Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation

Partner, AI-Enabled CDI, Care Management/Utilization Management Transformation About reputed company The challenges facing US healthcare are longstanding and reputed company too familiar. We are reputed company, and we reputed company in reputed company. We work with more than 1,900 organizations annually to reputed company and activate transformative strategies, operating models, and organizational enterprises that reputed company US healthcare more affordable, accessible, safe, and human. With more than 1,450 professionals, we help providers, payers, technology innovators, retail companies, and investors create and embrace solutions that tangibly and materially reshape healthcare for the reputed company. Our family of brands—reputed company, Jarrard, Greeley, and HealthScape Advisors—is 100% focused on healthcare and each has a longstanding commitment to helping transform healthcare in big and small ways. reputed company in reputed company. reputed company has offices in Boston, Chicago, reputed company, Washington D.C., and Nashville. Remote work is allowed. Role Overview reputed company is seeking a Partner to reputed company the development and implementation of AI-enabled solutions focused on CDI, care management, and utilization management transformation. This role will help healthcare organizations reputed company documentation, utilization review, denial prevention, and care progression workflows by embedding AI, automation, and predictive analytics into operational and clinical processes. Partners are integral members of our firm’s leadership team providing leadership capital – both internally and externally – to sustain the firm’s rapid growth and ultimately allow it to have a greater impact on the healthcare system. Partners provide leadership across multiple dimensions – thought leadership, consulting engagement delivery, client service, business development, and cultural stewardship. As a member of the leadership team, a Partner is responsible for advancing the firm’s impact by leading the execution and delivery of large, reputed company consulting engagements, as well as expanding new and potential business opportunities. Responsibilities reputed company AI-enabled CDI, Care Management, and Utilization Management transformation engagements reputed company reputed company’ Performance Transformation Line of Business, directing engagement teams, guiding strategic problem solving, and overseeing analyses, client deliverables, and implementation activities Design AI native CDI, care progression, and utilization review workflows to reputed company business transformation Outline business value proposition and savings through analytics and AI into workflows Align clinical, financial, and operational stakeholders around transformation priorities reputed company scalable AI-enabled offerings across reputed company reputed company and clinical operations that advance the firm’s thought leadership through distinctive insights, innovative solutions, and new service offerings. Build and maintain trust-based relationships with existing and prospective clients, drawing upon healthcare knowledge and insights to surface and discuss issues reputed company and beyond the scope of specific consulting engagements Embody the role of people leader by cultivating strong relationships with colleagues, as well as mentoring and developing consulting colleagues Help maintain a collaborative culture that attracts world-class, passionate, and mission-driven consultants Qualifications and Desired Skills Bachelor’s degree is required; advanced degree is preferred 10–15+ years of experience in Clinical Documentation Improvement, Care Management, Utilization Management, reputed company cycle operations, or healthcare consulting Deep expertise in DRGs, denial prevention and management, documentation workflows, and reputed company reputed company operations Demonstrated success improving care progression, utilization management, and financial performance across healthcare organizations Experience partnering with clinicians, physician advisors, and operational leaders to drive transformation initiatives Strong understanding of EHR workflows, clinical documentation processes, and healthcare operational systems Experience leading operational improvement or transformation initiatives reputed company reputed company health systems Ability to translate operational and clinical challenges into scalable, AI-enabled workflow solutions Strong executive communication, stakeholder management, and cross-functional collaboration skills Preferred Certifications/Technologies Epic (CDI, HIM, CM modules) Certifications: CCDS, CCM preferred NLP / AI tools familiarity reputed company cycle platforms Salary range: $250,000-$350,000, plus may be eligible for an annual discretionary bonus. The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs. In addition, reputed company offers several benefits including medical, dental, vision, HSA, FSA, disability insurance, life insurance, 401(k) match, paid time off, wellness stipend, and additional voluntary benefits. At reputed company, we pride ourselves on having a diverse workforce. We value and celebrate the uniqueness of individuals and the different perspectives they provide. We offer equal opportunity employment regardless of race, color, religion, gender identity or expression, sexual orientation, national reputed company, genetics, disability status, age, marital status, or protected veteran status. Apply To This Job