Healthcare Consulting Manager

About Grassi

After more than 40 years of business growth and industry change, Grassi has redefined what it means to be an advisor and accountant to today’s businesses and individuals. Nationally ranked as one of the largest and fastest-growing accounting firms in the nation, Grassi is a leading provider of advisory, tax, and accounting services across key sectors including construction, architecture and engineering, not-for profit, healthcare, manufacturing and distribution, financial services, real estate, and more. Several publications have ranked us among the top accounting firms to work for, highlighting our strength in work-life balance, culture, and wellness categories.

With over 550 employees and eleven offices spanning the New York Metropolitan Area, Long Island, the Northeast, Florida, New England, Denver and an international presence in Italy, we are strategically positioned to serve clients locally and globally. In 2023, Grassi became an employee-owned company by implementing an ESOP, establishing our independence and empowering our people to drive the firm’s future success. The ESOP ensures that equity partners and all Grassi U.S. employees have the exclusive opportunity to own the firm’s stock, making them integral to the company’s future.

Job Summary

Grassi Healthcare Advisors is seeking an experienced Healthcare Consulting Manager to support healthcare provider organizations throughout New York and New Jersey in navigating complex reimbursement, financial, operational, and strategic challenges. The ideal candidate will possess extensive expertise in Medicare and Medicaid cost reporting, reimbursement rate development, Article 28 and Article 31 reimbursement methodologies, managed care contracting support, and healthcare financial analytics.

This individual will lead consulting engagements for hospitals, health systems, federally qualified health centers (FQHCs), ambulatory care providers, behavioral health organizations, nursing facilities, and physician practices. The Manager will work directly with clients and firm leadership to deliver high-value financial and reimbursement consulting services that improve organizational performance and maximize reimbursement opportunities.

Key Responsibilities

Healthcare Reimbursement & Cost Reporting

• Lead preparation, review, and analysis of Medicare, Medicaid, FQHC, and institutional cost reports.
• Conduct reimbursement analyses to identify revenue enhancement opportunities and financial risk areas.
• Assist providers with New York State Department of Health and New Jersey Department of Human Services reimbursement programs.
• Analyze Medicaid rate-setting methodologies, APG reimbursement, fee schedules, managed care payment arrangements, and supplemental payment programs.
• Prepare reimbursement impact analyses related to acquisitions, affiliations, service line expansions, and organizational restructuring.
• Support responses to governmental audits, desk reviews, and reimbursement inquiries.

Financial & Operational Consulting

• Perform healthcare financial assessments, benchmarking studies, and operational improvement analyses.
• Develop financial projections, reimbursement forecasts, and strategic business plans.
• Assist clients with budgeting, forecasting, and financial performance improvement initiatives.
• Evaluate service line profitability and contribution margin performance.
• Support value-based care, population health, and alternative payment model initiatives.

Client Engagement Management

• Manage multiple consulting engagements simultaneously while maintaining project budgets and timelines.
• Serve as the primary day-to-day contact for clients.
• Present findings and recommendations to executive leadership, boards, and governing bodies.
• Develop written reports, executive summaries, and client presentations.
• Participate in business development efforts, proposal preparation, and client relationship management.

Leadership & Team Development

• Supervise senior consultants, consultants, and analysts.
• Review work products and provide technical coaching.
• Assist in developing reimbursement methodologies, tools, and standard practices.
• Contribute to thought leadership, publications, webinars, and conference presentations.

Qualifications

Education

• Bachelor's degree in Accounting, Finance, Healthcare Administration, Public Health, Business Administration, or related field required.
• Master's degree (MHA, MBA, MPH, or related discipline) preferred.

Experience

• 7+ years of healthcare consulting, provider finance, reimbursement, or healthcare financial management experience.
• Demonstrated experience with:
• Medicare and Medicaid cost reporting
• New York and/or New Jersey reimbursement methodologies
• Article 28, Article 31, FQHC, hospital, nursing home, or physician practice reimbursement
• Rate appeals and rate development
• Managed care reimbursement analysis
• Healthcare financial modeling and forecasting
• Prior consulting experience preferred.

Technical Skills

• Advanced Excel modeling capabilities.
• Experience with healthcare reimbursement software and cost report preparation systems.
• Strong knowledge of:
• Medicare reimbursement methodologies
• Medicaid reimbursement systems
• New York State Department of Health regulations
• New Jersey Medicaid reimbursement programs
• Value-based payment arrangements
• Healthcare financial statement analysis

Professional Credentials (Preferred)

• CPA
• MBA, MHA, or MPH
• HFMA certification
• Other healthcare finance or reimbursement certifications

Core Competencies

• Healthcare reimbursement expertise
• Financial analysis and modeling
• Strategic problem solving
• Client relationship management
• Project management
• Executive presentation skills
• Business development acumen
• Leadership and team mentoring
• Written communication excellence

Success Measures

The Healthcare Consulting Manager will be expected to:

• Deliver high-quality consulting engagements on time and within budget.
• Identify measurable reimbursement and financial improvement opportunities for clients.
• Maintain strong client satisfaction and retention.
• Contribute to practice growth through business development and cross-selling initiatives.
• Mentor and develop junior staff.
• Enhance Grassi Healthcare Advisors' reputation as a trusted healthcare financial and reimbursement advisor.

Location: New York City, Long Island, Upstate New York, Northern New Jersey, or hybrid/remote within the NY/NJ market.

Reports To: Consulting Principal, Partner, or Chief Executive Officer, depending on engagement structure.

Why Grassi?

Our firm is consistently ranked by Vault.com and the Best Places to Work group for our commitment to compensation, paid time off, work-life balance, culture and more. Some of the ways we accomplish this include:

Flexibility: Our work-life balance initiatives include generous paid time off, flexible “Dress for Your Day” dress code, telecommuting options, flex-time policies, and summer hours, enhanced by our Floating Summer Friday’s program, which allows team members three extra Fridays off during the summer months in addition to their PTO.

Company Culture: Here at Grassi we are dedicated to creating an environment for our team members that is positive, productive, and aligns with our company’s high standards of inclusivity, diversity, and equity. We work closely with our DEI Council and Grassi Women’s Council to organize events throughout the year to bring the firm together for open dialogue and awareness of global diversity issues. Through our charitable initiative, Grassi Gives Back , we proudly support organizations such as Ronald McDonald House, Toys for Tots, Autism Speaks, Long Island Cares, and many of our nonprofit clients.

Benefits Package: Competitive base compensation with eligibility for a raise and bonus each June or December based on performance metrics and level. Medical, Dental, and Vision Insurance, employer contribution to life insurance, 401(k) plan, ESOP, and client and employee referral bonus program.

ESOP Owned: The ESOP ensures that equity partners and all Grassi U.S. employees have the exclusive opportunity to own the firm’s stock, making them integral to the company’s future. Unlike many other ESOPs, Grassi’s is privately funded, with no outside investors or private equity firms involved in the plan.

CPA Incentive: Financial assistance toward the achievement of the CPA certification which includes the cost of the CPA study materials, CPA exam registration and sitting fees for all 4 parts (up to 2 x per part), plus the CPA application and licensing fees. Paid study time during work hours, additional paid time off to take your scheduled exam and a bonus paid upon passing the CPA exam.

Learning and Development : We offer Continuing Professional Education (CPE) opportunities, including both technical and soft skills training. These opportunities are available through internal courses and external programs led by well-known industry instructors, all at no cost to our employees.

Wellness Resources: Discounted gym memberships and various wellness initiatives and programs such as the CALM app that helps our team members lower stress, decrease anxiety, improve focus, and get more restful sleep.

Recruitment Fraud Notice: Grassi Advisory Group, Inc. and its affiliated entities (“Grassi”) will never ask candidates to pay fees, purchase equipment, or provide payment information. Legitimate recruiting communications from Grassi are sent only from an @grassiadvisors.com email address and will not be conducted via text message, WhatsApp, or other messaging apps. If you are unsure about a communication, do not respond, please verify it by calling Grassi’s main phone number listed on our official website.