Senior Consultant-Healthcare and Life Sciences, Disputes, Compliance & Investigations
Location: New York New York
Description: Navigant Consulting is presently looking of Senior Consultant-Healthcare and Life Sciences, Disputes, Compliance & Investigations right now, this career will be placed in New York. For complete informations about this career opportunity kindly read the description below. The Healthcare and Life Sciences Disputes, Compliance and Inves! tigations (HLS DCI) practice assists three distinct industry segments: Life Sciences/Medical Device, Provider and Payer, each of which requires unique regulatory and industry knowledge and expertise. Within each market segment, we provide an array of dispute, compliance, investigative services and expert witness testimony to companies and their outside legal counsel.
The Senior Consultant will be supporting engagements assisting legal counsel and / or corporate clients who are primarily large for profit and non-profit managed care plans with their Medicare and Medicaid contracts; the engagements will largely focus on various elements of operational compliance. Experience working for a payor organization in a compliance related capacity is essential. Benefical experience would also include assisting Pharmacy Benefit Managers with regulatory compliance and operations engagements within the Managed Care and pharmaceutical industries.
Responsibilities: Supervise large complex client engagements by developing a! nd executing effective work plans, delegating and overseeing work of junior team members, when appropriate, and having ongoing personal contact with clients to keep them informed on the progress of engagements Develop and maintain client budgets and status reports Develop new products and client engagement tools based on managed care industry trends Analyze healthcare and managed care industry trends, perform research into new regulatory and policy requirements, and train more junior team members on these issues Develop and implement database and other analytic tools for client engagements Establish relationships with new health plan clients as well as nurture relationships with former clients available for new work Train and oversee junior team members and perform quality reviews of their work Create high quality and innovative client work products and presentations
Qualifications:
Bachelor’s degree in Finance, Economics, Accounting, Statistics, Socia! l Sciences, Health Care Administration, or Nursing. Graduate level degree or JD a plus Familiarity with CMS Compliance Program requirements in a payor environment Four years of health plan compliance, operations, or audit experience within the Healthcare Industry Large scale data analysis with complex medical and pharmacy claims or other health care data skills Certified Public Accountant certification is a plus Working knowledge of Medicare Advantage and Part D plans and Medicaid regulatory and policy requirements Experience in various types of or government audits a plus Advanced skills involving SQL, MS Access or SAS Ability and willingness to travel
The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical/dental/life insurance, 401(k) and employee stock purchase plans.
Navigant does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be con! sidered the property of Navigant and Navigant will not be obligated to ! pay a placement fee.
EOE M/F/D/V/SO
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Navigant Consulting.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Wed, 20 Mar 2013 20:05:40 GMT
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