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Remote Senior Consultant Healthcare RCM (FQHC, Medi-Cal, CPC/COC)

vmysmartpros · All India

🌐 Remote📅 14/08/2026
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Note: The job is a remote job and is open to candidates in USA. Health Management Associates is a consulting firm specializing in healthcare solutions, and they are seeking a Senior Consultant in Healthcare RCM. The role involves advising healthcare organizations on revenue cycle improvements and managing projects to enhance financial and operational outcomes.ResponsibilitiesClient managementMeets with clients and colleagues to understand requirementsGathers and organizes information about the issue to be solved or the procedure to be improvedAnalyzes data to identify and understand issues to be addressedPresents findings to internal colleagues, and clientsProvides advice, implementation plans, and/or suggestions for improvement, according to project objectivesEvaluates client needs, as warranted, and adjusts as appropriateEnsures that all deliverables are high-quality in all aspects (content, grammar, presentation, etc.)Serves as a subject matter expert on projectsProject managementUndertakes internal and external short-term and/or long-term project management to address identified issues and needsDevelops and documents tools, analysis, frameworks, tracking tools, road maps, dashboards, and/or other approaches to manage a variety of large and small projectsBusiness developmentSupports firm business development activities to expand funded work from existing clients and/or new clientsDevelops and maintains a pipeline of future workParticipates in competitive and/or non-competitive proposal development and submissionLeadershipLeads and manages teams, provides developmental feedback, and advances internal initiativesServes as a mentor for other staff members, as requestedPerformance metricsEnsures performance meets or exceeds HMA expectations in the following areas:Billable hour target attainmentManages to budget/project caps established at the outset or assists in negotiating additional feesMeets quality and operational standardsParticipates in internal activities related to business strategies, forecasts, adoption of new technologies/platforms/approaches, and other process improvementsCompletes administrative requirements of the role in a punctual manner, including training, reporting, timesheets, expense reports, forecasting, and all other time-sensitive administrative dutiesAll other duties as assignedProvide accurate, timely guidance on detailed coding and billing questions across a wide variety of provider organizationsSupport FQHC billing and reimbursement improvement projectsAdvise providers on Medicaid and Medicare billing requirements and considerationsSupport revenue cycle improvement projects for hospitals, ambulatory and behavioral health providersAnalyze large data sets and benchmark key performance indicatorsInterpret data trends to identify root causes of revenue cycle performance issuesTranslate analytical findings into improvements that drive measurable financial impactIdentify operational bottlenecks and underutilized system functionalityTranslate complex operational and data insights into clear recommendationsSkillsHealthcare consulting experienceDemonstrated Medi-Cal expertiseDeep experience within the Federally Qualified Health Center (FQHC) environmentActive Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) certificationSignificant hands-on experience as a medical coderExtensive knowledge of Medi-Cal reimbursement, medical coding, billing, and healthcare revenue cycle operationsMinimum of a bachelor's degree in business management, public health, or a related disciplineMinimum of 5 years of progressively increasing prior experience in work involving publicly funded healthcare including, but not limited to policy, administration, operations, compliance, research, consulting, or evaluationStrong project management skillsSolid time management skillsExcellent attention to detailAbility to multi-task and adhere to strict deadlinesCapable of handling confidential information in a discreet mannerAbility to work extended hours when deadlines are approachingExcellent internal and excellent professional networking skillsExcellent critical thinking skillsExceptional oral and written communication skillsSuperior interpersonal skills, including leadership, contribution to culture, and acceptance of accountabilityDemonstrated thought leadership and deep expertise in more than one critical healthcare areaAbility to maintain an approach to stay current in trends in areas of subject matter expertiseAt least 3 years of prior management consulting experience in healthcare revenue cycle requiredPrior work experience in healthcare administration and/or revenue cycle operations highly valuedMinimum of 7 years of progressive experience in healthcare revenue cycle, billing, and codingCertified Outpatient Coder (COC) and/or Certified Professional Coder (CPC) with at least 3 years as a practicing coderDeep experience working in the Federally Qualified Health Center environmentDemonstrated .
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