Healthcare Consulting Manager [Primary Care/Behavioral Health]

Opportunity ID

9301

Department

Assurance

Location(s)

New York

State

New York

Function

Audit

Job Description

We currently have an exciting career opportunity for a Healthcare Consulting Manager to join the Healthcare Consulting team in our Assurance practice in our New York City office..

CohnReznick is a hybrid firm and most of our professionals are located within a commutable distance to one of our offices. This position is considered hybrid which means team members are 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, our professionals are encouraged to be in the office/together in person on average 3 days a week.

YOUR TEAM.

This position will support our Healthcare Group. Our 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 group serves a wide range of federally qualified health centers and community-based providers, delivering specialized support across audit and assurance, tax, and healthcare advisory services. With deep industry knowledge and a collaborative, firmwide approach, the Community Health Group helps organizations navigate complex regulatory requirements, improve financial sustainability, and stay focused on their mission of serving underserved and vulnerable populations.

YOUR ROLE.

Responsibilities include but not limited to:

• 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.
• Maintains up-to-date knowledge of outpatient coding guidelines
• Participate in audits to ensure data quality and regulatory compliance.

YOUR EXPERIENCE.

• 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.
• Demonstrated expertise in medical/behavioral health programs, including outpatient primary care, mental health, substance use disorder services, crisis services, or integrated behavioral health.
• 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

In addition, please take a moment to review our

Studies have shown that we are less likely to apply to jobs unless we meet every single qualification. At CohnReznick, we are dedicated to building a diverse, equitable, and inclusive workplace, so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we still encourage you to apply. You may be just the right candidate for this or one of our other roles.

In New York, the salary range for a Assurance 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. Salary is one component of the CohnReznick total rewards package, which includes a discretionary performance bonus, generous paid time off, expanded and inclusive parental benefits, and access to best-in-class learning and development platforms, to name a few. To learn more about life at CohnReznick, visit

"CohnReznick" is the brand name under which CohnReznick LLP and CohnReznick Advisory LLC and their respective subsidiaries provide professional services. CohnReznick LLP and CohnReznick Advisory LLC (and their respective subsidiaries) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. CohnReznick LLP is a licensed CPA firm that provides attest services to its clients. CohnReznick Advisory LLC provides tax and business consulting services to its clients. CohnReznick Advisory LLC and its subsidiaries are not licensed CPA firms.

#GD #CB #LI-ES1 #LI-Hybrid