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Protiviti

Global consulting on risk, IT, audits

Healthcare Revenue Cycle Transformation Manager

Operations & Supply Chain ConsultingConfirmed live in the last 24 hours
Full-timeMcLean, VA, USA$129k - $219k

About the Job

Requirements

  • A bachelor’s degree in a relevant field such as Accounting, Finance, Information Technology, Healthcare Administration, Health Information Management, Economics, or Business is required.
  • At least five years of experience in healthcare consulting, advisory services, compliance, internal audit, or provider revenue cycle operations serving large, complex healthcare providers, preferably integrated health systems.
  • Experience working with leading commercial electronic health record systems, including Epic Resolute HB/PB, Cadence, Prelude, or related modules.
  • A strong understanding of reimbursement, payer regulations, Centers for Medicare & Medicaid Services guidelines, and revenue integrity practices is required.
  • Experience building analyses, dashboards, or models to support operational and financial improvement is required.
  • Knowledge of robotic process automation and artificial intelligence applications across revenue cycle, clinical operations, analytics, and related areas is required.
  • The successful candidate must be able to lead complex engagements while balancing delivery quality, client expectations, and team performance.
  • The successful candidate must be able to identify improvement opportunities and translate analysis into clear, actionable recommendations.
  • The successful candidate must be able to help define success metrics and quantify operational and financial impact.
  • The successful candidate must be able to communicate effectively with client leaders and adapt messages for executive and operational audiences.
  • The successful candidate must be able to collaborate across teams, develop others, contribute to practice growth, and execute engagements in audit, assessment, and consultative environments.
  • The successful candidate must have experience leading revenue cycle improvement initiatives across hospitals, physician groups, or integrated health systems.
  • The successful candidate must be able to assess current-state operations, identify root causes, and design practical process and performance improvements.
  • The successful candidate must be comfortable working with revenue cycle data and key performance indicators to support decision-making and performance tracking.
  • The successful candidate must be able to translate findings into clear recommendations and implementation plans.
  • Strong project management skills, including managing scope, timelines, and multiple workstreams, are required.
  • The successful candidate should be interested in mentoring junior team members and contributing to a collaborative team culture.

Responsibilities

  • Lead revenue cycle initiatives for healthcare provider clients, partnering with finance, operations, and clinical leaders to address complex revenue-cycle challenges.
  • Manage projects end to end, from assessment through implementation, and turn insights into practical, sustainable improvements.
  • Oversee project teams, timelines, and deliverables, and support executive decision-making with data-driven recommendations.
  • Identify account-growth opportunities, support proposals, and help expand trusted client relationships.
  • Mentor consultants and senior consultants, share best practices, and contribute to internal capabilities and thought leadership within the healthcare practice.
  • Lead revenue cycle assessments across healthcare clients to evaluate operational effectiveness, financial performance, and regulatory compliance.
  • Serve as the primary client-facing manager for complex engagements and facilitate executive-level discussions with chief financial officers and other senior financial, operational, and clinical leaders.
  • Translate complex operational findings into clear, actionable executive recommendations.
  • Manage project timelines, deliverables, budgets, and client communications to ensure high-quality consulting outcomes.
  • Assess and redesign revenue-cycle workflows, from patient access through cash collections and posting.
  • Identify root causes of revenue leakage and develop corrective action plans.
  • Design and implement process-improvement initiatives to improve key performance indicators such as days in accounts receivable, clean claim rate, denial and net collection rate, avoidable adjustments, and charge lag.
  • Analyze daily, weekly, and monthly revenue-cycle performance metrics.
  • Develop executive dashboards and reporting tools to support client decision-making.
  • Provide benchmarking analysis and financial-impact modeling to quantify return-on-investment opportunities.
  • Monitor operational and financial indicators to proactively identify risks and performance gaps.
  • Advise clients on Centers for Medicare & Medicaid Services regulations, third-party payor guidelines, and state and federal reimbursement policies.
  • Ensure revenue-cycle processes align with compliance requirements and payer contract terms.
  • Support clients in mitigating timely filing risk and audit exposure.
  • Lead implementation of redesigned workflows and operational protocols.
  • Develop policies, procedures, and training materials to support future-state processes.
  • Facilitate staff education sessions and leadership workshops to drive adoption.
  • Guide clients through operational transitions from current-state to optimized future-state environments.
  • Supervise and mentor consultants and senior consultants on engagements.
  • Support proposal development, requests for proposals, and scope-of-work creation.
  • Contribute to thought leadership, best practices, and internal capability development.
  • Build and maintain strong client relationships to expand consulting opportunities.

Desired Qualifications

  • Epic certification is a plus.
  • Healthcare industry-specific certifications such as CHIAP, CRCR, CHFP, CHC, CHPC, CHRC, CRIP, or CHRI, or similar certifications, are a plus.
  • Experience serving integrated health systems is preferred.

About the Company

Protiviti

Global consulting on risk, IT, audits

Protiviti is a global consulting firm that helps large organizations tackle risk, compliance, technology, and process challenges. It delivers tailored engagements—often long-term partnerships—drawing on experts in risk and compliance, IT consulting, internal audit, and business process improvement, including legal advisory. In technology, Protiviti assists with digital transformation, cybersecurity, and data analytics; in risk and compliance, it helps manage regulatory requirements and internal controls. Its goal is to help clients strengthen governance, reduce risk, optimize operations, and improve performance across industries, including many Fortune 1000 and Global 500 companies.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Menlo Park, CA
Founded
2002

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