If you are interested in joining the SunStone Consulting team, please send your resume and the position your are applying for to inquiries@sunstoneconsulting.com.

 

Senior Consultant Financial Analyst (RCM)

Job Description

Energic team player with a passion for healthcare, dedicated to advancing SunStone Consulting’s consultative solutions effectively and efficiently. The ideal candidate can work independently in a home office setting, is a problem-solver, taking on challenges independently with a strong attention to detail. This role within the Revenue Cycle Service Line will perform a wide range of activities supporting strategic pricing, managed care contract modeling, CDM review, governmental price transparency and reimbursement solutions.

Experience in the healthcare finance, revenue cycle and/or payer contracting and reimbursement, as well as a strong business acumen, critical thinking proficiency, and strong communication skills. SunStone values ingeunity within each team members role which enable us to conntinually enhance our solutions. An essential ingredient to our success is understanding the critical balance between work and home.

Responsibilities

  • Understand the intricacies of governmental and third party payer reimbursement models for both hospitals and provider practices.

  • Evaluate third party payer contract information received from client, and model contract terms and/or reimbursement in an accurate manner.

  • Develop payer specific rate packages based on the scope of work for each engagement.

  • Be attentive for improvements to internal process improvement opportunities, as well as opportunities to enhance client processes.

  • Collaborate effectively, participating in cross-functional meetings with Service Lines and IT to ensure superior results.

  • Continually validate processes, troubleshooting when necessary, to ensure client objectives.

  • Assist with other reporting and analysis needs, such as data analytics and sampling, maintaining processes/specifications to ensure repeatability.

  • Assist with the development of non-standard reporting, being attentive to new processes that will transform our solutions.

Qualifications

  • Associate or bachelor’s degree in finance, business or economics with a minimum of 5+ years of multi-entity health system and/or related degree or experience.

  • Job duties are project-based, working collaboratively with managers, team members and multiple Service Lines and IT.

  • Proficient with advanced Excel skills (i.e., pivot tables, v-lookups, charts, etc.).

  • Exposure to data tools such as Power BI and SQL is beneficial, though not mandatory.Ability to handle multiple projects and deadlines with an attention to detail and ability to follow instructions to deliver superior results.

  • Demonstrates independent judgment, discretion, accuracy, analytical skills and decision-making abilities.