Guidehouse Healthcare Revenue Cycle Management - Epic CDM - Managing Consultant in Helena, Montana
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com.
Managing Consultants own client engagements from cultivation to completion. In this role, you will be accountable for the activities of the project team and support the day-to-day management of the client relationship. You are expected to effectively develop and manage work plans, staffing, deadlines and budgets for multiple complex projects simultaneously. Work products are expected to be high-quality and client-ready. In this visible role, you will lead team meetings, and guide, manage, and coach consultants and senior consultants, providing constructive feedback on project participation and overall career development. Managing Consultants work closely with Directors and Managing Directors to keep them abreast of project progress and important developments. Managing Consultants support sales initiatives and practice development.
We encourage career development and hiring for the long term. As a Managing Consultant, you will follow a clearly defined career path and continue to develop your project management and client relationship skills. As you are ready drive strategic solutions across multiple complex workstreams and become more involved in business development, you will have the opportunity to progress to the Associate Director level.
Specific Responsibilities include:
i. Validate that all items and services such as procedures, patient visits, supplies, and pharmaceuticals that are charged for through the CDM are described, coded, and priced appropriately and are representative of services providedii. Monitor and evaluate requests from affiliates related to the CDM and fee schedules; iii. Perform quarterly and annual review of CPT/HCPCS code updates; iv. Monitor and analyze CDM and hospital fee schedules; v. Compile and review the CDM and fee schedules on a regular basis for distribution to stakeholders ;vi. Collect and analyze claims data to identify revenue opportunities and confirm compliance with billing and reporting requirements; vii. Read and interpret a variety of state/federal regulatory information and managed care contracts; andviii. Research inquiries related to billing and coding requirements for new procedures or products;
BA/BS Degree in Business Administration, Health Care Administration, or Clinical Administration
Epic CDM Analyst experienced required
5+ years of Healthcare Revenue Cycle CDM experience
Epic CDM knowledge
Track record of driving operational process improvement for revenue cycle optimization projects within hospitals and/or health systems
Advanced analytical and data manipulation skills using Excel
Willingness to travel to client site in Atlanta, GA, up to 75%
The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.
This role can be based in Atlanta, GA, or be virtually based from CST or EST time zones with travel to Atlanta, GA.
Due to our contractual requirements, to be eligible for this role, you must be fully COVID-19 vaccinated at time of hire. By checking the box, I attest I have read the statement above and agree to be fully vaccinated at the time of hire.
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Rewards and Benefits
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program