[Remote] Lead Consultant, Healthcare Performance Improvement - Revenue Integrity

Note: The job is a remote job and is open to candidates in USA. Forvis Mazars US is a leading global professional services network, and they are seeking a Lead Consultant in Healthcare Performance Improvement with a focus on revenue integrity. The role involves leading large-scale performance improvement initiatives, managing complex data sets, and mentoring junior team members to drive measurable outcomes for healthcare organizations.

Responsibilities

• Lead and support large-scale performance improvement initiatives with a strong emphasis on revenue integrity
• Contribute to client engagements focused on price transparency compliance, pricing strategy development, payor contracting, payment variance analysis, chargemaster (CDM) reviews, charge capture optimization, and charge reconciliation
• Quantify the financial impact of assessment findings and translate them into actionable implementation plans, including financial modeling to support charge setting and strategic pricing decisions
• Manage and analyze large, complex data sets to uncover insights that inform engagement strategies and drive measurable outcomes
• Translate data-driven findings into clear, actionable recommendations aligned with client objectives
• Develop high-quality deliverables-including analytics, reports, and presentations-that consistently exceed client expectations and demonstrate tangible value
• Prepare materials and support communications for diverse stakeholder groups, including C-suite executives, management teams, steering committees, and boards of directors
• Mentor junior team members by providing guidance, knowledge sharing, and professional development support

Skills

• Bachelor's degree in Finance, Accounting, Healthcare, or a related field
• 4+ years of relevant healthcare experience
• Experience in hospital charge setting, reimbursement and managed care contract modeling, supported by strong analytical skills and the ability to manage and interpret large, complex data sets efficiently
• Proficient in leveraging technologies and data analytics tools to enhance revenue and charge capture processes across hospital and clinic settings
• Proficiency in Microsoft Office Suite
• Ability to travel as needed up to 35%
• Master's Degree
• Prior consulting experience
• Experience in PowerBI, Tableau, Alteryx, and/or Python
• Certified Professional Coder (CPC) or Certified Outpatient Coder (COC)

Benefits

• Group health plan benefits
• 401(K)
• Profit-sharing contributions
• Flexible time off
• Parental leave
• Non-exempt/hourly positions will be eligible for time and half pay for employees that work over 40 hours in a workweek

Company Overview

Company H1B Sponsorship