Lead Consultant, Healthcare Performance Improvement - Revenue Integrity
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Lead Consultant, Healthcare Performance Improvement - Revenue Integrity
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Join to apply for the Lead Consultant, Healthcare Performance Improvement - Revenue Integrity role at Forvis Mazars US
- Contribute to large-scale performance improvement projects with a focus on revenue integrity.
- Provide support in client engagements related to price transparency compliance, pricing strategy development, payor contracting, payment variance analyses, description master (CDM) reviews, charge capture optimization, and charge reconciliation.
- Assist in quantifying the financial impact of assessment findings and translating them into actionable implementation plans, including financial impact modeling to support charge setting and strategic pricing decisions.
- Manage and analyze large, complex data sets to generate insights that drive engagement outcomes. Translate data into meaningful recommendations that support client goals.
- Produce clear, compelling deliverables-including analytics, reports, and presentations-that consistently exceed client expectations and demonstrate measurable value.
- Assist in preparing materials and supporting communications for a range of stakeholders, including C-suite executives, management teams, steering committees, and boards of directors.
Description & Requirements
How you will contribute:
- Contribute to large-scale performance improvement projects with a focus on revenue integrity.
- Provide support in client engagements related to price transparency compliance, pricing strategy development, payor contracting, payment variance analyses, description master (CDM) reviews, charge capture optimization, and charge reconciliation.
- Assist in quantifying the financial impact of assessment findings and translating them into actionable implementation plans, including financial impact modeling to support charge setting and strategic pricing decisions.
- Manage and analyze large, complex data sets to generate insights that drive engagement outcomes. Translate data into meaningful recommendations that support client goals.
- Produce clear, compelling deliverables-including analytics, reports, and presentations-that consistently exceed client expectations and demonstrate measurable value.
- Assist in preparing materials and supporting communications for a range of stakeholders, including C-suite executives, management teams, steering committees, and boards of directors.
Minimum Qualifications
- Bachelor's Degree in a relevant field (e.g., Healthcare Administration, Business, Finance, or related discipline)
- 4+ years of relevant experience in the healthcare industry
- Specialized knowledge in revenue integrity and middle revenue cycle functions, including charge capture and reconciliation
- Experience with both hospital charge setting and managed care contract modeling
- Familiarity with technologies and data analytics tools used to enhance revenue and charge capture processes within hospital and clinic settings
- Strong analytic skills and the ability work with large quantities of data effectively and efficiently
- Experience in performance improvement initiatives, particularly those related to the accurate capture and flow of charges from clinical departments through to billing and claims
Preferred Qualifications
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Professional Coder (CPC)
- Experience with SQL and business intelligence platforms (e.g., Tableau, Power BI, etc.)
- Previous employment with a medium to large consulting firm, preferably in healthcare or revenue cycle advisory services
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Colorado's Equal Pay for Equal Work Act (SB 19-085)
Pursuant to Colorado's Equal Pay for Equal Work Act, the salary range displayed is for the Colorado market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
Colorado Salary Range
CO Minimum Salary (USD)
$ 75,000
CO Maximum Salary (USD)
$ 127,500
New York City Pay Transparency
Pursuant to the pay transparency laws of New York State and other local ordinances within the state including (but not limited to) New York City, the salary range displayed is for the New York markets. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
New York Salary Range
NY Minimum Salary (USD)
$ 92,100
NY Maximum Salary (USD)
$ 150,500
California Pay Transparency
Pursuant to the pay transparency laws of California, the salary range displayed is for the California market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
California Salary Range
CA Minimum Salary (USD)
$ 89,000
CA Maximum Salary (USD)
$ 164,000
Los Angeles County and City Fair Chance Ordinance
Los Angeles County and City Fair Chance Ordinance", Forvis Mazars will consider for employment all qualified applicants, including those with criminal histories and conviction records, in a manner consistent with the requirements of applicable state and local laws, including but not limited to the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the LA County Fair Chance Ordinance, and the California Fair Chance Act." Please see the City of Los Angeles Fair Chance Ordinance and the Los Angeles County Fair Chance Ordinance notice for more information.
Maryland Wage Transparency
Pursuant to Maryland's Wage Range Transparency Law, the salary range displayed is for the Maryland market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Positions that are non-exempt will be eligible for overtime pay compensable at a rate of one and a half times the hourly rate for any hours worked over 40 in a work week. Benefits are eligibility-based and could include group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
MD Minimum Salary (USD)
$ 75000
MD Maximum Salary (USD)
$ 127500
Illinois Wage Transparency
Pursuant to Illinois' Equal Pay Act, the salary range displayed is for the Illinois market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Non-exempt/hourly positions will be eligible for time and half pay for employees that work over 40 hours in a workweek. Benefits are eligibility-based and could include group health plan benefits, 401(K), bonuses, profit-sharing contributions, flexible time off, and parental leave. For more information on benefits, please visit https://resourcecenter.forvismazars.us/. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
IL Minimum Salary (USD)
$ 75000
IL Maximum Salary (USD)
$ 127500
New Jersey Wage Transparency
Pursuant to New Jersey's Pay Transparency Law, the salary range displayed is for the New Jersey market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Positions that are non-exempt will be eligible for overtime pay compensable at a rate of one and a half times the hourly rate for any hours worked over 40 in a work week. Benefits are eligibility-based and could include group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.
NJ Minimum Salary (USD)
$ 92100
NJ Maximum Salary (USD)
$ 150500
Close Date: 09/15/2025
Seniority level
Seniority level
Not Applicable
Employment type
Job function
Job function
Consulting, Information Technology, and SalesIndustries
Professional Services
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