Job Description
Job Family : Strategy & Transformation Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: Lead multiple concurrent transformation engagements for federal health clients, owning delivery quality, workplans, staffing, budgets, executive communications, and integrated storylines across workstreams. Serve as a senior SME in clinical documentation integrity, coding, revenue integrity, reimbursement, payment policy, and payment integrity, translating subject-matter depth into practical transformation roadmaps and operating model decisions. Advise senior client stakeholders on the intersection of documentation, coding, claims/payment accuracy, quality measurement, utilization, denials, compliance, and financial performance. Assess current-state workflows, documentation practices, coding operations, and performance drivers; identify root causes; and define target-state processes, governance, controls, and measurable improvement opportunities. Apply payer-provider expertise to federal health environments, connecting reimbursement mechanics, classification systems, payment policy, risk adjustment, and incentive structures to operational and clinical outcomes. Guide analytics-enabled transformation by using claims, revenue cycle, coding, and operational data to generate insights, size opportunities, prioritize interventions, and monitor value realization. Partner with clinical, operational, IT, compliance, and finance leaders to design sustainable improvements in documentation quality, coding accuracy, audit readiness, provider education, and workflow efficiency. Develop executive-ready deliverables, workshops, and decision materials that clearly communicate the “so what” for C-suite, program, and operational leadership. Build and mentor high-performing teams through apprenticeship-style coaching, including upskilling staff in clinical documentation, coding, reimbursement, analytics, and client relationship management.
