Job Family:
Technology Consulting
Travel Required:
Clearance Required:
Guidehouse’s Health Technology Consulting (HTC) practice is looking for an Associate Director to lead revenue cycle technology engagements across our Commercial Health client portfolio. This person will serve as a senior advisor to health system executives, guiding clients through the full lifecycle of revenue cycle technology work: strategy, platform assessment, implementation oversight, and post-live optimization. The revenue cycle technology market is saturated with generalists. Our clients need someone who has been inside these platforms, who understands what the configuration decisions actually mean for billing operations, and who can speak honestly about where the technology falls short and what to do about it.
This is a client-facing leadership role. The Associate Director will own executive relationships, lead engagement teams, contribute to business development, and bring deep technical credibility to every conversation. We expect this person to have the most Epic revenue cycle knowledge in the room most of the time. Oracle Health, Meditech Expanse, and athenahealth are relevant secondary platforms, and experience across any of them strengthens a candidacy.
What You Will Do:
Lead Client Engagements
You will serve as the senior Guidehouse presence on revenue cycle technology accounts. That means owning the relationship with the CFO, VP of Revenue Cycle, and CDIO, managing workstreams across a team, and being accountable for the quality and direction of our work. Engagements vary: some involve assessing a health system’s current platform configuration and identifying revenue leakage; others involve guiding a client through a post-live stabilization after a difficult Epic go-live; others are full optimization programs aimed at reducing denial rates, improving clean claim rates, or restructuring CBO operations. You will be expected to bring a point of view into every room, not just facilitate a process.
Deliver on Revenue Cycle Technology Depth
Guidehouse’s value in this market depends on our consultants knowing the platforms at a level that earns client trust quickly. For this role, that means Epic revenue cycle first: Resolute HB and PB, Grand Central, Prelude, Charge Router, Claim Edit, denial workqueue design, and the operational logic that ties configuration decisions to billing outcomes. You will translate that platform knowledge into practical recommendations for clients across the revenue cycle continuum, from front-end patient access through back-end billing and collections.
Clients also bring us Oracle Health, Meditech Expanse, and athenahealth environments, and this person should be able to contribute meaningfully in those contexts as well, even if Epic is the primary center of gravity.
Grow the Practice
This role carries business development responsibility. You will identify expansion opportunities within existing accounts, support proposal development, represent Guidehouse at industry events including HFMA and ViVE, and contribute to the firm’s external point of view on revenue cycle technology. The expectation is that you will build and maintain a pipeline over time, not just deliver on what is already sold.
Develop the Team
You will lead engagement teams from Analyst through Senior Consultant, providing active coaching and substantive feedback. Developing the revenue cycle technology expertise of the people around you is part of the job, not a side responsibility.
What We Are Looking For
The right candidate has spent meaningful time inside revenue cycle technology, either as a consultant, an implementation specialist, or an operations leader, and has accumulated enough platform depth that they can identify problems that others miss. They are comfortable in front of executives and confident enough in their own expertise to push back when client assumptions are wrong.
What You Will Need:
Eight to twelve years of combined experience in health IT consulting, EHR implementation, or revenue cycle operations, with prior consulting firm experience strongly preferred
Deep Epic revenue cycle expertise, including certification in one or more modules such as Resolute HB, Resolute PB, Charge Router, Grand Central, or Prelude, and a minimum of three years working in Epic revenue cycle environments
Meaningful experience with at least one of Oracle Health, Meditech Expanse, or athenahealth in a revenue cycle context
A track record of managing complex engagements with C-suite client exposure
Experience leading and developing consulting staff across multi-workstream engagements
Fluency in revenue cycle performance metrics including DNFB, DCFB, A/R days, first-pass rate, denial rate, clean claim rate, and net collection rate
Understanding of how payer and regulatory requirements intersect with EHR configuration, including CMS billing rules, prior authorization workflows, and value-based contracting structures
A bachelor’s degree at minimum; a graduate degree in health informatics, business administration, or a related field is a plus
What Would Be Nice To Have:
Graduate degree in health informatics, business administration, public health, or a related field
Experience working across payer and provider client environments
Familiarity with healthcare IT standards, regulatory requirements, and compliance considerations relevant to EHR implementation and optimization
Experience supporting or contributing to digital transformation, AI integration, or analytics strategy within health system engagements
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
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