Revenue Cycle Consultant

The KPMG Advisory practice is at the forefront of transformation, offering excellent opportunities for individuals to advance their careers and expertise with KPMG. Looking ahead, we anticipate continued evolution and success within the practice, fostering both personal and professional development, thereby creating new pathways for growth. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility, and leading market tools, we help our people continue to grow both professionally and personally. If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory.

KPMG is currently seeking a Senior Associate, Revenue Cycle to join our Healthcare Provider Modernization practice.

Responsibilities :

• Deliver results for process improvement and transformation workstreams for revenue cycle operations work within a traditional or non-traditional healthcare system/organization; manage associates to focus on solving complex operational issues, utilizing market leading technology-enabled solutions & advanced analytics in conjunction with previous healthcare knowledge
• Collaboratively participate in client engagements focused on improvement, optimization, and transformation of processes including implementing leading practice workflows, addressing deficits in quality, and driving operational & financial outcomes across the different levels of healthcare organizations
• Work with clients to design/redesign business processes for optimized efficiency including the incorporation of tools and analytics, while utilizing and adapting to KPMG methodologies and tools; prepare client training materials, gap analyses, priority matrices, standard operating procedures, analytics, status reports, and issue/risk logs to present to clients
• Communicate regularly with engagement Managers, project team members, and client counterparts, including escalating any matters that require additional attention and consideration from the leadership team; demonstrate problem solving skills with these individuals through critical thinking, intellectual curiosity, and intellectual rigor; analyze complex issues and frame approaches for potential solutions
• Assist clients across one or more workstreams; engagement teams will be involved with assessing, validating, and benchmarking current operational performance and technology-enabled capabilities against healthcare leading practices and marketplace competitors
• Utilize or build AI tools to contribute to assessments of healthcare organizations including revenue cycle billing, follow-up/aging, denials, financial clearance capabilities, vendors, and all related front-end/back-end functions; site observations, stakeholder interviews, document review, data-driven insights, and process mapping

Qualifications :

• Minimum three years of consulting experience focused on revenue cycle operational or financial improvement, systems integration, or equivalent industry experience and demonstrated knowledge of the healthcare industry and functional leading practices; can relate these to specific client challenges.
• Bachelor's degree from an accredited college / university; preferred concentrations include Healthcare or Business Administration, Information Technology, Finance, Industrial Engineering, Nursing, Biology & Life Sciences, Economics, or a related field. Must have two years of analytics experience with handling, analyzing and evaluating large data sets using at least one of the following tools: Microsoft Excel, Tableau, Power BI, SQL, Alteryx, and/or Data Warehouse management; If an Epic recruit, experience with the following Epic modules such as Resolute (Hospital/Physician), Cadence, Prelude/ADT and Reporting Workbench
• Progressive experience implementing operational improvement plan(s) across the healthcare revenue cycle including financial clearance, scheduling, referral management, billing, follow-up/collections, and vendor management; proficiency with foundational consulting skills such as analytical, written and verbal communications, appropriate client presence, facilitation, and presentation abilities. Solid understanding of revenue cycle concepts including financial clearance, insurance verification, financial counseling, patient estimations, registration functions, referral management, operational & financial metrics, industry leading practices, and key revenue cycle key performance indicators
• Ability to travel up to 50%
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. KPMG LLP will not sponsor applicants for U.S. work visa status for this opportunity (no sponsorship is available for H-1B, L-1, TN, O-1, E-3, H-1B1, F-1, J-1, OPT, CPT or any other employment-based visa)

KPMG LLP and its affiliates and subsidiaries (“KPMG”) complies with all local/state regulations regarding displaying salary ranges. If required, the ranges displayed below or via the URL below are specifically for those potential hires who will work in the location(s) listed. Any offered salary is determined based on relevant factors such as applicant's skills, job responsibilities, prior relevant experience, certain degrees and certifications and market considerations. In addition, KPMG is proud to offer a comprehensive, competitive benefits package, with options designed to help you make the best decisions for yourself, your family, and your lifestyle. Available benefits are based on eligibility. Our Total Rewards package includes a variety of medical and dental plans, vision coverage, disability and life insurance, 401(k) plans, and a robust suite of personal well-being benefits to support your mental health. Depending on job classification, standard work hours, and years of service, KPMG provides Personal Time Off per fiscal year. Additionally, each year KPMG publishes a calendar of holidays to be observed during the year and provides eligible employees two breaks each year where employees will not be required to use Personal Time Off; one is at year end and the other is around the July 4th holiday. Additional details about our benefits can be found towards the bottom of our KPMG US Careers site at Benefits & How We Work .

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KPMG offers a comprehensive compensation and benefits package. KPMG is an equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, citizenship status, disability, protected veteran status, or any other category protected by applicable federal, state, or local laws. The attached link contains further information regarding KPMG's compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please.

KPMG recruits on a rolling basis. Candidates are considered as they apply, until the opportunity is filled. Candidates are encouraged to apply expeditiously to any role(s) for which they are qualified that is also of interest to them.

Los Angeles County applicants: Material job duties for this position are listed above. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness, and safeguard business operations and company reputation. Pursuant to the California Fair Chance Act, Los Angeles County Fair Chance Ordinance for Employers, Fair Chance Initiative for Hiring Ordinance, and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.