Senior Manager, Health System Alignment Consulting

Senior Manager

With over 50 years of proven success, ECG, ranked as a Best Midsized Firm to Work For 2026 by Consulting Magazine, is the most experienced healthcare consulting firm in the US. Working exclusively in this space, our people consistently demonstrate their ability to solve challenges for providers and achieve better patient outcomes. Across our eight office locations, we're seeking individuals who will show the courage to find innovative solutions and make a direct impact on the delivery of healthcare services nationwide.

ECG is a national consulting firm that is redefining healthcare together with its clients. We provide a broad range of strategic, financial, operational, and technology-enabled consulting services to the full continuum of care, including hospitals, health systems, medical groups, academic medical centers, children's hospitals, cancer centers, ambulatory surgery centers, investors, and payers/health plans.

Our work focuses on creating practical, tailored solutions that help clients maximize resources and achieve sustainable results. We value collaboration, integrity, and innovation, and are committed to fostering an inclusive and supportive work environment.

Join Our Health System Alignment (HSA) Practice

This group provides advisory services to academic and community health systems and universities related to clinical enterprise organizational structure, partnerships and affiliations, governance and management, and funds flow. This includes physician organization strategy, organizational design, and financial arrangements (e.g., clinical and professional services agreements).

Your Opportunity with ECG:
Senior Manager

Senior managers at ECG serve as experienced leaders who guide project teams, shape client strategy, manage complex engagements, and contribute to firm growth. They play a central role in advancing client relationships, overseeing significant project components, coaching and developing team members, and contributing to practice and business development initiatives.

Senior managers are influential leaders who drive strategic thinking, operational excellence, and team development across engagements. They oversee major project work, deliver insights that shape client decisions, and cultivate high‑performing teams through coaching and mentorship. Senior managers also deepen client relationships, identify emerging opportunities, and help grow ECG's service offerings and market presence—all while modeling the professionalism, judgment, and collaborative spirit that define the firm.

Your Responsibilities May Include

• Lead large portions of project work, applying advanced project management tools and methodologies to ensure high-quality and timely delivery.
• Demonstrate mastery across project types, including planning, resource allocation, budget monitoring, and performance oversight.
• Conduct complex analyses with minimal coaching, ensuring that quantitative and qualitative findings align with client needs and objectives.
• Integrate insights from multiple data sources and identify proxy or analog data when key information is unavailable.
• Diagnose root causes of complex issues, apply systemic thinking, and guide teams through rigorous problem‑solving approaches.
• Facilitate strategic and sensitive discussions with client stakeholders, ensuring alignment and buy‑in on recommendations.
• Lead change management efforts and resolve conflicting priorities with strategic foresight.

• Effectively navigate and resolve conflicts; cultivate deep trust and strong commitment among team members.
• Actively inspire significant positive change within project teams or broader organizational groups.
• Demonstrate exceptional self-awareness and model adaptive leadership in complex or ambiguous environments.
• Provide regular coaching and actionable feedback to team members; play an active role in mentoring, skill development, and talent advancement.
• Support team members in setting and aligning professional goals with project and organizational priorities.
• Manage team dynamics to empower individuals and the collective to perform at their highest potential. Promote a learning culture that includes informal and…