Senior Financial Healthcare Consultant

Job Description

Job Description

Description:

The Senior Financial Healthcare Consultant is responsible for delivering client-focused consulting in hospital and physician strategic pricing, price transparency, managed care, and financial analysis. This role requires strong Excel and analytical skills, along with a thorough understanding of chargemaster pricing, coding, and the net revenue implications of payer contract terms and rates.

The Senior Financial Healthcare Consultant analyzes managed care contract terms to guide financial modeling, assess revenue projections, identify adverse trends, and provide actionable recommendations. They stay informed on developments in price transparency and managed care to support client strategy and team awareness.

This position involves leading project teams and contributing to the achievement of client objectives. The consultant works directly with clients to develop strategic pricing models and machine-readable files aligned with regulatory requirements and contract terms. Responsibilities may include onsite meetings, presentations, and collaboration with client staff to meet project-specific needs. A proactive and innovative approach is essential to delivering high-value solutions.

ESSENTIAL JOB FUNCTIONS

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Conduct financial analyses to support consulting engagements.

· Leverage financial and pricing benchmark data from software tools to inform project recommendations.

· Load payer contract rates and terms into Panacea’s proprietary contract management tool.

· Act as a strategic pricing advisor for consulting clients.

· Develop defensible and rational pricing models and maintain a strong client relationship.

· Research federal and state healthcare regulations to enhance price transparency services.

· Be knowledgeable in all aspects of healthcare finance.

· Mentor and direct analysts as needed.

· Demonstrate comprehension of Panacea’s suite of pricing related tools sufficient to work independently with little supervision.

· Serve as content expert for consulting engagements.

· Develop and write reports, presentations, and other components of client deliverables for consulting engagements.

· Actively work with the financial and clinical consulting team members to achieve consulting division goals.

· Work with sales staff as necessary to develop proposals and scope of work.

· Ensure quality and standardization of work products.

· Contribute to new software products and enhancement of existing products.

· Additional duties as assigned.

SKILLS & QUALIFICATIONS

· Bachelor’s degree in accounting or related field.

· Three years’ experience in healthcare finance / reimbursement.

· Expertise in reimbursement regulations as they pertain to Medicare, Medicaid, and managed care regulations.

· Expertise and experience with Medicare and Medicaid reimbursement systems and principles.

· Expertise and experience with evaluation of financial parameters and reimbursement methodologies and financial analysis of revenue projections based on contractual rates.

· Excellent oral, written, and interpersonal communication skills.

· Computer proficiency in Microsoft Office with advanced Excel skills.

· Ability to work well under pressure, manage multiple projects simultaneously, and meet deadlines.

· Ability to work independently, as well as with others in a deadline-driven environment.

· Ability to select a course of action and consider appropriate variables and possible risks.

· Ability to maintain confidential information.

REMOTE WORK COMPATIBILITY

This position is eligible for remote work, with periodic onsite visits required. The employee must have:

• A dedicated workspace that is free from distractions, reliable internet connection, and the ability to maintain productivity and communication in a virtual environment. The Company will provide suitable technology for the role, like a laptop and docking station.

ADA COMPLIANCE STATEMENT

The Company is committed to providing equal employment opportunities to qualified individuals with disabilities. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. This role defines success by achieving essential function outcomes, not by the method of completion, ensuring flexibility and accommodation is available.

PHYSICAL AND ENVIRONMENTAL REQUIREMENTS

• Must be able to remain stationary for extended periods.
• Frequently operates a computer and other office equipment.
• Communicates with team members via video conferencing, email, instant messaging, phone, and other communication channels.

LEGAL NOTICES

• EEO Statement: We are an Equal Opportunity Employer and do not discriminate based on race, creed, color, national origin, nationality, ancestry, age, sex (including pregnancy and sexual harassment), marital status, domestic partnership or civil union status, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood traits, genetic information or refusal to submit to or share results of a genetic test, liability for military service, mental or physical disability, or any other characteristic protected by law. These protections apply to all aspects of employment, including hiring, promotions, compensation, termination, and workplace conditions.
• FMLA Compliance: This position complies with the Family and Medical Leave Act (FMLA) and other applicable leave laws.
• At-Will Disclaimer: Employment with the Company is at-will and may be terminated by either party at any time, with or without cause or notice, unless otherwise specified by contract or law.

Background Check and Eligibility: Employment is contingent upon successful completion of a background check and eligibility to work in the United States.