Healthcare Consulting Director – Reimbursement Specialist
Core
Interpret complex payer contracts and reimbursement methodologies to evaluate financial impact, lead strategic pricing engagements, and advise internal teams on revenue cycle initiatives.
Role type
Senior IC healthcare consulting director (reimbursement)
Builds
Strategic pricing solutions, reimbursement models, and revenue optimization strategies for healthcare organizations
Domain
Healthcare (payer contracts, reimbursement, revenue cycle)
Required skills
Payer contract interpretation, reimbursement methodology expertise, revenue cycle analysis, financial modeling, strategic pricing, data analytics, executive communication, team leadership
Preferred skills
Matrixed organization experience, cross-functional collaboration
Technologies
Microsoft Office (Word, PowerPoint, Excel)
Responsibilities
Interpret complex payer contracts and reimbursement methodologies; Lead reimbursement analyses for strategic pricing engagements; Advise internal teams on reimbursement impact; Partner with data teams for modeling and project delivery; Present findings to client executives; Develop and expand reimbursement methodologies
Seniority
Director, hands-on IC with strategic leadership