Consulting Leader in Healthcare Clinical Integrity

Job Family:

Finance & Accounting Consulting

Travel Required:

Up to 50%

Clearance Required:

None

What You Will Do:
Guidehouse is engineering revenue cycle and clinical integrity on a platform that can power the future of health services reimbursements. Complexity, friction and duplicity impede healthcare transactions. Our Finance group is focused on ensuring healthcare providers align contracts with the right reimbursement strategies/operations and engineer revenue cycle operations, simplify consumer experience and minimize administrative cost. Our approach is to strategically and operationally elevate the entire healthcare experience for patients leveraging our full scope of reimbursement capabilities along with cutting-edge technology in machine learning, automation and financial technology to reimagine revenue cycle. You will be responsible for managing client relationships and overseeing account projects. This position requires outstanding client management, problem-solving, and communication skills; experience leading complex revenue cycle engineering and operations spanning multiple teams and stakeholders; and managing C-suite relationships and communications. In this role, you will drive internal strategic and operational initiatives at the convergence of clinical documentation, risk adjustment and the electronic health record. 

Key Responsibilities:

• Support the growth of the team: help hire, develop, and mentor team members; plan for the future by identifying and addressing bottlenecks, gaps, and risks
• Develop and maintain strong client relationships that provide leverage for decision-making and effective change management
• You will refine Guidehouse Clinical Integrity solutions and shape our consulting team and deliverables to identify and analyze current clinical documentation and coding to align and achieve excellence in risk adjustment, clinical documentation efficiency and medical management.
• Disciplined and focused on business growth, project execution and client satisfaction. 
• You will develop efficient workflows and implement technology solutions within the revenue cycle's operating systems.
• Contribute to the design, documentation, and execution of repeatable and scalable client clinical integrity frameworks and client deliverables.
• You will provide account management strategies that deliver an industry leading client experience
• Work cross-functionally within Guidehouse revenue cycle/finance teams as well as our broader portfolio of healthcare services to bring integrated sustainable solutions to healthcare clients
• Proactively contribute to the strategic direction and priorities for the finance/RCM Operations team

What You Will Need:

• 10+ yrs. working in health system complex finance operations with a heavy focus leading clinical integrity strategy and operations design and implementation.
• Demonstrated success in complex problem solving and root cause analysis and structured solutioning to better engineer clinical documentation and coding for the consumer, business and clinician to measurably improve satisfaction and impact.
• 7+ yrs. experience independently owning senior level stakeholder relationships/communication and accountability for delivering successful cross-functional project outcomes
• 3+ yrs. management consulting experience managing client and internal teams responsible for revenue cycle engineering and operational effectiveness
• Proficient understanding of EMR applications (Epic and Cerner)
• 10+ yrs. exploring, interpreting and designing process workflows, data, and metadata to synthesize and execute strategies for process improvement
• You have the ability to quickly synthesize information and data and present to senior level stakeholders
• 3+ yrs. selling $2M+ credited annually of consulting or professional services (heavily preferred)
• Ability to create standardized processes with strong organization, time management and project management skills
• Bachelors Degree from Accredited College
• Travel up to 60%

What Would Be Nice To Have:

• You have demonstrated ability to carry a collaborative culture and management style to interactions with other Stakeholders, including those at Guidehouse and the client
• Strong written and oral communication skills
• Experience in assisting develop value-based payment arrangements and strategies, with an emphasis on aligning and achieving excellence in risk adjustment, clinical documentation efficiency and medical management.
• Expertise in Medicare Advantage/Managed Care, risk contracting, shared savings arrangements, and/or post acute care consulting.

The annual salary range for this position is $128,800.00-$283,500.00