Senior Consultant/Managing Consultant, Healthcare Revenue Integrity

Guidehouse Inc.

Job Overview

Location

US - Remote (Any location)

Job Type

Full-time

Full Job Description

📋 Description

• Lead client engagements focused on healthcare revenue integrity, charge capture, charge reconciliation, and Epic EHR optimization to improve financial performance and operational efficiency.
• Evaluate the full spectrum of clients’ revenue integrity operations using a data-driven approach to identify trends, benchmark performance, and isolate root causes of revenue leakage or inefficiency.
• Design and oversee implementation of comprehensive recommendations addressing people, process, and technology improvements across hospital and professional charging environments.
• Redefine governance structures, enhance staff roles and training, streamline charge workflows, and optimize Epic system functionality to align with organizational objectives and measurable outcomes.
• Partner with healthcare clients to assess current-state charge capture operations and uncover financial or operational opportunities through data analysis and evidence-based insights.
• Translate data insights into actionable operational improvements that ensure compliance with regulatory requirements and industry best practices.
• Present findings and recommendations to large internal and external stakeholder groups, including senior leadership and clinical/financial teams.
• Manage multiple priorities with minimal supervision in a dynamic consulting environment while delivering impactful solutions under tight deadlines.
• Drive operational process improvement and change management initiatives within hospitals and health systems to optimize revenue cycle performance.
• Utilize intermediate to advanced Excel skills for data manipulation, analysis, and reporting to support decision-making and client deliverables.
• Mentor junior team members and contribute to practice development through knowledge sharing and project leadership.
• Collaborate across cross-functional teams to ensure seamless execution of revenue integrity projects from assessment through implementation.
• Maintain awareness of evolving healthcare regulations, reimbursement models, and EHR system capabilities to inform client strategies.

🎯 Requirements

• Bachelor’s degree
• 5+ years of revenue cycle management experience focused on optimization and performance improvement (Managing Consultant) / 3+ years (Senior Consultant)
• 5+ years of management consulting, professional services, or project management experience (Managing Consultant) / 3+ years (Senior Consultant)
• Demonstrated ability to present to large groups, both externally and within the practice
• Proven success in driving operational process improvement and change management for revenue cycle optimization projects within hospitals and/or health systems
• Intermediate to advanced data manipulation and analytical skills using Excel

🏖️ Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave and Adoption Assistance
• 401(k) Retirement Plan
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

Skills & Technologies

Senior

Remote

Degree Required

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Guidehouse Inc.

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About Guidehouse Inc.

Guidehouse Inc. is a global consulting and managed services provider formed in 2018 from the public sector practice of PwC. The company advises public and commercial clients on strategy, technology, risk management, and operations, focusing on energy, financial services, health, defense, and cybersecurity. With 18,000 professionals in over 60 offices worldwide, it delivers implementation support, managed services, and digital solutions to federal agencies, utilities, and Fortune 500 organizations. Guidehouse is majority-owned by Veritas Capital and partners with governments and businesses to address complex regulatory, operational, and innovation challenges.

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