ECG Management Consultants: Firm Profile, Careers, and Insights

Key Insights:

• ECG Management Consultants focuses on healthcare consulting, serving hospitals, health systems, and physician groups with strategy, operations, and financial advisory services.
• The firm is owned by Siemens Healthineers, with Michael Orzano as CEO, and is headquartered in Seattle with 10+ U.S. office locations.
• ECG Management Consultants careers offer a structured path from associate consultant to partner, emphasizing mentorship and healthcare industry expertise.
• The ECG Management Consultants internship is competitive, recruiting undergraduates and MBAs for 10 to 12 week summer programs in healthcare consulting.
• ECG Management Consultants salary ranges from $80K at entry-level to $200K+ for leadership, balancing competitive pay with work-life flexibility.

ECG Management Consultants is a leading healthcare consulting firm that partners with hospitals, health systems, and physician groups to solve complex business and clinical challenges. With decades of experience and a reputation for practical solutions, ECG combines strategy, operations, and financial advisory expertise to help organizations improve performance.

In this article, we will explore what ECG Management Consultants does, its history, leadership, careers, salaries, internships, interviews, and culture.

What does ECG Management Consultants do?

ECG Management Consultants is a specialized healthcare consulting firm that provides strategy, operations, technology, and financial advisory services to healthcare organizations. The firm works with hospitals, health systems, academic medical centers, and physician groups to improve patient care, strengthen financial health, and ensure regulatory compliance.

ECG focuses exclusively on the healthcare industry, which allows it to provide tailored expertise. The firm helps clients address challenges such as:

• Strategic planning for long-term growth
• Operations improvement to reduce costs and increase efficiency
• Physician enterprise optimization and alignment strategies
• IT and digital transformation projects
• Navigating healthcare regulations and compliance requirements
• Financial restructuring and advisory for sustainable performance

For example, ECG may assist a children’s hospital in developing a new ambulatory care strategy, or help an academic medical center align physician practices with system-wide goals. By concentrating solely on healthcare, ECG has built deep industry knowledge that enables clients to adapt in a fast-changing environment.

Who owns ECG Management Consultants and who is the CEO?

ECG Management Consultants is owned by Siemens Healthineers, which acquired the firm in 2019. The current Chief Executive Officer is Michael Orzano, who leads the firm’s national operations and healthcare consulting strategy.

The ownership by Siemens Healthineers gave ECG greater resources while allowing it to maintain its boutique focus on healthcare. This partnership enables the firm to combine consulting expertise with Siemens’ global healthcare technology capabilities.

Leadership is an important factor in the firm’s continued growth. Michael Orzano and the executive team focus on:

• Expanding services across healthcare strategy and operations
• Strengthening relationships with hospitals and physician groups
• Driving innovation in healthcare consulting solutions
• Ensuring cultural alignment with employees and clients

This structure provides stability for clients and clear direction for employees considering ECG Management Consultants careers.

Where is ECG Management Consultants headquartered and located?

ECG Management Consultants is headquartered in Seattle, Washington, and has more than 10 office locations across major U.S. healthcare hubs. The firm’s geographic presence allows it to serve hospitals, health systems, and physician groups nationwide.

In addition to Seattle, ECG maintains offices in:

• Atlanta, Georgia
• Boston, Massachusetts
• Chicago, Illinois
• Dallas, Texas
• San Diego, California
• Arlington, Virginia

These offices position ECG close to leading health systems and academic medical centers. The firm’s distributed presence also gives consultants flexibility in career opportunities, including roles in strategy, operations, and financial advisory within the healthcare consulting space.

What is the history of ECG Management Consultants?

ECG Management Consultants was founded in 1973 to help healthcare organizations manage the business side of care delivery. Over the decades, the firm has grown into a national leader in healthcare consulting while maintaining its specialized industry focus. In 2019, Siemens Healthineers acquired ECG, expanding its reach and capabilities.

The firm’s history highlights its consistent role in shaping healthcare consulting:

• 1970s to 1980s: Early focus on hospital administration and physician practice management
• 1990s to 2000s: Expansion into academic medical centers, health systems, and regulatory advisory
• 2010s: Strengthened presence in technology and operations improvement projects
• 2019: Acquisition by Siemens Healthineers, enhancing global resources and innovation
• Today: A respected consulting firm serving hospitals, physician groups, and payers with deep healthcare expertise

This timeline reflects ECG’s steady evolution alongside changes in the healthcare industry. The firm’s long track record provides consultants and clients alike with confidence in its stability and depth of knowledge.

What careers and roles are available at ECG Management Consultants?

ECG Management Consultants careers offer a structured path from entry-level associate roles to senior leadership positions. The firm provides opportunities for professionals in healthcare, business, and public health to advance through performance-based promotions while contributing to meaningful healthcare projects.

At ECG, the career path typically progresses as follows:

• Associate Consultant
  
  • For recent graduates in healthcare, business, or public health
  • Responsibilities: data analysis, research, project support
  • Promotion timeline: about 2 years
• Consultant
  
  • For MBA/Master’s grads or promoted associates
  • Responsibilities: client-facing work, managing deliverables, light project leadership
  • Promotion timeline: 2 to 3 years
• Senior Consultant
  
  • For consultants with 3 to 5 years of experience
  • Responsibilities: lead workstreams, mentor associates, client interface
  • Promotion timeline: 2 to 3 years
• Manager
  
  • For experienced consultants with leadership and subject expertise
  • Responsibilities: oversee multiple projects, manage client relationships, drive business development
  • Promotion timeline: around 3 years
• Principal and Partner
  
  • For senior leaders with strong client networks and deep industry knowledge
  • Responsibilities: strategic direction, thought leadership, firm-wide growth

The firm’s performance-driven structure avoids a strict “up or out” model, allowing consultants to grow steadily within the organization. For candidates considering ECG Management Consultants careers, the pathway balances healthcare consulting expertise with long-term professional development.

How competitive is the ECG Management Consultants internship program?

The ECG Management Consultants internship is competitive, offering 10 to 12 week summer opportunities for undergraduates and MBA students interested in healthcare consulting. Candidates are typically selected from top schools, and a strong academic background plus demonstrated healthcare interest are essential for success.

The internship program provides students with:

• Exposure to healthcare consulting projects across strategy, operations, and financial advisory
• Mentorship from consultants and managers
• Opportunities to work directly with hospitals, health systems, and physician groups
• Training in data analysis, problem-solving, and client communication

Recruitment focuses on universities with strong business and public health programs, such as Duke, UCLA, and the University of Michigan. The process mirrors full-time hiring, with resume screens, behavioral questions, and healthcare-related case interviews.

For students considering a healthcare consulting career, the ECG Management Consultants internship can serve as a direct pipeline to full-time associate roles. Performance during the internship often determines return offers, making preparation and industry knowledge critical.

What is the ECG Management Consultants interview process like?

The ECG Management Consultants interview process includes multiple rounds of behavioral and case-style interviews, typically lasting three to five weeks from application to offer. Candidates should expect a mix of phone screenings, structured case questions, and final-round interviews with senior consultants or managers.

The process generally follows three stages:

• Initial Screening
  
  • Conducted by HR or a recruiter
  • Focuses on resume, healthcare interest, and communication skills
  • Sample question: “Why ECG and why healthcare consulting?”
• First-Round Interviews
  
  • One or two interviews with consultants or managers
  • Combination of behavioral and light case questions
  • Sample case: “Estimate the number of hospital beds needed for a city of 200,000”
• Final Round (Superday)
  
  • Two to three interviews with senior consultants, managers, or principals
  • Includes a full healthcare case interview, Excel or PowerPoint exercise, and presentation
  • Sample task: “Develop a strategy to help a hospital system reduce readmission rates”

Successful candidates demonstrate:

• Clear, structured problem-solving skills
• Passion for healthcare consulting and public impact
• Strong communication and client-facing presence
• Ability to collaborate in team settings

Preparation is key. Practicing healthcare-focused case studies, refining behavioral answers, and showing enthusiasm for healthcare industry transformation will increase the likelihood of receiving an offer.

What salary can you expect at ECG Management Consultants?

The ECG Management Consultants salary for entry-level associates generally ranges from $80,000 to $100,000 per year, with performance bonuses and annual raises available. Compensation increases steadily with experience, though overall pay is slightly lower than at MBB firms, balancing competitive earnings with stronger work-life balance.

Typical salary progression includes:

• Associate Consultant: $80,000 to $100,000 plus performance bonus
• Consultant: $105,000 to $125,000 with bonus potential
• Senior Consultant: $130,000 to $150,000 depending on experience
• Manager: $160,000 to $180,000 with higher bonus opportunities
• Principal/Partner: $200,000+ with significant client and leadership responsibilities

In addition to base pay, ECG consultants often receive:

• Performance-based bonuses and merit raises
• Comprehensive healthcare benefits and retirement plans
• Training and professional development support
• Greater flexibility compared to larger consulting firms

This compensation model attracts professionals seeking meaningful healthcare consulting careers, where the balance of pay, culture, and impact makes ECG a strong option.

Is ECG Management Consultants a good consulting firm to work for?

ECG Management Consultants is considered a strong healthcare consulting firm to work for, offering a collaborative culture, competitive benefits, and a mission-driven focus on improving healthcare delivery. Employee reviews highlight the firm’s supportive environment, recognition programs, and commitment to diversity, equity, and inclusion.

Key aspects that make ECG appealing include:

• Culture and Collaboration
  
  • Open communication and mentorship at all levels
  • Entrepreneurial environment that gives responsibility early
• Employee Recognition
  
  • Annual recognition awards and milestone anniversary rewards
  • Acknowledgment of team contributions through internal programs 
• Communication and Transparency
  
  • Regular firmwide updates, newsletters, and meetings
  • Clear visibility into leadership priorities and performance
• Diversity, Equity, and Inclusion
  
  • DE&I Advisory Council to foster inclusion and awareness
  • Senior leaders serve as advocates for open dialogue and culture building

External recognition adds credibility. ECG has been named one of the Best Firms to Work For by Consulting Magazine and ranked in the Vault Consulting 50 North America list. For professionals pursuing healthcare consulting careers, these recognitions reinforce ECG’s reputation as a rewarding place to build a career.

What exit opportunities do ECG Management Consultants offer?

ECG Management Consultants exit opportunities often lead to senior roles in hospital administration, healthcare startups, public policy, and nonprofit organizations. Alumni also move into payer organizations, life sciences strategy roles, and occasionally transition to larger consulting firms such as McKinsey, BCG, or Bain.

Common exit paths include:

• Healthcare Provider Leadership
  
  • Roles in hospital or health system administration
  • Positions such as Director of Strategy, VP of Operations, or Chief of Staff
• Healthcare Startups and Technology Firms
  
  • Product management and strategy roles at emerging health tech companies
  • Opportunities to apply consulting skills in growth-stage organizations
• Policy and Nonprofit Roles
  
  • Positions in think tanks, healthcare policy institutes, and advocacy groups
  • Focused on improving access, quality, and affordability of care
• Further Consulting Opportunities
  
  • Some alumni pursue lateral moves into global firms, leveraging their healthcare expertise
  • Others specialize in niche areas like physician practice management or payer strategy

These exit opportunities reflect the firm’s strong reputation in healthcare consulting and its ability to prepare professionals for leadership positions across the healthcare ecosystem.

Final Thoughts on ECG Management Consultants

ECG Management Consultants stands out as a healthcare consulting firm with a strong history, mission-driven culture, and clear career pathways. From competitive salaries and structured internships to meaningful client impact, the firm provides a rewarding environment for professionals interested in healthcare transformation.

For candidates exploring consulting careers, ECG Management Consultants offers the chance to combine strategy and operations expertise with a focus on improving patient care. Whether you are considering a first role, preparing for interviews, or looking at long-term opportunities, ECG remains a respected name in healthcare consulting.

Frequently Asked Questions

Q: What is the mission statement of ECG?
A: The mission statement of ECG Management Consultants emphasizes helping healthcare organizations improve performance through strategy, operations, and financial advisory, supporting hospitals, health systems, and physician groups in navigating industry transformation.

Q: Is management consultancy a good job?
A: Management consultancy is considered a good job because it offers a fast-paced consulting career path, exposure to strategy and operations projects, and strong opportunities for growth, especially in specialized areas like healthcare consulting.

Q: How do management consultants work?
A: Management consultants work by analyzing client challenges, developing tailored strategies, and implementing solutions. At ECG Management Consultants, this often means supporting hospital consulting services, physician practice management, and academic medical centers consulting.

Q: Is ECG a public company?
A: No, ECG Management Consultants is not a public company. It operates as a healthcare consulting firm owned by Siemens Healthineers, focusing on healthcare strategy consulting across the U.S.

Q: Which company bought ECG?
A: ECG Management Consultants was acquired by Siemens Healthineers, aligning the firm’s healthcare consulting expertise with Siemens’ global focus on healthcare industry transformation and hospital consulting services.