Lead Consultant, Healthcare Performance Improvement - Revenue Integrity - 2237043

Forvis Mazars

$108K — $180K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Finance, Accounting, Healthcare, or a related field
  • 4+ years of relevant healthcare experience
  • Experience in hospital charge setting and managed care contract modeling
  • Strong analytical skills for managing and interpreting large data sets
  • Proficiency in Microsoft Office Suite

Responsibilities

  • Lead large-scale performance improvement initiatives with a focus on revenue integrity
  • Contribute to client work on price transparency compliance and pricing strategy
  • Quantify financial impact of findings and develop actionable implementation plans
  • Manage and analyze complex data sets to uncover insights
  • Translate findings into actionable recommendations aligned with client goals
  • Create high-quality deliverables like reports and presentations
  • Prepare materials for communications with diverse stakeholders, including executives

Benefits

  • Mentoring opportunities for career development
  • Working closely with C-suite executives and leadership teams
  • Engagements that influence significant changes in healthcare organizations
  • Focus on meaningful, sustainable results for clients
  • A collaborative work environment with a focus on professional growth
Full Job Description
Description & Requirements

The Performance Improvement Healthcare Consulting team helps healthcare organizations achieve sustainable results by addressing margin erosion through targeted improvement strategies. By aligning strategic, operational, and financial initiatives, they identify opportunities and support leadership in implementing impactful changes. With a focus on strengthening margins, the team empowers providers to fulfill their mission and thrive in today's evolving healthcare environment.

What You Will Do:

  • Lead and support large-scale performance improvement initiatives with a strong emphasis on revenue integrity.
  • Contribute to client engagements focused on price transparency compliance, pricing strategy development, payor contracting, payment variance analysis, chargemaster (CDM) reviews, charge capture optimization, and charge reconciliation.
  • Quantify the financial impact of assessment findings and translate them into actionable implementation plans, including financial modeling to support charge setting and strategic pricing decisions.
  • Manage and analyze large, complex data sets to uncover insights that inform engagement strategies and drive measurable outcomes.
  • Translate data-driven findings into clear, actionable recommendations aligned with client objectives.
  • Develop high-quality deliverables-including analytics, reports, and presentations-that consistently exceed client expectations and demonstrate tangible value.
  • Prepare materials and support communications for diverse stakeholder groups, including C-suite executives, management teams, steering committees, and boards of directors.
  • Mentor junior team members by providing guidance, knowledge sharing, and professional development support.

Minimum Qualifications:

  • Bachelor's degree in Finance, Accounting, Healthcare, or a related field
  • 4+ years of relevant healthcare experience
  • Experience in hospital charge setting and managed care contract modeling, supported by strong analytical skills and the ability to manage and interpret large, complex data sets efficiently.
  • Proficient in leveraging technologies and data analytics tools to enhance revenue and charge capture processes across hospital and clinic settings.
  • Proficiency in Microsoft Office Suite

Preferred Qualifications:

  • Master's Degree
  • Prior consulting experience
  • Experience in PowerBI or Tableau
  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC)

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