Healthcare Consulting Director – Reimbursement Specialist

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

At Huron, Directors epitomize the pinnacle of professionalism and expertise. They collaborate seamlessly with Huron and client senior leaders to design and implement complex, sustainable solutions that consistently exceed engagement objectives. Their projects foster enduring client relationships, driving profound benefits such as networking, ongoing business development, and sales opportunities.

Directors' talents and leadership qualities ignite passion and trust in clients, junior staff, and Huron management. If you have the ability to lead teams, create customized solutions, and communicate masterfully at every level, you can leave an indelible mark on the future of consulting. As a consummate professional, a champion of integrity and excellence, and an inspiration of confidence and trust, you can shape your future at Huron. Let's create it together.

As the Healthcare Consulting Director – Reimbursement Specialist, you will: 

• Interpret complex payer contracts and reimbursement methodologies to evaluate the financial and cash-flow impact of contract terms, operational changes, and revenue cycle initiatives.
• Lead reimbursement analyses and delivery for strategic pricing and other specialized engagements, translating detailed findings into clear, actionable recommendations.
• Advise Service Capture, CDI/Coding, and Managed Care teams on how proposed initiatives may affect reimbursement, cash collections, and net revenue.
• Partner with data and analytics teams to identify, analyze, and apply client data in support of reimbursement modeling, methodology development, and project delivery.
• Serve as a subject matter expert to internal teams while maintaining the executive presence and communication skills needed to present findings and recommendations to clients.
• Contribute to the continued development and expansion of reimbursement, strategic pricing, and Service Capture methodologies.

Requirements:  

• Bachelor’s degree required
• 8+ years of healthcare consulting, provider reimbursement, managed care, revenue cycle, or performance improvement experience.
• Deep knowledge of healthcare payer contracts and reimbursement methodologies, including the ability to read, navigate, and interpret contract provisions and assess their financial and cash-flow implications.
• Demonstrated experience evaluating the impact of reimbursement structures, contract terms, pricing strategies, and revenue cycle initiatives on provider revenue, utilizing complex healthcare financial and operational data to develop actionable insights and recommendations.
• Experience developing or applying reimbursement methodologies, contract modeling, pricing analyses, or revenue optimization strategies within provider, managed care, or consulting environments.
• Ability to translate technical contract and reimbursement concepts into clear business implications for internal teams, client executives, and other stakeholders.
• Strong client-facing communication, presentation, and relationship-management skills, combined with the ability to work effectively in a primarily internal advisory capacity.
• The ability to travel based on client, enterprise, or project needs is an essential function of this role. While travel requirements may vary based on business need, the current average travel in the Healthcare practice is less than 25%, annually.
• Proficiency in Microsoft Office (Word, PowerPoint, Excel)
• US Work Authorization required

Preferences:  

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

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The estimated base salary range for this job is $185,000 - $250,000.  The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $240,500 - $325,000.  The job is also eligible to participate in Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs.

Position Level

Director

Country

United States of America