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Managing Consultant – Revenue Cycle – Healthcare

Role overview

Qualifications

  • At least 5 years experience in Revenue Cycle, preferably at the Manager or Director level
  • Experience in leading Denials Avoidance/Prevention initiatives
  • Experience with process redesign and improvement
  • Bachelor’s or Master’s degree in related fields

Responsibilities

  • Perform data collection and analysis to solve client problems
  • Provide expertise in insurance denial protocols and recommend solutions
  • Audit practices and work to ensure quality and identify areas of opportunity
  • Manage client relationships and adapt to different client personalities

Key facts

Other skills

  • Microsoft Excel
  • Analytical Skills
  • Problem Solving
  • Organizational Skills
  • Communication
  • Teamwork

About the company

Berkeley Research Group logo

Berkeley Research Group

Berkeley Research Group, LLC (BRG) is a global consulting firm that helps leading organizations advance in three key areas: disputes and investigations, corporate finance, and performance improvement and advisory. Headquartered in California with offices around the world, we are an integrated group of experts, industry leaders, academics, data scientists, and professionals working beyond borders and disciplines. We harness our collective expertise to deliver the inspired insights and practical strategies our clients need to stay ahead of what's next. We have in-depth experience across a wide range of industries and markets, from construction and energy to technology and healthcare. No matter what sector your business is in, we have experienced professionals who understand the challenges you face—making us better equipped to help solve them.

Company details

Company typeLarge
Company size1001 - 5000

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Job description

We do Consulting Differently

The Integrated Health Solutions (IHS) practice at Berkeley Research Group (BRG) provides end-to-end advisory support to healthcare providers, payers, investors, and other stakeholders navigating complex strategic, operational, financial, and clinical challenges. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.

Our four core service offerings include: 

  • Business Transformation Advisory
  • Margin & Operational Improvement
  • Quality Improvement & Clinical Care
  • AI & Digital Solutions

Margin & Operational Improvement drives measurable financial improvement by providing clients with comprehensive solutions designed to increase revenue, optimizing cost containment strategies. This division utilizes innovative approaches to transform operating models and deliver true sustainable margin improvement. Our team of operation leaders, business analysists and deep subjects matter experts focus on implementing solutions around the following focus areas:
 

  • Workforce productivity and Human Resources
  • Supply chain and Corporate Overhead performance
  • Revenue Cycle effectiveness
  • Managed care, Revenue Integrity and Pricing Strategies
  • Ambulatory Operations and Physician Enterprise

The Revenue Cycle team is currently seeking a Consultant or Managing Consultant to join their team. This position requires a highly motivated problem solver with solid analytical ability, strong organizational skills, and a desire to advance within the organization. An individual with an entrepreneurial spirit and an ability to apply creative solutions is a natural fit for this position.  The work of a Consultant or Managing Consultant will involve both execution and oversight of engagement work stream initiatives that may be either qualitative or quantitative in nature, and responsibilities include: design of financial analysis, development and presentation of client deliverables, management of existing client relationships, industry research, and expansion of business.  

Willing to travel consistently (50% - 75%, depending on project requirements and client expectations) is required for this position. 

Responsibilities 

  • Performs data collection (quantitative and qualitative), research (industry and subject matter), and analysis utilizing basic analytic techniques to solve client problems 
  • Provides expertise in insurance denial protocols and works with the client to recommend solutions.
  • Applies appropriate tools and methodology to assignments and if unavailable completes research utilizing journals and online tools to move the initiative forward 
  • Identifies next steps and/or work arounds on assigned tasks to begin working more independently 
  • Audits practices and own work via data analysis, interviewing, and shadowing to ensure good quality work, identify inconsistencies, and elevate areas of opportunity or risk 
  • Manages client relationship at the representative level 
  • Adapts to different client personalities and internal management styles to ensure expectations are met on both ends 
  • Communicates effectively in all manner and adjusts context based on role of individual being addressed 
  • Participates in a positive team environment and works hard to meet client deadlines and quality expectations.

Qualifications 

  • At least 5 years experience in Revenue Cycle, and preferably someone already at the Manager level in consulting or Director level in the healthcare industry;
  • Experience related to leading Denials Avoidance/Prevention and Avoidable Write-Offs initiatives with measurable financial results;
  • Experience with process redesign and process improvement;
  • Experience working across the entire Revenue Cycle (including Patient Access, HIM/Coding, and Patient Financial Services) for initiatives;
  • Cerner Patient Accounting experience is preferred;
  • Completion of a Bachelor’s degree, Master’s degree, or equivalent in the areas of economics, finance, accounting, statistics, econometrics, public health, engineering or other practice related subjects; and
  • Proven capability with MS Excel is necessary.  Knowledge and experience with other analytical software (e.g., SAS, SPSS, Stata, MS Access, MS SQL Server) is preferred. A willingness to expand those capabilities is helpful.

Consultant Salary Range: $90,000 – $135,000 per year. 

Managing Consultant Salary Range: $120,000 – $165,000 per year
Job title and compensation to be determined based on qualifications and experience.   

Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.    

About BRG

BRG combines world-leading academic credentials with world-tested business expertise and purpose-built emerging technologies. Our culture centers on agility and connectivity which sets us apart and gets you ahead.  

 

At BRG, our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of real-world experience, data, and human and artificial intelligence, to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges facing organizations across the globe.

 

Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking.  When paired with our global reach and resources, our diverse perspectives and technical capabilities make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world.

 

At BRG, we don’t just show you what’s possible. We’re built to help you make it happen. 


BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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