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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-timeTysons, VA, USA

About the Job

Requirements

  • A bachelor's degree in a relevant field: Accounting, Finance, Information Technology, Healthcare Administration, Health Information Management, Economics, or Business.
  • At least 5 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 top commercial electronic health record systems, including Epic (Resolute HB/PB, Cadence, Prelude, or related modules); Epic certification is a 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.
  • Knowledge of robotic process automation and artificial intelligence applications across revenue cycle, clinical operations, analytics, and related areas.

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, overseeing project teams, timelines, and deliverables and supporting executive decision-making with data-driven recommendations.
  • Lead complex engagements, balancing delivery quality, client expectations, and team performance.
  • Identify improvement opportunities and translate analysis into clear, actionable recommendations.
  • Help define success metrics and quantify operational and financial impact.
  • Communicate recommendations to client leaders, adapting messages for executive and operational audiences.
  • Execute engagements in audit, assessment, and consultative environments.
  • Lead revenue cycle assessments across multiple healthcare clients to evaluate operational effectiveness, financial performance, and regulatory compliance.
  • Serve as the primary client-facing manager for complex engagements, facilitating executive-level discussions with CFOs 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 KPIs such as Days in A/R, 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 CMS 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, RFP responses, 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.
  • Healthcare industry-specific certifications such as CHIAP, CRCR, CHFP, CHC, CHPC, CHRC, CRIP, CHRI, or similar.
  • Experience serving integrated health systems.

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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