What does a healthcare consultant do?
Utilizing their expertise in the healthcare industry, a healthcare consultant specializes in conducting extensive research and analysis to devise strategies for optimal workplace operations. They typically coordinate with different departments to gather data, identify strengths and weaknesses in existing systems, develop plans to improve particular areas, propose budgets and business plans, and recommend measures to optimize processes. Moreover, a healthcare consultant must produce progress reports and presentations to clients, advise alternatives, and implement new and existing policies and regulations.
Healthcare consultant responsibilities
Here are examples of responsibilities from real healthcare consultant resumes:
- Manage and coordinate health information technology projects for electronic health records (EHR), in physician practices.
- Initiate research & manage conversion plan to new billing & EHR software with automate eligibility and appointment confirmation modules.
- Experience in SDLC processes, and ability to manage application-relate projects from customer requirements definition to delivering application content solutions.
- Create database SQL reports relate to compliance and billing.
- Create, enhance and maintain SAS programs and methodologies for reporting processes.
- Design SAS and SQL programs that generate valuable reports used in hospital presentations.
- Identify and contract with providers to establish a network that meets CMS time/distance standards.
- Research (via CMS website) many NCD and LCD rules which are state specific.
- Showcase examples of HIPAA compliance and due diligence to promote higher performance goals in patient financial services staff including international collections.
- Discover Medicaid authorization issues incorrect denials when authorization are on file.
- Implement EMR with integrate ancillary functionality such as registration, scheduling and billing.
- Provide feedback to billing manager to ensure Medicaid claims are submitted correctly via electronic submission.
- Gap analysis and HIPAA Privacy/Security/ consulting to insurance payers, acute care hospitals and physician offices
- Conduct technical and operational readiness assessments in preparation for interface between EMR vendor and state health information exchange.
- Support ERP and off-shore outsourcing programs of federal contractors helping government agencies leverage limit financial and human resources.
Healthcare consultant skills and personality traits
We calculated that 11% of Healthcare Consultants are proficient in Cycle Management, Business Processes, and Project Management. They’re also known for soft skills such as Interpersonal skills, Problem-solving skills, and Time-management skills.
We break down the percentage of Healthcare Consultants that have these skills listed on their resume here:
- Cycle Management, 11%
Conducted detailed revenue allocation analysis, helping practices to manage their revenue streams with complete revenue cycle management oversight.
- Business Processes, 7%
Analyze FMSG As-Is Systems architecture, Governance model and Business Processes against To-Be Business requirements and HITECH legislation.
- Project Management, 7%
Improved existing project management practices and established additional best practices, drawing from experience and analysis of existing process standards.
- Data Analysis, 6%
Conducted requirements gathering, systems analysis, and assisted in the development of physician credentialing and insurance claim data analysis protocols.
- Client Facing, 5%
Coordinated implementation activities for hospitality software solution including client facing requirements gathering, application deployment and user training.
- SQL, 5%
Created database SQL reports related to compliance and billing.
"cycle management," "business processes," and "project management" are among the most common skills that healthcare consultants use at work. You can find even more healthcare consultant responsibilities below, including:
Interpersonal skills. To carry out their duties, the most important skill for a healthcare consultant to have is interpersonal skills. Their role and responsibilities require that "management analysts work with managers and other employees of the organizations for which they provide consulting services." Healthcare consultants often use interpersonal skills in their day-to-day job, as shown by this real resume: "achieved exceptional customer service recognition through applying professional interpersonal communicative skills successfully exceeded company objectives through applied sales-driven personality"
Problem-solving skills. Another essential skill to perform healthcare consultant duties is problem-solving skills. Healthcare consultants responsibilities require that "management analysts must be able to think creatively to solve clients’ problems." Healthcare consultants also use problem-solving skills in their role according to a real resume snippet: "develop solutions to resolve ecw emr issues quickly and efficiently. "
Time-management skills. This is an important skill for healthcare consultants to perform their duties. For an example of how healthcare consultant responsibilities depend on this skill, consider that "management analysts often work under tight deadlines and must use their time efficiently to complete projects on schedule." This excerpt from a resume also shows how vital it is to everyday roles and responsibilities of a healthcare consultant: "reduced the execution time for purges and mass updates by an order of magnitude without significant changes to existing java applications. ".
Analytical skills. A big part of what healthcare consultants do relies on "analytical skills." You can see how essential it is to healthcare consultant responsibilities because "management analysts must be able to interpret information and use their findings to make proposals." Here's an example of how this skill is used from a resume that represents typical healthcare consultant tasks: "developed consulting offerings and assessment services for healthcare facilities and practices to meet their data storage and data protection needs. "
Communication skills. Another common skill required for healthcare consultant responsibilities is "communication skills." This skill comes up in the duties of healthcare consultants all the time, as "management analysts must be able to convey information clearly in both writing and speaking." An excerpt from a real healthcare consultant resume shows how this skill is central to what a healthcare consultant does: "evaluated and recommended systems conversions, including: emr, transcription, eprescribe, phone system, physician communication module. "
The three companies that hire the most healthcare consultants are:
- Deloitte42 healthcare consultants jobs
- UnitedHealth Group6 healthcare consultants jobs
- State of Georgia: Teachers Retirement System of Georgia6 healthcare consultants jobs
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Compare different healthcare consultants
Healthcare consultant vs. Program management consultant
A program management consultant is responsible for analyzing project requirements based on clients' specifications, developing quality improvement techniques, and reviewing project deliverables. Program management consultants work closely with the project team to identify project initiatives and resolve complexities that may arise. They also inspect the resources and materials to be utilized during the project and determine cost-reduction processes without compromising quality and efficiency. A program management consultant coordinates with the clients for progress updates and informs them of any plan adjustments as needed.
While similarities exist, there are also some differences between healthcare consultants and program management consultant. For instance, healthcare consultant responsibilities require skills such as "cycle management," "strategic thinking," "business processes," and "data analysis." Whereas a program management consultant is skilled in "customer service," "management program," "healthcare," and "scrum." This is part of what separates the two careers.
Program management consultants tend to make the most money working in the technology industry, where they earn an average salary of $107,612. In contrast, healthcare consultants make the biggest average salary, $85,348, in the technology industry.The education levels that program management consultants earn slightly differ from healthcare consultants. In particular, program management consultants are 0.2% less likely to graduate with a Master's Degree than a healthcare consultant. Additionally, they're 1.7% less likely to earn a Doctoral Degree.Healthcare consultant vs. Senior management consultant
A senior management consultant is an experienced professional who is in charge of a team of management consultants to help an organization solve issues, maximize growth, and improve business performance. Senior management consultants must conduct company research so that they can better understand the organization. They prepare business proposals and presentations as well as identify issues to form hypotheses and solutions. Senior management consultants must also implement recommendations or solutions and ensure that an organization receives the necessary assistance to carry it all out.
While some skills are similar in these professions, other skills aren't so similar. For example, resumes show us that healthcare consultant responsibilities requires skills like "strategic thinking," "business processes," "data analysis," and "sql." But a senior management consultant might use other skills in their typical duties, such as, "analytics," "business process," "portfolio," and "business analysis."
Senior management consultants may earn a higher salary than healthcare consultants, but senior management consultants earn the most pay in the technology industry with an average salary of $135,771. On the other hand, healthcare consultants receive higher pay in the technology industry, where they earn an average salary of $85,348.In general, senior management consultants achieve similar levels of education than healthcare consultants. They're 2.4% more likely to obtain a Master's Degree while being 1.7% less likely to earn a Doctoral Degree.Healthcare consultant vs. Business analyst-consultant
A business analyst-consultant is responsible for overseeing the project management and ensuring that the operations meet the agreed-upon project deliverables. Business analyst-consultants closely coordinate with the clients for their specifications and requirements, monitoring the resources and processes for the project completion, and aligning those to the clients' budget goals. A business analyst-consultant helps the development team on strategizing techniques for brand promotions with minimal costs with maximum quality and productivity. They should have excellent communication and organizational skills, especially on identifying business opportunities to drive revenues and increase profitability.
There are many key differences between these two careers, including some of the skills required to perform responsibilities within each role. For example, a healthcare consultant is likely to be skilled in "cycle management," "strategic thinking," "business processes," and "sql," while a typical business analyst-consultant is skilled in "strong analytical," "business process," "business analysts," and "user acceptance."
Business analyst-consultants earn the best pay in the finance industry, where they command an average salary of $105,940. Healthcare consultants earn the highest pay from the technology industry, with an average salary of $85,348.When it comes to education, business analyst-consultants tend to earn similar degree levels compared to healthcare consultants. In fact, they're 0.1% more likely to earn a Master's Degree, and 3.1% more likely to graduate with a Doctoral Degree.Healthcare consultant vs. Senior business consultant
A senior business consultant specializes in performing research and analysis to optimize business processes. Their responsibilities revolve around coordinating with different departments to gather necessary data, devising strategies to reduce cost, assess risks, and identify the strength and weaknesses of operations to recommend solutions. They may also train and mentor junior consultants, produce progress reports and presentations, and assist clients through calls and correspondence. Furthermore, as a consultant, it is essential to adhere to the company's policies and regulations, including its vision and mission.
Types of healthcare consultant
Updated January 8, 2025
