Business Consultant - US healthcare

Bangalore, Karnataka
Permanent
Full-time

7 days ago
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This role is for one of the Weekday's clientsSalary range: Rs 3500000 - Rs 4800000 (ie INR 35-48 LPA)Min Experience: 7 yearsLocation: BengaluruJobType: full-timeWe are seeking a highly skilled and experienced Business Consultant – US Healthcare with deep expertise in Revenue Cycle Management (RCM) and process implementation. This role is pivotal in driving process excellence, operational efficiency, and strategic transformation for healthcare organizations and service providers. The consultant will work closely with cross-functional teams, senior stakeholders, and clients to analyze current operations, design best-in-class solutions, and implement sustainable improvements across the US healthcare value chain.RequirementsKey Responsibilities

Consulting & Advisory

Serve as a trusted consultant to healthcare clients, delivering insights and strategies that improve financial, operational, and clinical outcomes.
Advise stakeholders on industry trends, compliance standards, and best practices within US healthcare and RCM processes.
Identify gaps in current operations and design tailored solutions that align with client objectives.
Process Implementation & Improvement

Lead end-to-end process implementation initiatives across RCM functions such as patient access, charge capture, coding, billing, claims, and collections.
Drive operational excellence by standardizing processes, optimizing workflows, and leveraging automation tools where applicable.
Establish metrics, KPIs, and dashboards to monitor performance, ensuring sustainable improvements.
Domain Expertise – US Healthcare & RCM

Provide in-depth knowledge of US healthcare regulations, payer-provider dynamics, HIPAA compliance, and revenue integrity practices.
Collaborate with technology teams to design or enhance RCM systems and tools that streamline billing, coding, and reimbursement cycles.
Evaluate the impact of regulatory updates, payer policy changes, and industry shifts on client operations.
Stakeholder Management & Change Leadership

Partner with executive leaders, finance teams, and operations managers to ensure alignment of initiatives with strategic goals.
Lead change management programs, ensuring successful adoption of new processes and technologies by client teams.
Conduct workshops, training sessions, and knowledge-sharing forums for clients and internal stakeholders.
Strategic Growth & Innovation

Support business development initiatives by contributing to proposals, solutioning, and client presentations.
Explore opportunities for digital transformation in healthcare operations, including the use of analytics, AI, and RPA in RCM.
Benchmark processes against industry best practices to recommend innovative improvements.

Required Skills & Qualifications

7 – 18 years of experience in US Healthcare consulting, with strong exposure to Revenue Cycle Management (RCM) and process re-engineering.
Proven track record in consulting, advisory, and process implementation within healthcare provider, payer, or healthcare IT/BPO environments.
Deep understanding of RCM functions such as patient scheduling, coding, charge capture, billing, denials management, and collections.
Strong analytical and problem-solving skills with the ability to translate business challenges into executable solutions.
Excellent communication, presentation, and stakeholder management skills with experience engaging senior leaders.
Knowledge of compliance requirements (HIPAA, CMS guidelines, payer-specific rules).
Exposure to digital enablers such as RPA, AI/ML, or analytics-driven solutions in RCM (preferred).
Ability to lead cross-functional teams, manage change, and deliver high-impact business outcomes.

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