Healthcare Revenue And Compliance Advisory Jobs

The Staff and Senior Consultant roles at PYA involve joining a collaborative, privately-owned professional services firm to deliver cross-sectional consulting experiences. Key responsibilities include performing financial and operational analyses, managing project work streams, and communicating findings through reports and client presentations across diverse areas like healthcare strategy, business valuation, and data analytics. The position appeals to candidates seeking professional growth under experienced leaders within a dynamic culture that values innovation and excellence. While the role offers opportunities to work with industry leaders and advance one's career, it requires a willingness to travel for client engagements and projects across the firm's national offices.

This role involves joining PYA as a Staff or Senior Consultant within a high-performing, privately-owned firm specializing in healthcare strategy and advisory services. The position offers cross-sectional experience across diverse areas such as compensation valuation, transaction advisory, and healthcare operations assessment. Key responsibilities include conducting financial and operational analyses, preparing client deliverables, leading project work streams, and communicating effectively with internal teams and external stakeholders. The role is appealing due to PYA's strong national reputation, collaborative culture, and opportunities for professional growth under experienced leadership. Candidates will benefit from a dynamic environment that values integrity and relationships while serving clients across all 50 states. The position requires willingness to travel for client projects and development opportunities.

The Patient Financial Services Representative role at MedHQ supports outpatient healthcare facilities by managing revenue cycle operations and delivering compassionate customer service. Key responsibilities include handling inbound patient calls regarding medical bills, processing payments, setting up payment plans, and interpreting Explanation of Benefits statements. The position requires fluency in both English and Spanish to effectively communicate with a diverse patient population while researching and resolving billing disputes. This remote opportunity appeals to candidates seeking a supportive environment recognized as a top workplace, offering a clear path for career advancement, comprehensive benefits, and the chance to make a meaningful impact on patients' financial healthcare journeys.

This full-time, remote Global Product Manager role focuses on the Molecular Diagnostics portfolio within Hygiena's food safety division. The position involves owning the multi-year product roadmap, defining go-to-market strategies, and leading cross-functional teams from concept through commercialization. Key responsibilities include translating market needs into product requirements, managing portfolio lifecycle decisions, and driving sales enablement and pricing strategies. The role appeals to candidates seeking to contribute to a mission-driven organization that prevents global health crises while offering a collaborative culture, opportunities for professional growth, and a comprehensive benefits package including tuition reimbursement and charitable matching.

The Clinical Denials Management Program Coordinator RN role operates within Patient Financial Services at a nationally recognized hospital. The position manages clinically based appeals between the organization and external payers while serving as a liaison for Case Management and other departments. Key responsibilities include reviewing denials against InterQual guidelines, constructing clinically oriented appeal letters, tracking denial trends, and developing corrective action plans to reduce future denials. The role also involves providing educational sessions to staff on reimbursement changes and denial prevention strategies. This position is appealing due to the organization's reputation for excellence, its award-winning workplace culture, and a commitment to fostering a dynamic, inclusive environment. The role requires a current California RN license and significant case management experience.

This role is a Healthcare Insurance Producer position within a nationally recognized, privately held risk advisory firm. The professional will drive new business growth by prospecting and selling to healthcare organizations, including hospitals and medical groups. Key responsibilities include conducting consultative sales conversations on risk management and benefits, building relationships with C-Suite executives, and managing a book of business to generate long-term residual revenue. The position appeals to entrepreneurial sales professionals seeking autonomy, uncapped commission potential, and full ownership of their client portfolio without geographic territory restrictions. The company provides comprehensive support infrastructure, allowing the role to focus entirely on sales and strategy rather than administrative servicing.

This full-time Sales Associate role at Apartments.com in Westchester, NY, positions the candidate as a strategic digital marketing partner within the multifamily real estate industry. The position involves prospecting new business, managing existing client relationships, and advising property owners on marketing solutions using comprehensive market data. Key responsibilities include conducting in-person sales presentations, identifying upsell opportunities, and developing expertise in digital advertising trends. The role appeals to driven individuals seeking career growth through extensive training and a collaborative culture at a leading S&P 500 company. The work arrangement requires regular travel within the territory to meet clients, supported by a comprehensive benefits package including health coverage, retirement matching, and wellness resources.

The Chief Financial Officer role at Washington Regional Medical System provides strategic and operational leadership for a top-ranked, non-profit healthcare organization in Northwest Arkansas. Reporting to the President & CEO, the position oversees financial planning, budgeting, treasury management, revenue cycle performance, and supply chain operations. Key responsibilities include developing multi-year financial strategies, ensuring regulatory compliance and strong internal controls, and serving as the primary financial advisor to the Board of Directors. The role appeals to executives seeking to drive financial health while advancing a mission of compassionate community care. It offers the opportunity to lead a large, high-performing team within a collaborative culture that values growth and excellence. The position is primarily office-based with occasional travel required for meetings and system activities.

The Senior Manager, Accounting role serves as a strategic leader within the finance department at FUJIFILM Biotechnologies in Holly Springs, North Carolina. This position oversees end-to-end accounting operations, including accounts payable, revenue recognition, and fixed assets, while managing the monthly and annual financial close process. Key responsibilities involve designing robust internal control frameworks, ensuring GAAP and J-SOX compliance, leading external audits, and mentoring a high-performing accounting team. The role is appealing due to the opportunity to shape the future of biopharmaceutical manufacturing at a facility set to become North America's largest CDMO. Candidates will join a mission-driven culture focused on healthcare innovation, benefiting from a supportive environment that balances professional growth with work-life harmony in a location blending small-town charm with access to a major tech hub.

This Program Manager role at MarketStar involves leading a team of sales professionals to drive revenue growth for a client's business marketing tool within a hybrid Salt Lake City environment. Key responsibilities include managing client relationships, overseeing program finances and budgets, developing strategic sales plans, and coaching staff to achieve performance targets. The position appeals to candidates seeking a supportive culture that prioritizes career advancement through mentorship and structured learning programs. The role offers comprehensive benefits including mental health support, paid time off, and education reimbursement, all within an award-winning organization dedicated to employee well-being and global collaboration.

The HRP Consultant role functions as a strategic functional lead bridging healthcare payor and provider domains. The position involves defining end-to-end business workflows, translating complex requirements into functional specifications, and providing thought leadership on industry trends like value-based care and interoperability. Key responsibilities include advising on transformation roadmaps, ensuring regulatory compliance, and collaborating with technology teams to deliver scalable solutions. This opportunity appeals to professionals seeking to drive significant business transformation within a dynamic healthcare environment. The role offers a chance to work on high-impact modernization programs while leveraging deep expertise in claims, revenue cycle, and clinical operations.

The Value-Based Care Principal Director role within Accenture's Strategy & Consulting team advises public sector health, provider, and payer organizations on value-based care strategy and transformation. Key responsibilities include designing operating models, developing implementation roadmaps, and guiding clients through complex decisions regarding incentives, performance measurement, and care model changes. The position requires managing large-scale engagements, leading diverse teams, and building trusted relationships with C-suite executives and state agencies. This opportunity appeals to professionals seeking to lead enterprise-wide healthcare transformation at a global scale, offering access to extensive training, mentorship, and a collaborative culture focused on innovation. The role involves significant travel, up to 80%, to support client engagements across various locations.

The Store Manager role at McCormick Paints in Laurel, MD, leads a retail location dedicated to serving professional painters, contractors, and builders. Key responsibilities include driving sales growth through strategic planning, building strong relationships with professional clients, and managing daily operations such as inventory and merchandising. The position also involves recruiting and developing a high-performing team while ensuring safety compliance and occasionally supporting local deliveries. This opportunity appeals to leaders seeking a sales-driven culture with clear pathways for career advancement and professional development. The role offers a supportive environment focused on serving industry professionals, along with comprehensive benefits and product discounts. The position is on-site and requires physical capability to handle warehouse tasks and operate company vehicles.

The Director of Human Resources role at Great Wolf Lodge leads strategy and execution for HR policies within the hospitality sector. Key responsibilities include partnering with lodge leadership to drive talent acquisition, performance management, and workforce planning while resolving complex employee relations issues and ensuring regulatory compliance. The position offers a dynamic environment with opportunities for career advancement through cross-training and leadership development programs. The role appeals to professionals seeking a culture that prioritizes diversity, well-being, and work-life balance through flexible scheduling and comprehensive wellness support. This position involves managing the local HR team and supporting international visa matters, operating within a collaborative resort setting.

This full-time Private Client Banker role is based in San Antonio, Texas, within the Branch Banking team at a leading financial services firm. The position serves as the primary contact for a select group of affluent clients, managing their complete banking relationships through an advice-based approach to help them achieve their financial goals. Key responsibilities include identifying opportunities to share premium banking value, actively acquiring new clients through referrals, and collaborating with specialized partners like mortgage bankers to address complex financial needs. The role appeals to individuals seeking a career focused on building lasting relationships and making a tangible impact on clients' lives. It offers a collaborative environment that values diversity and inclusion, with a work arrangement requiring availability during branch hours, including weekends and evenings.

The Accurint One Sales Representative supports the East Territory sales team by driving adoption of LexisNexis Risk Solutions' next-generation law enforcement platform. This role combines public safety domain expertise with consultative SaaS sales to help agencies modernize investigative workflows. Key responsibilities include partnering with territory representatives to identify opportunities, leading product demonstrations, conducting needs assessments, and supporting pilots and proofs of value. The position appeals to candidates passionate about public safety technology, offering the chance to serve as a trusted advisor to federal, state, and local agencies. The role operates within a lean, high-performing team and requires travel within the assigned territory, with a strong emphasis on professional growth and contributing to mission-critical operational efficiency.

This Senior Manager role within PwC's Data and Analytics Engineering team focuses on leading the development of innovative AI and machine learning solutions specifically for health systems. The position involves designing and implementing advanced algorithms, building RAG pipelines, and managing model governance in regulated environments to transform clinical data into actionable insights. Key responsibilities include serving as a strategic advisor to clients, fostering high-performing diverse teams, and navigating complex healthcare challenges to drive operational excellence. The opportunity is appealing for its focus on cutting-edge generative AI applications in healthcare, offering significant professional growth through continuous learning and the chance to shape industry standards. The role requires up to 80% travel and operates within a hybrid work arrangement.

The Home Healthcare Revenue Cycle EDI Systems Analyst role supports the Revenue Cycle Management team within CenterWell Home Health, a subsidiary of Humana. This position focuses on managing and optimizing billing systems to ensure accurate claims processing and timely reimbursements for home care patients. Key responsibilities include configuring revenue cycle applications, analyzing EDI transactions such as 837 and 835 files, monitoring denial rates, and ensuring compliance with HIPAA and CMS regulations. The role serves as a liaison between internal departments, IT, and external vendors to resolve system issues and drive process improvements. This position is appealing for its opportunity to impact patient care through efficient financial operations, offering a remote work arrangement with occasional travel for training. The role emphasizes a collaborative culture dedicated to whole-person wellness and professional growth in the healthcare technology sector.

This full-time remote Patient Accounting Representative role supports the Physician Billing Operations team within the Revenue Cycle department. The position focuses on monitoring insurance claims, resolving denials and appeals, and managing payment discrepancies to ensure accurate adjudication. Key responsibilities include analyzing Explanation of Benefits, applying coding concepts, and utilizing healthcare operating systems to follow up on unpaid or underpaid claims. The role appeals to candidates seeking a position that values independent self-management and offers flexibility, with occasional requirements for office work or travel. It provides an opportunity to work in a fast-paced environment where strong organizational and problem-solving skills are essential for maintaining efficient revenue cycles.

This full-time leadership role combines Revenue Cycle Management and Privacy Officer duties within the Clinic Administration department at Des Moines University. The position involves leading a comprehensive revenue cycle transformation to eliminate financial leakage, optimize accounts receivable performance, and ensure strict regulatory compliance including HIPAA privacy and security. Key responsibilities include overseeing end-to-end billing operations, developing executive financial dashboards, and standardizing workflows to improve collection rates and denial management. The role is appealing due to its high-impact nature within a premier medical institution, offering opportunities for professional growth, flexible work arrangements, and a supportive culture that values operational integrity and community service.

The Revenue Cycle Manager role at Moses Lake Community Health Center leads the financial operations team within this nonprofit healthcare organization. Key responsibilities include optimizing the entire revenue cycle from patient registration to collections, developing compliance policies, managing staff performance, and analyzing financial data to improve efficiency. The position requires collaboration with clinical and administrative departments to ensure operational excellence and financial sustainability. This opportunity is appealing for its mission-driven environment focused on equitable healthcare, offering a supportive culture with comprehensive benefits including medical, dental, vision, and retirement plans. The role is based on-site at the health center.

The Financial Planning & Analysis Lead role within Centerwell Pharmacy focuses on driving strategic decisions through comprehensive financial forecasting and analysis. Key responsibilities include managing the Specialty Pharmacy P&L, developing drug-level profitability models, and presenting complex financial data to senior leadership to guide operational strategies. This position offers the appeal of working within a supportive, mission-driven healthcare community while solving complex business problems. The role is structured as a hybrid position based in Louisville, Kentucky, requiring three days in the office, though nationwide remote options are considered. It provides an opportunity for professional growth through collaboration with cross-functional teams and exposure to a dynamic regulatory environment.

The Sr. Director, Risk Adjustment Data & Analytics role is a senior leadership position within Alignment Health's data operations team, dedicated to advancing Medicare Risk Adjustment programs. The individual oversees the end-to-end data ecosystem, ensuring integrity and compliance while leading a multidisciplinary team of analysts and engineers. Key responsibilities include driving analytical insights for executive decision-making, maintaining rigorous data governance for audit readiness, and partnering with finance and clinical stakeholders to optimize revenue and care outcomes. This position appeals to candidates seeking to lead high-impact work in a mission-driven organization that prioritizes senior care. The role offers significant growth opportunities within a fast-growing company and is available in a remote work arrangement.

The Reimbursement Supervisor role leads daily billing and revenue cycle operations within Bristol Hospice, partnering with clinical and operations teams to ensure accuracy and compliance. Key responsibilities include auditing admission and discharge documentation, verifying patient eligibility and payer coverage, managing authorization requests, and training staff on revenue cycle procedures. This position appeals to candidates seeking a leadership opportunity within a compassionate, family-centered organization that values integrity and excellence. The role offers a supportive culture with access to advanced training programs, comprehensive benefits including tuition reimbursement, and the chance to contribute to a mission dedicated to high-quality hospice care.

This full-time Medical Representative role within Amazon's Healthcare & Medical Services department focuses on building trusted relationships with healthcare providers to promote digital services and devices. Key responsibilities include conducting product demonstrations and training sessions for clinicians, planning territory sales strategies to meet adoption goals, and acting as a liaison between customers and internal product teams. The position requires analyzing market trends, maintaining accurate CRM records, and ensuring adherence to regulatory standards. The role appeals to professionals seeking to drive innovation in healthcare while embodying a culture of customer obsession. It offers a hybrid work arrangement with significant travel within an assigned territory and opportunities for professional growth through industry conferences and networking events.