Managing Consultant - Healthcare Performance Improvement (Revenue Integrity) at Berkeley Research Group, LLC – California City, California
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About This Position
Position Title: Managing Consultant - Healthcare Performance Improvement (Revenue Integrity)
Location: Remote - USA
Position Type: Full time
Requisition ID: JR100355
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
Clinical & Quality Transformation
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 HPI 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.
Job title and compensation to be determined based onqualifications and experience.
Responsibilities
Assess and analyze charge generation and charge capture workflows to identify potential revenue leakage issue(s) and/or compliance risks
Review and/or draft Revenue Integrity related policies and procedures to identify improvement recommendations
Perform detailed research and analysis (e.g., gather, review, and summarize literature and data from the public domain, specialized industry resources, or client, public, and commercial databases).
Demonstrate creativity and efficient use of relevant software tools, analytical methods, and computer models to develop solutions.
Develop analyses and financial models using transactional data, financial data, and/or client provided data.
Develop and execute workplans for assigned project work
Draft client deliverables for review by project lead/manager
Work collaboratively with internal Revenue Integrity team members to develop methodology and documentation
Participate in a team environment and prioritize assignments and responsibilitiestomeet goals and deadlines; facilitate internal meetings as appropriate
Qualifications
A Bachelor’s or Master’s degree (e.g., BS, BBA, MBA, MHA, M.A., M.S., etc.) with a preferred focus in Management, Accounting, Finance, Healthcare Administration, Business Administration, Health Information Management or related discipline.
4-8 years of consulting and/or industry work experience in Revenue Integrity and/or Charge Integrity including performance and process improvement, revenue management and redesign, and reimbursement and recovery strategies. Job title and compensation to be determined based onqualifications and experience.
Operational expertise with a primary focus on Charge Description Master (CDM) Management, Charge Capture, Revenue Integrity, Denials Prevention, HIM/Coding/Outpatient Clinical Documentation Improvement, Denials Prevention, and Payer Contracting.
Understanding of the Medicare IPPS, OPPS and ASC payment systems
Understanding of documentation and various charge capture and charge generation processes across high-volume, revenue-producing hospital departments
Understanding of charge reconciliation processes
Familiarity with compliance principles as related to Revenue and Charge Integrity
Familiarity with regulatory changes that impact charging practices
Familiarity with clinical operations and billing office workflows
Strong verbal and written communication and presentation skills
Strong proficiency in MS Office applications, including Word, PowerPoint, Excel, Access, and Outlook
Applicable industry certification is preferred (e.g., RHIA, RHIT, CPC, COC, CCS, CRIP or other AHIMA / AAPC / AAHAM certification).
Familiarity with various EMRs (e.g. Epic, Cerner, Allscripts, MEDITECH, Athena/IDX)
Willing to travel consistently (50% - 75%, depending on project requirements and client expectations) is required for this position.
Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.
Consultant Salary Range: $90,000 – $135,000 per year.
Managing Consultant Salary Range: $120,000 – $165,000 per year
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About BRG
BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead.
At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for 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 from diverse perspectives that, when paired with our global reach and resources, 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.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities