Senior Associate - Restructuring and Turnaround Services, Healthcare and Life Sciences

Responsibilities Lead analytical workstreams across RCM engagements with focus on reimbursement performance and denial management. Conduct comprehensive denial analyses to identify root causes and quantify revenue at risk. Perform underpayment audits by modeling expected reimbursement against payer contract terms and adjudicated payments. Analyze payer contracts to assess reimbursement adequacy and support negotiation initiatives. Build and maintain dynamic reimbursement models, denial trending dashboards, and KPI scorecards. Evaluate remittance data, EOBs, and payer adjudication patterns to detect underpayment trends. Research Medicare and Medicaid reimbursement updates to inform advisory recommendations. Prepare structured analytical exhibits and client-facing deliverables including reports and presentations. Collaborate with the Managing Director and cross-functional teams to ensure analytical accuracy and deliver quality outcomes. Requirements Bachelor’s degree in Finance, Accounting, Health Administration, Health Information Management, or a related field; a Master’s degree is a plus. Minimum of 3 years of hands‑on experience in provider and/or payer analytics. Strong track record in reimbursement analysis, denial management, underpayment identification, and payer contract evaluation. Extensive knowledge of commercial, Medicare, and Medicaid reimbursement methodologies, fee schedules, and payment structures. Deep expertise in denial management including denial categorization, root cause analysis, trending, and appeals. Proficient in payer contract analysis, including rate modeling and reimbursement adequacy assessment. Highly proficient in Microsoft Excel for complex financial modeling. Experienced with data analytics tools such as Power BI, Tableau, SQL, or comparable platforms. Working knowledge of at least one major EHR or practice management system (e.g., EPIC, Cerner, Athenahealth). Familiarity with CPT, ICD-10, HCPCS, and revenue code conventions. Ability to communicate complex findings clearly and confidently in both written and verbal forms. Experience working across both provider and payer environments. #J-18808-Ljbffr Jobtailor