Senior Manager or Associate Principal, Radiology

With over 50 years of proven success, ECG, ranked as a Best Midsized Firm to Work For 2026 by Consulting Magazine, is the most experienced healthcare consulting firm in the US. Working exclusively in this space, our people consistently demonstrate their ability to solve challenges for providers and achieve better patient outcomes. Across our eight office locations, we're seeking individuals who will show the courage to find innovative solutions and make a direct impact on the delivery of healthcare services nationwide.

About ECG

ECG is a national consulting firm that is redefining healthcare together with its clients. We provide a broad range of strategic, financial, operational, and technology-enabled consulting services to the full continuum of care, including 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.

Job Details

Join Our Radiology Practice

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.

Your Opportunity with ECG: Senior Manager or Associate Principal

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 or critical work streams.
• Influence executive-level decision-making.
• Coach and develop consultants at multiple levels.
• 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. Both roles demonstrate strong judgment, leadership maturity, and accountability for outcomes.

Your Responsibilities May Include

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-performance, 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