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11 дней назад

Healthcare Consulting Director – Reimbursement Specialist

185 000 - 250 000$
Формат работы
onsite
Тип работы
fulltime
Грейд
director
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

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TL;DR
Healthcare Consulting Director – Reimbursement Specialist (Healthcare Reimbursement): Evaluating payer contracts, reimbursement methodologies, pricing strategies, and revenue cycle initiatives to improve provider financial performance with an accent on reimbursement modeling, cash-flow analysis, and client advisory. Focus on interpreting complex contract provisions, developing actionable recommendations from healthcare data, and leading specialized strategic pricing engagements.

Location: Chicago, United States — 550 Van Buren. Travel based on client, enterprise, or project needs is required; current average travel is less than 25% annually.

Base salary: $185,000–$250,000 annually. Total estimated compensation, including annual incentive compensation, is $240,500–$325,000.

Company

hirify.global provides healthcare consulting services focused on growth, operational performance, innovation, clinical outcomes, and consumer experience.

What you will do

  • Interpret complex payer contracts and reimbursement methodologies to assess financial and cash-flow impact.
  • Lead reimbursement analyses and strategic pricing engagements, translating findings into actionable recommendations.
  • Advise Service Capture, CDI/Coding, and Managed Care teams on reimbursement, collections, and net revenue impacts.
  • Partner with data and analytics teams on reimbursement modeling, methodology development, and project delivery.
  • Present findings and recommendations to client executives and serve as a reimbursement subject matter expert.
  • Contribute to the development of reimbursement, strategic pricing, and Service Capture methodologies.

Requirements

  • Bachelor’s degree.
  • 8+ years of experience in healthcare consulting, provider reimbursement, managed care, revenue cycle, or performance improvement.
  • Deep knowledge of healthcare payer contracts and reimbursement methodologies, including contract interpretation and financial impact assessment.
  • Experience with reimbursement structures, pricing strategies, revenue cycle initiatives, contract modeling, or revenue optimization.
  • Strong client-facing communication, presentation, and relationship-management skills.
  • US work authorization required.
  • Proficiency in Microsoft Word, PowerPoint, and Excel.

Nice to have

  • Experience in a matrixed organization or cross-functional team environment.

Culture & Benefits

  • Opportunity to work with healthcare organizations on complex operational and financial transformation initiatives.
  • Medical, dental, and vision coverage.
  • Wellness programs and participation in hirify.global’s annual incentive compensation program.
  • Opportunities for networking, business development, and long-term client relationships.

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