Healthcare Revenue Cycle Transformation Manager

You Belong Here

The Protiviti Career providesopportunityto 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 wholiveour values ofintegrity 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 aRevenue Cycle Transformation Managerto join ourgrowingHealthcare practice.

What You Can Expect:

As aManager you will lead revenue cycle initiatives for healthcare clients partnering with finance operations and clinical leaders to address complex challenges across the revenue cycle. You will manage projects endtoend 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 decisionmaking with datadriven recommendations. Managerscontributeto account growth byidentifyingopportunities 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 confidencebalancingdelivery quality client expectations and team performance.

• Identifyimprovement opportunities and translate analysis into clear actionable recommendations.

• Support value creation by helping define success metrics and quantifying operational andfinancial 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 executingengagements in bothaudit/assessment as well asconsultativeenvironments.

• Experience leading revenue cycle improvement initiatives across hospitals physician groups or integrated health systems.

• Ability to assesscurrent stateoperationsidentifyroot causes and design practical process and performance improvements.

• Comfort working with revenue cycle data and KPIs to supportdecisionmakingand 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

• Leadingrevenue cycle assessments across multiple healthcare clients to evaluate operational effectiveness financial performance and regulatory compliance.

• Servingas the primary clientfacing manager for complex engagementsfacilitatingexecutivelevel discussions with CFOs and other senior financial operational and clinical leaders.

• Translatingcomplex operational findings into clear actionable executive recommendations.

• Managingproject timelines deliverables budgets and client communications to ensure high-quality consulting outcomes.

Revenue Cycle Optimization & Transformation

• Assessingand redesign revenue cycle workflows includingthose from patient accesstocash collections and posting.

• Identifyingroot causes of revenue leakage anddevelopingcorrective action plans.

• Designingand implementingprocess improvement initiatives to improve KPIs such asDays in A/R clean claim rate denial and net collection rate avoidable adjustments charge lag etc.

Analytics & Performance Management

• Analyzingdaily weekly and monthly revenue cycle performance metrics.

• Developingexecutive dashboards and reporting tools to support client decision-making.

• Providingbenchmarking analysis andfinancial impactmodeling to quantify ROI opportunities.

• Monitoringoperational and financial indicators to proactively identify risks and performance gaps.

Regulatory & Reimbursement Expertise

• Advisingclients on CMS regulations third-party payor guidelines and state/federal reimbursement policies.

• Ensuringrevenue cycle processes align with compliance requirements and payer contract terms.

• Supportingclients in mitigatingtimelyfiling risk and audit exposure.

Implementation & Change Management

• Leadingimplementation of redesigned workflows and operational protocols.

• Developingpolicies procedures and training materials to support future-state processes.

• Facilitatingstaff education sessions and leadership workshops to drive adoption.

• Guidingclients through operational transitions from current-state tooptimizedfuture-state environments.

Team Leadership & Business Development

• Supervisingandmentoringconsultants and senior consultants on engagements.

• Supportingproposal development RFP responses and scope-of-work creation.

• Contributingto thought leadership best practices and internal capability development.

• Buildingandmaintainingstrong client relationships to expand consulting opportunities.
  

Your Educational and Professional Qualifications:

• Bachelors degree ina 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.

• Experience working withtop commercial electronic healthrecord systems includingEpic (Resolute HB/PB Cadence Prelude or related modules); Epic certificationa 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.

• Healthcare industry specific certifications (e.g. CHIAP CRCR CHFP CHC CHPC CHRCCRIP CHRIetc.) or similara 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 bothin personin 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.

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