Business Performance Optimization Revenue Integrity Consultant (Hybrid)

Business Performance Optimization Consultant

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

This position is responsible for driving operational efficiency, performance optimization, and strategic transformation across healthcare revenue cycle functions through expert business performance optimization (BPO) consulting. The BPO Consultant serves as a cross-functional liaison supporting initiatives in workflow redesign, automation, continuous process improvement projects, EHR and billing system optimization, and KPI development. This role supports hospital and physician enterprise operations by leading value stream assessments, developing standardized workflows, and enabling scalable solutions through technology and data-driven decision-making. The consultant partners with IT, Finance, Operations, and Compliance teams to enhance transparency, accuracy, and long-term sustainability of revenue and compliance performance. Typically reports to the Director, Professional Revenue Integrity.

Job Description

Desired Skill Sets :

• The ideal candidate will have Revenue Integrity experience
• Must have extensive Revenue Cycle experience ranging from front-end to back-end.
• The ideal candidate will have manager or director level experience in Revenue Cycle
• Excellent problem solving skills
• Able to interact with individuals at all levels
• Comfortable with presenting to executive level leaders
• Must have Epic experience

Minimum Qualifications

Education : Associate's degree in Healthcare Administration, Finance, Business, Nursing, or related field, or in lieu of Associate's degree, two (2) additional years of experience is required, for a total of seven (7) years of progressive experience in Revenue Cycle.

Licenses / Certifications :

These are preferred but not required :

Experience / Knowledge / Skills :

Principal Accountabilities

Evaluates workflows and system configuration for missing, late, or duplicate workflow and processes.

Collaborates with pricing and process architecture teams on annual price reviews, updates, and payer impact modeling.

Collaborates and uses data reporting resources to develop reports, dashboards, and variance analyses using Epic.

Identifies improper coding / documentation contributing to revenue variances.

Leads consulting engagements with operational and clinical teams on new initiatives (e.g., service expansion, provider onboarding, payer policy updates).

Provides training to department stakeholders on workflow and process policies, documentation expectations, Epic functionality, and revenue integrity standards.

Supports continuous improvement projects across workflow and process review, process breakdowns or gaps management, and reimbursement accuracy.