Healthcare Consultant Jobs in Pennsylvania

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Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

The Business Process Consultant – Revenue Cycle Intelligent Automation is responsible for designing, building, and implementing AI- and agent-based solutions across CHOP’s revenue cycle operations. This role requires hands-on experience developing and deploying AI-driven workflows, including AI agents that can interpret, decide, and execute tasks within complex revenue cycle processes.

The individual will identify opportunities to apply AI to reduce manual work, improve accuracy, and accelerate throughput across functions such as registration, billing, coding, and denials. Responsibilities include developing and deploying AI use cases, integrating solutions within Epic and related systems, and ensuring solutions are scalable, reliable, and measurable. The consultant partners with operational teams, IT, and data stakeholders to translate business requirements into deployed AI solutions, ensuring successful build, testing, implementation, and continuous optimization. A strong blend of technical capability, workflow expertise, and execution focus is critical to deliver measurable improvements in efficiency and financial performance.

Why This Role Is Exciting

Architect the Future of Pediatric Finance You won't just be managing processes; you will be the lead architect in transforming how CHOP leverages technology to sustain our mission. As a trusted advisor to senior leadership, you will design and deploy AI-driven solutions that directly influence our financial health and operational excellence.

High-Impact Strategic Innovation Step into a high-visibility role where you bridge the gap between complex digital strategy and daily revenue cycle operations. You will gain end-to-end exposure to the claims lifecycle while implementing cutting-edge automation that eliminates administrative friction.

Continuous Professional Mastery CHOP is deeply invested in your growth as a digital leader. Beyond internal leadership development, you will receive a complimentary Healthcare Financial Management Association (HFMA) membership, providing access to nationally recognized certifications and a network of experts at the intersection of finance and technology.

What You Bring

• Digital Transformation Expertise: Proven experience in identifying, designing, and implementing AI or RPA (Robotic Process Automation) solutions within a complex hospital or healthcare environment.
• Strategic Analytical Mindset: A passion for data-driven decision-making and an ability to translate complex data sets into actionable business process improvements.
• Epic Systems Proficiency: Deep familiarity with Epic systems and an understanding of how to leverage its framework for revenue cycle optimization and automation.
• Collaborative Leadership: The ability to partner effectively with diverse stakeholders—from clinical unit leaders to the Chief Nursing Officer—to deliver technical solutions that respect operational realities.
• Operational Excellence: A robust understanding of the healthcare revenue cycle, including registration, billing, and payer contract structures.
• Commitment to Mission: A values-driven approach that prioritizes integrity, teamwork, and the ultimate goal of supporting world-class care for children and families.

2 years of consulting experience is strongly preferred for this role

What you will do

Revenue Process Support, Workflows and Systems

• Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers.
• Act as a high-level business process consultant between operations, performance improvement and IT for needs that cross boundaries. Implement processes and practices that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a compliment to existing relationships to enhance and expedite performance improvement activities.
• Reviews business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency. Review system or process architecture in scope of assigned projects.
• Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness.

Essential Functions

• Create, optimize, and support the implementation of processes that link closely to system workflows. Determine how these workflows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes.
• Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process.
• Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes or lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications.

Data Reporting and Analysis

• Responsible for creating and managing the financial and operational reports generated on regular and an ad hoc basis using software applications for report writing and data warehousing; provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design.
• Primary liaison to various internal and external user groups within CHOP in terms of revenue cycle data reporting and analysis. Assist revenue cycle leadership, management, and staff in analyzing, interpreting, and presenting data and information to various parties.
• Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators; Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements.
• Develop business case analysis to support process optimization and change.
• Perform troubleshooting, problem solving activities related to business intelligence reporting as necessary. Analyze data and reports to understand business impact, correlations/discrepancies, and to propose changes/alternate solutions. Work closely with the Information Technology teams to resolve issues and perform analysis in a timely manner.

Digital Transformation Strategy

• Partner with operational and IT leaders to develop and execute CHOP’s digital transformation roadmap focused on Epic optimization, automation, and AI integration.
• Assess readiness and develop operational rollout plans for digital tools, Epic upgrades, and automation solutions.
• Conduct impact assessments for new technology or system changes and recommend process adaptations to optimize adoption and performance.
• Translate business objectives into digital enablement strategies that align with CHOP’s organizational goals.
• Develop metrics and KPIs to measure success of digital initiatives and provide executive-level reporting.

AI & Automation Management

• Manage the intake, prioritization, and execution of AI and automation projects, ensuring alignment with operational goals and available resources.
• Develop business cases, including cost-benefit analyses and return-on-investment (ROI) metrics, for proposed digital and automation initiatives.
• Lead process discovery and assessment sessions with business stakeholders to identify automation or AI opportunities that deliver measurable ROI.
• Serve as the operational liaison between the RPA/AI technical teams, IT, and end users to ensure clear communication, proper governance, and timely issue resolution.
• Oversee automation bot lifecycle management, including maintenance, monitoring, and performance evaluation.
• Partner with Finance and Data Science teams to develop use cases for predictive analytics, AI assisted decision support, and process automation.

Collaboration, Communication, and Leadership

• Serve as a bridge between technical teams (IT, Data Science, RPA) and operational departments to translate business needs into functional requirements.
• Facilitate communication between Revenue Cycle, Performance Improvement, Clinical, and Digital teams to ensure alignment of digital initiatives.
• Present project outcomes, opportunities, and strategic updates to leadership and governance committees.

Education Qualifications

• High School Diploma / GED Required
• Bachelor's Degree Preferred

Experience Qualifications

• At least five (5) years experience with system design, process workflow design or business/systems consulting. Required
• EPIC experience Preferred
• Revenue Cycle experience Preferred

Skills and Abilities

• Strong analytical and communication skills (Required proficiency)
• Strong computer skills to include database analysis (Required proficiency)
• Statistical software experience (Preferred proficiency)
• Extensive knowledge of workflow and/or system design (Required proficiency)
• Extensive knowledge of analytical tools, business intelligence tools and statistical packages (Required proficiency)

Licenses and Certifications

• EPIC certification - EPIC - Preferred
• Lean Six Sigma Green Belt (LSSGB) - Lean Six Sigma Green Belt - LSSGB - American Society for Quality - Preferred

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

EEO / VEVRAA Federal Contractor | Tobacco Statement

SALARY RANGE:

$98,820.00 - $126,000.00 Annually
Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting.