Director-CDM

About The Wilshire Group 

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets.  With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace.  We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

Classification: Contract (W2)
Duration: 6+ Months
Compensation: $90.00 per hour
Location: Remote with periodic on-site travel to client facility

The Director-Level Senior Consultant is charged with leading a comprehensive operational, financial, and technology assessment for a Critical Access Hospital (CAH) client. This role operates with executive authority to evaluate current-state performance, identify gaps, and design strategic, system, and workflow improvements that strengthen patient access, revenue integrity, and operational sustainability.

Serving as the senior-most Epic and healthcare operations advisor, this consultant partners directly with hospital leadership to assess Epic utilization, optimize workflows, and implement actionable solutions that deliver measurable outcomes.

This role is accountable for strategic insight, independent judgment, and enterprise-level recommendations — not task-based system support.

This role is charged with:

• Leading full-scale organizational and Epic system assessments

• Evaluating clinical, patient access, and revenue cycle workflows

• Identifying operational risks, inefficiencies, and compliance gaps

• Advising executive stakeholders on strategy, optimization, and prioritization

• Developing actionable roadmaps and improvement plans

• Recommending Epic configuration and workflow enhancements

• Driving measurable improvements in access, reimbursement, and operational performance

• Representing Wilshire as a senior trusted advisor

• Conduct enterprise-level current-state assessment across hospital operations and Epic systems

• Evaluate workflows including scheduling, registration, clinical documentation, revenue cycle, and patient engagement

• Analyze performance metrics, financial trends, and operational bottlenecks

• Identify gaps, risks, and opportunities for improvement

• Develop executive-ready reports with prioritized recommendations

• Assess Epic utilization, configuration, and governance

• Identify underused or misaligned functionality

• Recommend system design improvements aligned to best practices

• Support strategic upgrades and enhancement initiatives

• Guide workflow redesign tied to Epic capabilities

• Improve patient access, throughput, and experience

• Strengthen front-end revenue capture and collections

• Reduce denials, registration errors, and billing leakage

• Support sustainable staffing and resource allocation

• Align operations with Critical Access Hospital regulations and reimbursement structures

• Facilitate leadership interviews, workshops, and discovery sessions

• Present findings and recommendations to executives and board-level stakeholders

• Build consensus and drive change management

• Serve as primary point of contact for Wilshire

• Develop improvement roadmaps and phased plans

• Prioritize initiatives based on impact and feasibility

• Support oversight of implementation efforts

• Mentor internal teams and ensure knowledge transfer

This role has authority to:

• Define assessment scope and priorities

• Recommend operational, staffing, and system changes

• Lead design and workflow strategy decisions

• Advise on Epic configuration and governance

• Engage directly with executive leadership

• Escalate only contractual or enterprise risk decisions

Success in this role is measured by:

• Completion of comprehensive assessment and actionable roadmap

• Demonstrated operational efficiencies

• Improved patient access and workflow performance

• Revenue cycle and reimbursement improvements

• Optimized Epic utilization and adoption

• Client satisfaction and executive trust

• Clear, data-driven recommendations and documentation

• 5+ years progressive healthcare leadership, consulting, or Epic systems experience

• Experience leading hospital or health system assessments or transformations

• Experience working with Critical Access Hospitals or rural health systems

• Demonstrated success improving operational and financial performance

• Hands-on Epic system experience in implementation, optimization, or advisory roles

• Strong understanding of Epic workflows across patient access and/or revenue cycle

• Ability to evaluate configuration and recommend best practices

• Director-level executive presence and communication

• Strategic planning and operational analysis

• Data-driven decision making

• Independent project leadership

• Stakeholder facilitation and influence

• Active Epic certification(s)

• Multiple Epic modules (Access, Revenue Cycle, Clinical, or Reporting)

• Healthcare IT or consulting background

• Experience with hospital financial performance improvement

• Experience presenting to C-suite or board leadership

• Strategic thinking

• Executive judgment

• Systems optimization

• Change leadership

• Financial and operational acumen

• Client partnership

• Accountability and autonomy