Manager, Healthcare Reimbursement and Regulatory Risk Consulting

RSM US LLP
Philadelphia, PA

We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM.

RSM’s National Healthcare Consulting practice is searching for a Healthcare Regulatory Manager who will provide healthcare regulatory and reimbursement consulting services to clients, potential clients and centers of influence. RSM’s Healthcare Regulatory recovery services are designed to identify high-impact Medicare cost report-related opportunities, including Medicare Critical Access Hospitals, PPS hospitals disproportionate share, bad debts, wage index and other related issues.

As a member of the National Healthcare Consulting practice, you will join professionals with a broad knowledge of the healthcare industry including: financial analysis, regulatory reporting and compliance, and healthcare technology. You will be part of a collaborative consulting team to deliver exceptional client service to meet our client's objectives.

Responsibilities :

  • Work with clients regarding regulatory, compliance, strategies, and other business needs.
  • Work interactively with clients and client team members to create deliverables.
  • Assist in the development of training materials for client personnel related to any new processes/systems
  • Assist in creating, managing, and executing project work plans to provide high-quality client service delivery.
  • Assist in preparing and maintaining internal and external project status reports
  • Assist in leading and directing support staff on projects to prioritize work tasks, ensuring project milestones and deadlines are met, and ensuring work products meet quality standards
  • Mentor junior team members in industry best practices for implementation and project management
  • Support sales activity with new and existing clients by participating in meaningful conversations regarding current challenges while representing RSM’s capabilities.

Basic Qualifications :

  • Bachelor's degree in accounting, finance or related field.
  • 5+ years of health care reimbursement & regulatory experience, consulting experience desirable
  • Hands-on experience completing Medicare, Medicaid & Blue Cross reimbursement reports.
  • Strong knowledge of third-party reimbursement procedures.
  • Previous practice development experience.
  • Strong project management skills.
  • Strong leadership and management experience.
  • Strong skills in Microsoft Office software and industry-related software programs
  • Proven experience leading and/or supervising client service teams
  • Ability and willingness to travel

Preferred Qualifications

  • Ability to analyze and interpret financial data.
  • Ability to read, analyze and interpret industry information and regulations.
  • Ability to build strong relationships and work well with others.
  • Ability to understand the economics of the firm's consulting practice.
  • Exceed client expectations, accurate and timely completion of projects and/or reports.
  • Successful in obtaining consulting services from new and existing clients.
  • Professional representation of the firm and the services provided.
  • Excellent time management and organizational skills.
  • Effective in working independently.
  • Exceptional oral, written, communication and facilitation skills.
  • Interpersonal relationships which encourage openness, candor and trust, both internally and outside the organization.
  • Initiative and creative thinking in decision-making, problem resolution situations and the performance of job duties.

At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at

All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law.

Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at 800-274-3978 or send us an email at [email protected].

RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate.

RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information.

At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range.

Compensation Range: $112,100 - $225,500

Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.

Posted 2026-03-17

Recommended Jobs

Account Manager (Remote)

Fort Washington, PA

Company Description About M3 USA: M3 USA is at the forefront of healthcare innovation, offering digital solutions across healthcare, life sciences, pharmaceuticals, and more. Since our inceptio…

View Details
Posted 2026-01-21

Structural Engineer

Gateway Engineers
Pittsburgh, PA

This position is full-time in person. Gateway Engineers is a multi-million-dollar full-service civil engineering consulting firm with locations in Pittsburgh, PA, Butler, PA, and Selma, NC. Our missi…

View Details
Posted 2026-01-28

Plumbing Service Technician

Work With Your Handz
Willow Grove, PA

Job Title: Plumbing Service Technician Job Location: Willow Grove, PA   We are seeking an experienced, motivated candidate who prides themselves on doing work the right way and giving the cust…

View Details
Posted 2026-02-09

Sales Consultant

Germain Jaguar Land Rover South Hills
Canonsburg, PA

Germain Jaguar Land Rover South Hills Sales Consultant Canonsburg, PA At Germain, our mission is to attract, develop and retain exceptional people to deliver an outstanding experience that…

View Details
Posted 2025-09-24

Gastroenterologist - Multiple Locations, Pennsylvania

Commonwealth Medical Services
West Grove, PA

Gastroenterologist Opportunity – Suburban Southeastern Pennsylvania A well-established, physician-led gastroenterology practice in southeastern Pennsylvania is seeking a Board Certified/Board Elig…

View Details
Posted 2026-01-15

Building Envelope Consultant

KTA-Tator, Inc.
Pittsburgh, PA

Building Envelope Consultant/Project Manager   KTA-Tator, Inc. (KTA) is a 100% employee-owned materials engineering firm, internationally recognized as a leading expert in corrosion protectio…

View Details
Posted 2026-02-26

Pain Management Physician Hermitage PA

HEALTHCARE RECRUITMENT COUNSELORS
Hermitage, PA

Pain Management Physician Hermitage PA (1 hr N of Pittsburgh) Urgently Hiring We are looking for an excellent to join our team part time (1-2 days per month) at our multidisciplinary office near…

View Details
Posted 2026-02-25

Military Veteran Mechanic - Jim Shorkey Kia North Huntingdon

Kia Veterans Technician Apprenticeship Program (VTAP)
North Irwin, PA

Kia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, …

View Details
Posted 2026-01-20

Security Sales Representative - FSI

Oracle
Harrisburg, PA

Job Description Welcome to the world of data security and IAM! As our Security Sales Specialist Representative, you will be at the forefront of our sales efforts, targeting enterprise customers…

View Details
Posted 2026-02-28

Experienced Automotive Finance & Insurance Professional

Toyota Of Scranton
Scranton, PA

Accelerate Your Career as an Automotive Finance & Insurance Pro! Location: Scranton, PA Join Toyota of Scranton Winning Team! Are you an experienced Automotive Finance & Insurance Professional lo…

View Details
Posted 2025-10-21