Senior Analyst

Senior Analyst/Associate Revenue Cycle Management - Due Diligence, Advisory & Implementation Marwood Group is a leading healthcare advisory and research firm headquartered in New York City, with offices in Washington, D.C., and London. Our Revenue Cycle Management team partners with institutional investors and healthcare organizations to drive value creation and strategic transformation initiatives across the healthcare ecosystem, including revenue optimization, operational excellence, and corporate development support. The Senior Analyst/Associate is a hands-on member of the RCM advisory team, working across the full engagement lifecycle — transaction due diligence before close, and revenue cycle transformation and implementation after it. In diligence, this individual organizes and validates disparate information, builds defensible analyses, identifies RCM risks and opportunities, and translates findings into clear executive-level deliverables under compressed timelines. In implementation, the same individual carries those findings into operational change — redesigning workflows, standing up new processes and technology with client teams, and tracking realized results against committed value. The role demands comfort operating at two altitudes: for instance, rigorous analysis for a deal team one month, and standing in a patient access or billing office facilitating a working session the next. Key Responsibilities Diligence Execution & Analytics Support engagements from kickoff through final reporting, including workplans, data requests, trackers, interview preparation, issue logs, and rapid-turn analyses. Ingest, normalize, and analyze claims, charges, payments, adjustments, denials, AR, payer, provider, location, procedure, scheduling, and staffing data. Develop analyses of AR aging and quality, DSO, collection performance, denial trends, charge and payment lag, payer mix, cash collections, productivity, and concentration risk. Reconcile detailed source data to EHR/PM reports, the general ledger, trial balance, financial statements, and quality-of-earnings outputs; investigate and explain variances. Test data completeness and internal consistency, documenting sources, assumptions, limitations, and the impact of data gaps on conclusions. Size and substantiate improvement opportunities identified in diligence so they can be carried credibly into a post-close value creation plan. Process Discovery & Operational Assessment Prepare agendas and facilitate structured interviews with RCM leaders, managers, subject-matter experts, vendors, and frontline staff. Use probing follow-up questions to understand actual workflows, ownership, handoffs, systems, controls, backlogs, exceptions, staffing constraints, KPI governance, and vendor performance. Assess end-to-end RCM operations, including patient access, eligibility and authorization, charge capture, coding, billing, payment posting, denials, AR follow-up, patient collections, credit balances, and reporting. Corroborate interview responses with data, reports, policies, and other evidence; translate observations into risks, root-cause hypotheses, opportunities, and targeted follow-up requests. Implementation & Revenue Cycle Transformation Own discrete implementation workstreams from design through go-live and stabilization, carrying assessment and diligence findings through to operational change. Translate current-state findings into future-state process design across patient access, eligibility and authorization, charge capture, coding, billing, payment posting, denials, AR follow-up, credit balances, and patient collections. Build and maintain implementation workplans, milestone schedules, issue and risk logs, and status reporting; surface dependencies and escalate risks to the engagement lead. Facilitate client working sessions with revenue cycle staff, department leadership, and IT to design, validate, and secure sign-off on future-state workflows. Support system-side execution on EHR/PM platforms, including workflow and configuration requirements, build validation, testing and UAT support, cutover readiness, and end-user training materials. Develop the artifacts that make change durable — policies, standard operating procedures, job aids, productivity standards, and KPI reporting packages the client owns after the engagement ends. Establish performance baselines and build benefit-tracking models; measure and report realized improvement in cash, AR, denial rate, cost to collect, and other committed value drivers. Evaluate and support vendor and sourcing decisions, including outsourced AR and coding partners, clearinghouse and technology selection, and automation or RPA opportunities. Support adoption and change management — stakeholder mapping, communication planning, training delivery, adoption monitoring, and handoff to client ownership. Deliverables, Quality & Collaboration Prepare client-ready Excel workpapers, PowerPoint exhibits, data books, executive summaries, meeting materials, current- and future-state process documentation, workplans, and benefit-tracking reporting. Ensure metrics are traceable to source data and calculation logic; perform formula, tie-out, formatting, consistency, and narrative quality checks. Communicate progress, dependencies, risks, and data limitations clearly; present analyses, recommendations, and implementation progress in internal reviews, client working sessions, and steering committee meetings. Manage multiple workstreams and deadlines while maintaining organized files, version control, and reproducible workpapers. Qualifications Required Bachelor's degree in healthcare administration, business, finance, accounting, health information management, analytics, or a related field. 4–8 years of relevant experience across RCM operations, healthcare finance and analytics, consulting, or transaction advisory. Prior RCM consulting or advisory experience in a professional services environment, including navigating ambiguity, managing client requests, facilitating interviews, and producing executive-ready deliverables across multiple organizations. Demonstrated revenue cycle transformation or implementation experience — ownership of a workstream that changed process, technology, or organizational structure at a provider organization, with results you can point to. Consulting-side or in-house experience both qualify. Working knowledge of end-to-end RCM functions and the operational drivers of cash, AR, denials, and reimbursement. Advanced Excel skills and strong PowerPoint capabilities, including the ability to create accurate, concise, executive-ready analyses. Ability to work with large, imperfect datasets; reconcile conflicting information; and clearly document assumptions and methods. Ability to prepare for and facilitate structured process discovery interviews and client working sessions, ask effective follow-up questions, and synthesize findings into recommendations. Comfort moving between analytical and operational work — building a defensible model for a deal team and running a workflow session with frontline staff are both part of the job. Strong written and verbal communication, attention to detail, professional judgment, and the ability to meet compressed deadlines. Willingness to travel, generally up to 50%, with extended periods of higher on-site presence during implementation design, go-live, and stabilization. Preferred Experience supporting healthcare transaction due diligence, quality-of-earnings, operational assessment, integration, or performance improvement engagements. Hands-on implementation experience on a major EHR/PM platform (Epic, Oracle Health/Cerner, MEDITECH, athenahealth, NextGen), including workflow design, build validation, testing, or go-live support. Experience with healthcare claims and remittance data, including 837/835 files, EOB/ERA detail, encounter, scheduling, or payment-to-date-of-service data. Experience with SQL, Power BI, Tableau, Alteryx, Power Query, or comparable analytics tools. Experience in private equity-backed or multi-site provider environments, including post-close integration or platform standardization. Exposure to revenue cycle automation, RPA, or AI-enabled workflow tools, including vendor evaluation and deployment. Exposure to multiple provider settings or specialties. Relevant certifications or graduate education, such as CRCR, CHFP, CPC, CCS/CCA, CPA, Lean Six Sigma, PMP, Epic certification, MHA, MBA, or a related degree. What Success Looks Like Day 30: staffed on a live engagement and ingesting, normalizing, and reconciling target data without hand-holding. Your workpapers clear review with minor comments, not rebuilds. Day 60: you own an implementation workstream outright — the workplan, the issue log, and the client working sessions are yours. The engagement lead reviews your work rather than doing it with you. Day 90: you prepare and run process discovery interviews with target-company RCM leadership on your own, and your findings land in the client deliverable substantially as you wrote them. Month 6: you have carried at least one recommendation the whole way — identified in diligence, designed into a future-state workflow, implemented to go-live, with the baseline and benefit tracking built by you. Month 12: the client calls you directly on your workstream. You are trusted to hold a piece of the relationship, and the improvement you implemented is still holding when you leave. Core attributes: analytical rigor, ownership, professional curiosity, client service, collaboration, adaptability, and attention to detail. For consideration, please email resume and cover letter as attachments with salary expectations to View email address on click.appcast.io with the subject title “Sr Analyst/Associate RCM Diligence Advisory Implementation.” Marwood offers a comprehensive compensation package with full benefits. We offer a competitive wage, a collaborative work environment and an opportunity to participate in a full benefit package, including, Medical, Dental, Vision, Life, AD&D, Voluntary Life and LTD, Spouse and Dependent Life, 401k Retirement plan with a company match, Commuter, FSA/DCFSA, professional development, and professional certification renewal reimbursement. We offer paid days off, and paid holidays. Marwood prides itself on providing employees with a good work-life balance. There is no travel expected with this position. The position is based in our New York location. Currently working a hybrid schedule. Remote option will be considered. For consideration, please email resume and cover letter as attachments with salary expectations to View email address on click.appcast.io with the subject title “Sr Analyst/Associate RCM Diligence Advisory Implementation.” We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.