Mission Statement
The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job Summary
The Revenue Cycle Quality Consultant acts under the oversight of the Senior Director for Revenue Cycle Services Division to promote trust and credibility and strives to strengthen local and departmental relationships for positive outcomes.
The Business Process Consultant Lead serves as a lead and senior subject matter expert and strategic leader responsible for improving revenue cycle performance, quality, and appropriate revenue capture. The role requires in-depth understanding of Epic clinical and revenue cycle workflows and the interdependencies among clinical documentation, charging, coding, hospital and professional billing, payer reimbursement, and regulatory requirements.
The Consultant independently assesses complex clinical, operational, and financial issues; develops improvement strategies; and leads cross-functional initiatives through implementation and measurable, sustainable results. The position works across Revenue Cycle divisions, clinical operations, and information technology to optimize workflows, address systemic issues, and provide expert guidance.
Clear, concise, and persuasive communication is a core accountability. The Consultant translates complex issues into actionable information, articulates options and recommendations, builds a compelling case for change, and gains stakeholder support. The role also provides leadership for revenue cycle workflow design and standardization associated with the One Epic consolidation project and ongoing optimization.
The Consultant acts under the oversight of the Senior Director for Revenue Cycle Analytics, Technology and Support
Responsibilities*
Leadership and Execution
- Independently identify, evaluate, and prioritize complex improvement opportunities based on revenue, quality, compliance, and operational impacts. Develop strategies, assess alternatives, and provide expert recommendations to clinical, operational, and senior leadership.
- Lead cross-functional process improvement and re-engineering initiatives from assessment and solution design through implementation, stabilization, and outcome evaluation. Establish scope, milestones, stakeholder responsibilities, and success measures; resolve barriers and maintain accountability for results.
- Exercise independent judgment on matters of significance within assigned responsibilities and established organizational authority.
Epic and Integrated Workflow Optimization
- Apply advanced Epic/MiChart expertise to assess and optimize clinical and revenue cycle workflows, including documentation, charging, coding, billing, reconciliation, work queues, and reimbursement.
- Evaluate current-state processes and design future-state solutions that address workflow interdependencies, reduce variation and revenue leakage, and prevent recurring issues.
- Partner with clinical, Revenue Cycle, and technology teams to define operational requirements, recommend system and workflow changes, and validate downstream impacts before implementation.
Communication and Cross-Functional Influence
- Communicate complex issues clearly and concisely to clinical, operational, technical, and executive audiences. Present the problem, supporting data, options, trade-offs, recommendations, and anticipated outcomes.
- Develop compelling business cases and decision materials; build support for recommendations through persuasive communication, negotiation, and stakeholder engagement.
- Lead focused stakeholder discussions, align competing priorities, and communicate decisions, risks, responsibilities, progress, and results throughout implementation.
- Establish strategic partnerships across Preservice, Mid-Service, Post-Service, Compliance, Revenue Cycle Services, clinical operations, and information technology.
One Epic Consolidation and Ongoing Optimization
- Provide expert leadership for revenue cycle workflow assessment, future-state design, and standardization associated with One Epic consolidation.
- Ensure clinical and revenue cycle interdependencies, reimbursement requirements, compliance considerations, and financial impacts inform consolidation decisions.
- Contribute to requirements, testing, implementation readiness, education, and stabilization; lead to ongoing optimization to address workflow gaps and improve performance.
Revenue Cycle Expertise and Performance Improvement
- Provide expert guidance on charging, coding, hospital and professional billing, payer policies, reimbursement methodologies, and applicable regulatory requirements. Monitor relevant changes and translate their implications into actionable recommendations.
- Conduct root cause analysis of systemic issues, including charging gaps, denials, avoidable write-offs, reconciliation problems, and workflow delays. Partner with operational teams, payers, and Compliance to develop sustainable solutions.
- Establish standardized performance measures, analyze financial and operational results, and communicate actionable findings. Evaluate improvement effectiveness and adjust strategies as needed.
- Educate clinical and operational stakeholders, mentor Revenue Cycle professionals, and share effective methodologies to sustain and extend improvements. Participate in relevant rules committees and governance forums.
Required Qualifications*
10+ years of project management, management, operational improvement or related experience in a revenue cycle or health care industry setting
10+ years of experience with insurance companies and payer related issues
Advanced experience in operational and quality improvement
Bachelor's degree in health care, business or equivalent combination of education and experience
Strong leadership and interpersonal skills required
Advanced knowledge of clinical operations and revenue cycle operations with ability to translate information
Advanced knowledge in payer reimbursement and compliance guidelines
Excellent communication skills, demonstrated ability to communicate clear, concise and accurate information both verbally and in writing
Proven ability to solve problems creatively
Advanced knowledge of MiChart clinical and revenue applications, reports and system capabilities
Demonstrated ability to complete projects according to outlined scope and timeline
Strong customer service skills
Ability to establish and nurture beneficial business relationships
Self-motivated with a willingness to take initiative and solve complex problems
Capability to negotiate with and influence others
Analytically and mathematically minded to analyze data and create necessary reports
Ability to thrive in a demanding, high-pressure environment
Coding experience and certification
Flexibility, innovation, and creativity are necessary characteristics
Desire to continuously learn and apply new improvement methodologies, and to spread successful innovation through the institution
Desired Qualifications*
Experience supporting enterprise Epic implementations, consolidation initiatives, and ongoing clinical and revenue cycle optimization.
Experience using Epic reporting, SlicerDicer, Tableau, or other analytical tools.
Certification or formal training in project management, process improvement, or change management
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Application Deadline
The University of Michigan Health System improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
U-M EEO Statement
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.