Riveron

Riveron

Restructuring and Turnaround Services, Healthcare and Life Sciences - Senior Associate (Revenue Cycle Management)

Atlanta, GA · Senior · Full-time

Sponsorship not specifiedDetected 87 days ago
SQLData AnalysisData VisualizationComplianceBusiness DevelopmentNegotiationFinancial ModelingAccountingExcelAuditingHIPAAEpicCernerEHR/EMRICD-10ResearchLeadershipCollaborationPublic Speaking

About the role

  • This is a high-impact role for a seasoned-analytics professional ready to apply provider- and payer-side experience in a fast-paced advisory consulting environment.
  • Applications for this evergreen opportunity will be accepted through Dec 31, 2026.
  • Our entrepreneurial culture thrives on collaboration, diverse perspectives, and delivering exceptional outcomes.

Responsibilities

  • Collaborate with the Managing Director and cross-functional engagement teams to execute project workplans, ensure analytical accuracy, and deliver quality client outcomes.
  • Support business development activities including data-driven proposal development, market research, and benchmarking analysis.
  • ARTIFICIAL INTELLIGENCE (AI) TOOLS ARE USED TO SUPPORT THE HIRING PROCESS IN SCREENING, ASSESSING, AND/OR SELECTING APPLICANTS FOR THIS POSITION.
  • You have deep expertise in denial management - including denial categorization, root cause analysis, trending, and appeals - with the ability to design denial prevention strategies and quantify financial impact.

Requirements

  • You have demonstrated experience identifying and recovering underpayments through systematic contract modeling, remittance auditing, and payer comparison analysis.
  • You are highly proficient in Microsoft Excel for complex financial modeling, and experienced with data analytics tools such as Power BI, Tableau, SQL, or comparable platforms used in RCM analytics environments.
  • You have working knowledge of at least one major EHR or practice management system (e.g., EPIC, Cerner, Athenahealth) and clearinghouse/claims data environments.
  • Experience working across both provider and payer environments, with the ability to interpret claims data and adjudication logic from multiple perspectives.
  • Prior experience in a consulting, advisory, or professional services environment.

Nice to have

  • a Master's degree is a plus.

Benefits

  • You hold a Bachelor's degree in Finance, Accounting, Health Administration, Health Information Management, or a related field; a Master's degree is a plus.
  • You possess extensive knowledge of commercial, Medicare, and Medicaid reimbursement methodologies, fee schedules, and payment structures, including DRG, APC, RBRVS, and value-based payment models.
  • You are proficient in payer contract analysis, including rate modeling, reimbursement adequacy assessment, and identification of contractual versus non-contractual variances.
  • You are familiar with CPT, ICD-10, HCPCS, and revenue code conventions as they relate to billing accuracy and reimbursement outcomes.
  • Familiarity with value-based care reimbursement models, shared savings arrangements, or risk-based contracting structures.
  • Experience with RCM technology platforms, clearinghouses, or denial management software (e.g., Waystar, Change Healthcare, Optum360).
  • Knowledge of HIPAA compliance, healthcare data privacy standards, and audit response protocols.
  • Full time roles are eligible for a full range of benefits including medical, dental, and vision insurance, 401(k) with company match, and PTO.
  • A complete description of all available benefits can be found at Riveron's Benefits page at https://riveron.com/riveron-life/.

Company info

  • At Riveron, we partner with clients-from global multinationals to high-growth private entities-to solve complex finance challenges, guided by our DELTA values: Drive, Excellence, Leadership, Teamwork, and Accountability.
  • We are committed to fostering growth, both for our clients and our people, through mentorship, integrity, and a client-centric approach.
  • Additionally, a Riveron employee will never ask you to exchange money or purchase anything as part of the recruiting process.

Equal opportunity

  • Riveron Consulting is an Equal Opportunity Employer and believes that we are stronger together through our diversity.
  • Equal Opportunity Employer and believes that we are stronger together through our diversity.
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