About the role

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.

About The Wilshire Group

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets. With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace. We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

Join us at The Wilshire Group, a place where talented professionals find a home to showcase their skills and contribute meaningfully to the healthcare landscape.

Contract Role: Senior Strategic Consultant Revenue Integrity

Location: California (Client Site – Some Travel Required)
Duration: 6+ Months Contract (W2)
Compensation: $90/hour (Non-benefited)

Position Overview

We are seeking a highly experienced Senior Strategic Consultant of Revenue Integrity to support a large healthcare organization in California. This role will focus on revenue cycle optimization, revenue integrity, and Epic system enhancements, working closely with both operational and IT stakeholders.

This individual will play a critical role in driving performance improvements, optimizing workflows, and supporting ongoing Epic initiatives, including post-live optimization and strategic revenue cycle transformation efforts.

Key Responsibilities

Serve as a strategic advisor to Revenue Cycle and Revenue Integrity leadership
Lead and support Epic revenue cycle optimization initiatives, including Hospital Billing (HB) and Professional Billing (PB)
Partner with clinical, operational, and IT teams to improve charge capture, billing workflows, and reimbursement performance
Evaluate and enhance:
- Charge capture processes
- CDM (Charge Description Master) strategy and maintenance
- Workqueues and claim edits
- Denial prevention and revenue recovery workflows
Provide project management leadership across multiple initiatives:
- Implementation planning
- Operational readiness
- Go-live and post-live support
Facilitate cross-functional meetings, including executive-level reporting and strategy sessions
Translate operational needs into Epic system design and build enhancements
Support workflow redesign and process improvement initiatives
Ensure compliance with payer, regulatory, and internal revenue integrity standards
Assist with financial reporting, analytics, and performance tracking

Required Qualifications

10+ years of Epic Revenue Cycle experience
Deep expertise in:
- Epic Resolute Hospital Billing (HB)
- Epic Resolute Professional Billing (PB)
Proven experience in:
- Revenue Integrity
- Charge capture optimization
- CDM management and consolidation
- Denial management and claims optimization
Strong background in Epic system build, configuration, and workflow design
Experience leading large-scale implementations or optimizations within complex health systems
Demonstrated ability to work as a liaison between operations and IT
Strong project management and stakeholder engagement skills

Preferred Qualifications

Epic Certifications in one or more:
- Resolute Hospital Billing
- Resolute Professional Billing
- Prelude / ADT / MyChart
Experience with Epic reporting tools:
- Reporting Workbench
- SlicerDicer
- Dashboards and Reporting Universes
Experience in academic medical centers or multi-hospital systems
Background in integrated clinical charge capture and workflow optimization

Key Competencies

Strategic thinking with a strong execution focus
Ability to influence executive stakeholders
Analytical problem-solving skills
Strong communication and facilitation abilities
Ability to operate independently in a consulting environment

Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.

Skills & Tags

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Aplyr's read

The Wilshire Group excels in strategic planning and project management, attracting professionals focused on revenue cycle and patient access transformation.
Synthesized from recent postings & public sources

What's promising

•Specializes in healthcare consulting, offering niche expertise in revenue cycle management.
•Opportunities to work on high-impact projects in strategic planning and organizational development.
•Focus on Epic systems provides specialized career paths for IT-savvy professionals.

What to watch

•Limited public information about company culture and employee satisfaction.
•Niche focus may limit career opportunities outside healthcare consulting.
•Potentially high-pressure environment due to project-based consulting work.

Why The Wilshire Group

•Expertise in Epic systems distinguishes it from generalist consulting firms.
•Strong emphasis on revenue cycle and patient access transformation.
•Consultants are involved in end-to-end project management, enhancing skill breadth.

Aplyr’s read is generated by AI from public sources. Was it useful?