Senior Director Advisory Services, Clinical Integrity

Senior Director Advisory Services, Clinical Integrity About the Practice Premier’s Financial Transformation Advisory Practice reimagines the entire patient financial journey, helping health systems achieve sustainable margin improvement through an integrated, enterprise-wide approach. Rather than pursuing isolated improvements, our team works across three interconnected pillars: Revenue Cycle: Reducing revenue leakage, accelerating cash flow, improving operational efficiency, and elevating the patient financial experience. Managed Care: Strengthening payer accountability, contracting strategy, reimbursement integrity, and payer performance. Clinical Integrity: Aligning clinical care, documentation, utilization, coding, and reimbursement to improve financial performance, quality, compliance, and patient outcomes. Because clinical decisions, documentation, payer requirements, and revenue-cycle outcomes are interconnected, our consultants work across traditional organizational boundaries. We combine trusted advisory relationships with clinical expertise, advanced analytics, automation, and AI-enabled solutions to identify opportunities, implement sustainable improvements, and quantify measurable value. What you will be doing: Reporting to Clinical Integrity practice leadership, the Senior Director serves as a senior clinical, strategic, and business leader within Premier’s Clinical Integrity service line. This position is responsible for leading complex engagements across multiple clients, managing senior client relationships, supporting portfolio growth, developing consulting talent, and ensuring measurable clinical, operational, and financial outcomes. The Senior Director provides leadership across three primary Clinical Integrity domains: Clinical documentation and coding integrity: CDI strategy, documentation accuracy, coding validation, severity and risk capture, clinical validation, and reconciliation of documentation, coding, billing, and payment outcomes. Utilization management and patient status: Medical necessity, admission status, observation management, utilization review, length of stay, prior authorization, physician advisory services, and care-management workflow optimization. Clinical denials and appeals: Denial prevention, clinical and medical-necessity appeals, peer-to-peer strategy, payer escalation, root-cause analysis, and integration of denial findings into upstream clinical and operational improvements. The Senior Director connects these domains with Revenue Cycle and Managed Care leaders to address payer friction, reimbursement variance, preventable denials, clinical-financial leakage, and contract-performance opportunities. This position manages a portfolio of complex client engagements and is accountable for engagement quality, financial performance, client satisfaction, talent development, and demonstrated value realization. The Senior Director works in partnership with Clinical Integrity practice leadership on service-line execution, executive relationships, market positioning, and growth. Core Expectations Build effective relationships with client clinical, operational, and financial leaders and support Clinical Integrity practice leadership in executive-level client discussions. Partner with Clinical Integrity practice leadership to translate the service line’s strategic direction, market positioning, solution roadmap, and growth priorities into executable delivery and business-development plans. Lead complex, enterprise-level transformation programs across multiple clients and workstreams. Translate clinical, operational, payer, and financial data into prioritized recommendations and quantified improvement opportunities. Integrate Clinical Integrity solutions with Premier’s Revenue Cycle, Managed Care, Clinical Transformation, analytics, and technology capabilities. Support client retention, account expansion, and new business development through high-quality delivery and relationship development. Mentor and develop Directors and other team members while providing delivery leadership to Managers, Senior Consultants, Consultants, and clinical subject-matter experts. Maintain accountability for utilization, engagement margin, delivery quality, client satisfaction, and measurable client outcomes. Contribute to Premier’s market presence through industry engagement, speaking opportunities, publications, and client-facing thought leadership. Key Responsibilities Responsibility #1 – Client Delivery and Senior Client Leadership (40%) Provide senior leadership and strategic oversight for complex Clinical Integrity engagements. Serve as the senior day-to-day client leader for assigned engagements, coordinating with Clinical Integrity practice leadership on executive relationships, strategic decisions, and escalations. Lead client discussions and provide subject-matter guidance on clinical documentation integrity, coding integrity, utilization management, patient status, clinical denials, appeals, and payer-related clinical-financial performance. Lead enterprise diagnostic assessments that distinguish documentation, coding, clinical validation, utilization, workflow, payer, and contract-related root causes. Oversee the development of transformation roadmaps, implementation plans, governance structures, and performance-management systems. Ensure recommendations are supported by clinically credible and financially defensible analyses. Establish value-realization approaches that connect interventions to revenue recovery, denial avoidance, cost reduction, capacity improvement, compliance, quality, and patient outcomes. Support Clinical Integrity practice leadership in executive steering committees, leadership workshops, and C-suite or board-level presentations. Maintain accountability for engagement scope, economics, risk, staffing, quality, and client satisfaction. Ensure successful implementation and achievement of targe