape practical, client-ready solutions.
  • Anticipate long-term risks and opportunities and guide mitigation strategies.
  • Continuously refine tools, approaches, and processes to improve engagement effectiveness.
• Business Development and Firm Contribution
  • Identify and pursue opportunities to expand client relationships and service offerings.
  • Contribute to proposal development, pitches, and strategic pursuits.
  • Help manage portfolios of client relationships that lead to repeat and expanded work.
  • Support or lead initiatives that strengthen ECG’s market presence and internal capabilities.

Qualifications

• Master’s degree in business administration and/or master’s degree in a health-related field preferred.
• Senior Manager: Typically 8+ years of experience in healthcare consulting, healthcare operations, or analytics.
• Associate Principal: Typically 10+ years of experience in healthcare consulting, operations, or analytics.
• 7 or more years of progressive leadership, consulting, or practice management experience within radiology, including physician practice operations, strategic planning, financial management, compensation design, and organizational performance improvement.
• Recognized subject matter expertise in radiology practice management, including professional billing, revenue cycle operations, physician productivity measurement, funds flow methodologies, compensation models, benchmarking, staffing, and operational performance analytics.
• Experience working within a radiology group practice, academic radiology department, faculty practice plan, radiology management organization, imaging services company, or physician services platform, with responsibility for practice operations, financial performance, and physician engagement.
• Experience supporting or leading radiology operations within an academic medical center (AMC), integrated health system, private practice radiology group, imaging services organization (e.g., RadNet), or private equity-backed radiology or physician practice management platform preferred.
• Demonstrated understanding of radiology business models across academic, employed, independent, and private equity-backed practice environments, including governance structures, physician alignment strategies, professional services agreements, and enterprise partnerships.
• Deep expertise in radiology data and performance management, including productivity reporting, physician compensation analytics, work RVU benchmarking, staffing models, service-level performance metrics, access management, and financial reporting.
• Experience developing and evaluating radiology funds flow methodologies, faculty compensation plans, call coverage arrangements, and physician incentive programs that align organizational, departmental, and physician objectives.
• Previous healthcare consulting experience serving radiology practices, academic departments, health systems, physician groups, or imaging organizations, with a demonstrated ability to lead client engagements, develop executive-level recommendations, and drive implementation of strategic and operational initiatives.
• Proven ability to establish credibility and serve as a trusted advisor to radiology department chairs, chiefs, executive committees, physician leaders, health system executives, and administrative leaders on complex organizational, operational, and financial issues.
• Exceptional analytical, communication, and relationship management skills, with the ability to translate complex operational and financial data into actionable strategies for physician and executive audiences.
• Proven ability to lead complex engagements, influence senior clients, and develop high-performing teams.
• Advanced analytical, communication, and executive presentation skills.
• Demonstrated experience contributing to or leading business development efforts.
• Strong judgment and ability to operate effectively in dynamic, ambiguous environments.
• Ability to thrive in a hybrid consulting environment and travel as needed.

Schedule

• Full time/exempt.
• Hybrid work schedule, with a minimum of two days per week in office when not traveling for a client engagement.

Job Locations

Atlanta, Boston, Chicago, Dallas, Minneapolis, San Diego, or Washington, DC.

Pay

The estimated base salary range for this job is $205,000.00 - $260,000.00 annually. The actual salary paid will vary based on factors including years of experience, special skills, and market changes. This job is eligible to participate in ECG’s annual incentive compensation program, reflecting a pay-for-performance philosophy.

Benefits

• Medical, dental, and vision coverage.
• 401(k) matching program.
• Unlimited PTO.
• Wellness programs.