Healthcare Revenue Cycle Transformation Manager
$129k - $219kProtiviti
JOB REQUISITION
Healthcare Revenue Cycle Transformation ManagerLOCATION
WASHINGTON DC - MCLEANADDITIONAL LOCATION(S)
JOB DESCRIPTION
You Belong Here
The Protiviti Career provides opportunity to learn inspire and advance within a collaborative and inclusive culture. We hire curious individuals for whom learning is a passion. We lean into our mission: We Care. We Collaborate. We Deliver.
At every level we champion leaders who live our values of integrity inclusion innovation and commitment to success . Imagining our work as a journey we believe integrity guides our way inclusion moves us forward together innovation creates new destinations and our commitment to success empowers us to deliver on our vision to be the most trusted global consulting firm.Where We Need You:
Protiviti is seeking a Revenue Cycle Transformation Manager to join our growing Healthcare practice.
What You Can Expect:
As a Manager you will lead revenue cycle initiatives for healthcare provider clients partnering with finance operations and clinical leaders to address complex challenges across the revenue cycle. You will manage projects end-to-end from assessment through implementation and play a key role in turning insights into practical sustainable improvements. You will oversee project teams manage timelines and deliverables and support executive decision-making with data driven recommendations. Managers contribute to account growth by identifying opportunities supporting proposals and helping expand trusted client relationships. Beyond client delivery you will support team development by mentoring consultants and senior consultants sharing best practices and contributing to internal capabilities and thought leadership within the healthcare practice.
What Will Help You Be Successful:
- Lead complex engagements with confidence balancing delivery quality client expectations and team performance.
- Identify improvement opportunities and translate analysis into clear actionable recommendations.
- Support value creation by helping define success metrics and quantifying operational and financial impact.
- Communicate effectively with client leaders adapting messages for executive and operational audiences.
- Collaborate across teams while developing others and contributing to practice growth including executing engagements in both audit/assessment as well as consultative environments.
- Experience leading revenue cycle improvement initiatives across hospitals physician groups or integrated health systems.
- Ability to assess current state operations identify root causes and design practical process and performance improvements.
- Comfort working with revenue cycle data and KPIs to support decision making and performance tracking.
- Experience translating findings into clear recommendations and implementation plans.
- Strong project management skills including managing scope timelines and multiple workstreams.
- Interest in mentoring junior team members and contributing to a collaborative team culture.
Do Your Talents Include the Following
Client Advisory & Engagement Leadership
- Leading revenue cycle assessments across multiple healthcare clients to evaluate operational effectiveness financial performance and regulatory compliance.
- Serving as the primary clientfacing manager for complex engagements facilitating executivelevel discussions with CFOs and other senior financial operational and clinical leaders.
- Translating complex operational findings into clear actionable executive recommendations.
- Managing project timelines deliverables budgets and client communications to ensure high-quality consulting outcomes.
Revenue Cycle Optimization & Transformation
- Assessing and redesign revenue cycle workflows including those from patient access to cash collections and posting.
- Identifying root causes of revenue leakage and developing corrective action plans.
- Designing and implementing process improvement initiatives to improve KPIs such as Days in A/R clean claim rate denial and net collection rate avoidable adjustments charge lag etc.
Analytics & Performance Management
- Analyzing daily weekly and monthly revenue cycle performance metrics.
- Developing executive dashboards and reporting tools to support client decision-making.
- Providing benchmarking analysis and financial impact modeling to quantify ROI opportunities.
- Monitoring operational and financial indicators to proactively identify risks and performance gaps.
Regulatory & Reimbursement Expertise
- Advising clients on CMS regulations third-party payor guidelines and state/federal reimbursement policies.
- Ensuring revenue cycle processes align with compliance requirements and payer contract terms.
- Supporting clients in mitigating timely filing risk and audit exposure.
Implementation & Change Management
- Leading implementation of redesigned workflows and operational protocols.
- Developing policies procedures and training materials to support future-state processes.
- Facilitating staff education sessions and leadership workshops to drive adoption.
- Guiding clients through operational transitions from current-state to optimized future-state environments.
Team Leadership & Business Development
- Supervising and mentoring consultants and senior consultants on engagements.
- Supporting proposal development RFP responses and scope-of-work creation.
- Contributing to thought leadership best practices and internal capability development.
- Building and maintaining strong client relationships to expand consulting opportunities.
Your Educational and Professional Qualifications:
- Bachelors degree in a relevant field (Accounting Finance IT Healthcare Administration HIM Economics or Business).
- 5 years of experience in healthcare consulting advisory services compliance internal audit or provider revenue cycle operations serving large complex healthcare providers preferably integrated health systems.
- Experience working with top commercial electronic health record systems including Epic (Resolute HB/PB Cadence Prelude or related modules); Epic certification a plus.
- Strong understanding of reimbursement payer regulations CMS guidelines and revenue integrity practices.
- Experience building analyses dashboards or models to support operational and financial improvement.
- Knowledge of RPA and AI applications across revenue cycle clinical operations analytics and related areas.
- Healthcare industry specific certifications (e.g. CHIAP CRCR CHFP CHC CHPC CHRC CRIP CHRI etc.) or similar a plus.
Our Hybrid Workplace
Protiviti practices a hybrid model which is a combination of working in person with a purpose and working remotely. This model creates meaningful experiences for our people and our clients while offering a flexible environment. The ratio of remote to in-person requirements varies by client project team and other business factors. Our people work both in person in local Protiviti offices and on client sites which can include local or out-of-state travel based on our projects and client requests and commitments.
Starting salary is based on a full-time equivalent schedule. Placement in the range is dependent upon experience skills and geographic work location. Below is the salary range for this job.
$129000.00 - $219000.00Our annual bonus plan provides eligible employees additional cash and/or discretionary stock compensation opportunities. Below is the bonus target opportunity for this job.
12%The total cash range is estimated from the sum of the base salary range plus the bonus target opportunity. Below is the estimated total cash range for this job.
$144480.00 - $245280.00Employees are eligible for medical dental and vision coverages FSA and HSA healthcare accounts life and accident insurance adoption and fertility assistance paid parental leave up to 10 weeks and short/long term disability. We offer eligible employees a company 401(k) savings and investment plan with an employer match of 50% on the first 6% of your contributions. We provide Choice Time Off (CTO) for vacation personal needs and sick time. The amount of (CTO) varies based on years of service. New hires receive up to 20 days of CTO per calendar year. Protiviti also recognizes up to 11 paid holidays each calendar year.
Learn more about the variety of rewards we offer at Protiviti at benefits outlined are part of our reward offerings for full-time employees in the U.S. Your Open Enrollment materials insurance contracts plan documents and Summary Plan Descriptions together comprise the official plan document which legally governs the administration of your benefit plans. Protiviti reserves the right to terminate or amend your benefit plans in any way and at any time.Protiviti is an Equal Opportunity Employer. M/F/Disability/Veteran
As part of Protivitis employment process any offer of employment is contingent upon successful completion of a background check.
Protiviti is committed to being an equal employment employer offering opportunities to all job seekers including individuals with disabilities. If you believe you need a reasonable accommodation in order to search for a job opening or to apply for a position please contact us by sending an email to or call View phone number on drjobpro.com for assistance.
In your email please include the following:
The specific accommodation requested to complete the employment application.
The location(s) (city state) to which you would like to apply.
For positions located in San Francisco CA: Protiviti will consider qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.
For positions located in Los Angeles County CA: Protiviti will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
Protiviti is not registered to hire or employ personnel in the following states West Virginia Alaska.
Protiviti is not licensed or registered as a public accounting firm and does not issue opinions on financial statements or offer attestation services.
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