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Berkeley Research Group logo
Berkeley Research GroupWashington DC, District of Columbia

$70,000 - $150,000 / year

We do Consulting Differently The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS is currently seeking a Healthcare Compliance Auditor at either the Consultant or Managing Consultant level. HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents. This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization. The work of a Healthcare Compliance Auditor will involve execution of engagement work streams that will primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on government programs such as Medicare and Medicaid. Responsibilities include working with team to develop audit specifications, expert analysis of healthcare claims and supporting documentation, quality control, and development of client deliverables. The work of a Consultant involves execution of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: billing and coding audits, compliance program review, quality control, development of client deliverables, and industry research. The work of a Managing Consultant involves both execution and oversight of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: management of junior staff, quality control, development and presentation of client deliverables, and industry research. This specific position will require knowledge of medical coding and compliance and potential candidates must have medical auditing expertise. Job title and compensation to be determined based on qualifications and experience. Job Responsibilities: Plan and perform medical record audits to determine coding accuracy and compliant claims submission; Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance; Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines; Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicates the audit findings and recommended areas for improvement; Serve as a subject matter expert on interpretation and application of coding and documentation guidelines; Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas; Stay current on coding guidelines. Develop analyses using transactional data and/or financial data; Generate client deliverables and make valuable contributions to expert reports; Manage client relationships and communicate results and work product as appropriate; Manage junior staff and delegate assignments as directed by more senior managers; Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions; Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting; Prioritize assignments and responsibilities to meet goals and deadlines. Qualifications: An undergraduate degree (e.g., BS, BA); Active coding certification from either AAPC or AHIMA is required; Preference will be given to candidates that are certified in medical auditing; 2+ years of work experience with a focus on healthcare provider billing and coding; 5-7 years of experience is required for the Managing Consultant level position. Job title to be determined based on relevant qualifications and experience. Preference will be given to candidates that are experienced with physician practice coding (e.g. primary care, dermatology, orthopedics, ophthalmology), ASC coding, and/or post-acute coding (e.g. hospice, home health, SNFs). Comprehensive knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation. Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements. Required skills include: Demonstrated ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and recommend corrective action; develop reports, track, and trend audit findings and results. Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools. Commitment to producing high quality analysis and attention to detail. Excellent time management, organizational skills, and ability to prioritize work and meet deadlines. Keen interest in healthcare compliance and healthcare policy. Exceptional verbal and written communication skills. Desire to work within a team environment. Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship. Consultant Salary Range: $70,000 – $150,000 Managing Consultant Salary Range: $100,000 – $230,000 #ThinkBRG #LI-JQ1| #LI-REMOTE About BRG BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead. At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world. At BRG, we don’t just show you what’s possible. We’re built to help you make it happen. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

Posted 4 weeks ago

I logo
Interim HealthCare of AugustaAugusta, Georgia
Launch Your Career in Healthcare Leadership Looking for more than just a job? Join Interim Home Care as an Entry-Level Healthcare Recruiter and step into our Healthcare Administration Management Training Program . This unique opportunity is designed for individuals looking to grow into agency management and leadership roles . You'll start by learning how to recruit top clinical talent—and evolve into someone who understands and contributes to every part of running a home healthcare business. Responsibilities: Recruit, screen, and onboard healthcare professionals Engage and manage candidate relationships Participate in hiring campaigns and live recruitment events Track hiring performance metrics (time-to-hire, retention, etc.) Support agency operations, compliance, and reporting Gain cross-functional training in healthcare administration Requirements: Associate’s or Bachelor’s degree OR equivalent experience 2+ years in sales, service, or customer-focused roles Interest in leadership, healthcare operations, and growth Organized, proactive, and able to communicate clearly Familiarity with Microsoft Office and internet research Why Join Us: Competitive salary + commission structure Full mentorship and training in home care operations Long-term career path into leadership Purpose-driven work improving patient lives at home Collaborative and professional team environment To Apply: Submit your resume and cover letter to: Cutter Mitchell – cmitchell@interimhealthcare.comOr complete our online application: APPLY HERE Interim Home Care is proud to be an Equal Opportunity Employer. We celebrate diversity and welcome applicants of all backgrounds.

Posted 1 week ago

Q logo
Qualified HealthPalo Alto, California

$170,000 - $240,000 / year

Transform healthcare with us. At Qualified Health, we’re redefining what’s possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time algorithm monitoring—working alongside leading health systems to drive real change. This is more than just a job. It’s an opportunity to build the future of AI in healthcare, solve complex challenges, and make a lasting impact on patient care. If you’re ambitious, innovative, and ready to move fast, we’d love to have you on board. Join us in shaping the future of healthcare. Job Summary: We're looking for a Staff Healthcare Data Scientist to bridge our robust data infrastructure with high-impact AI applications. You'll analyze downstream use cases, design optimal feature mappings from standardized healthcare data models, and develop sophisticated data transformations that maximize AI application performance. Working at the intersection of clinical knowledge and technical excellence, you'll ensure our platform delivers reliable, actionable insights to healthcare providers. Key Responsibilities: Conduct comprehensive analysis of downstream AI applications to identify optimal data requirements and feature specifications Design and implement featurized data mappings from standardized healthcare data models (FHIR, Epic Clarity, HL7) to application-specific datasets Develop optimized data transformations within Azure Databricks that enhance AI application performance and clinical accuracy Build scalable PySpark workflows that efficiently process large-scale healthcare data while maintaining data integrity Partner with data analysts to develop comprehensive data QC checklists tailored to specific healthcare applications Design and implement automated data quality notebooks and monitoring systems to ensure completeness and clinical validity Collaborate with clinical stakeholders to translate healthcare workflows into optimized data structures and validate feature engineering approaches Establish reusable feature engineering frameworks and data quality metrics aligned with healthcare regulatory requirements Required Qualifications: 6+ years of experience in healthcare data science with demonstrated expertise in clinical data analysis and outcomes research Deep domain knowledge of healthcare data standards (FHIR r4, HL7v2, ICD-10, CPT, SNOMED-CT) and EHR data structures, particularly Epic Clarity Advanced degree in Data Science, Biostatistics, Epidemiology, or related quantitative field Expert-level proficiency in Python data science stack (pandas, scikit-learn, scipy, statsmodels) Extensive hands-on experience with Azure Databricks and PySpark for large-scale healthcare data processing Strong background in statistical modeling, machine learning, feature engineering, and advanced analytics techniques Solid understanding of modern data warehouse architectures and ETL patterns Outstanding communication skills with ability to explain complex analytical findings to both technical and clinical audiences Experience collaborating with cross-functional teams including clinicians, data engineers, and product managers Desirable Skills: PhD in Biostatistics, Epidemiology, Health Informatics, or related field Experience with real-world evidence studies and AI/ML applications in healthcare Background in healthcare regulatory frameworks (HIPAA, HITRUST, FDA guidelines) Experience with clinical decision support systems and quality improvement initiatives Relevant healthcare analytics or data science platform certifications Published research in healthcare informatics or clinical data science Technical Environment: Our data science infrastructure leverages: Azure Databricks + PySpark for large-scale data processing Azure Data Factory for data integration GitHub Actions + Terraform for CI/CD and infrastructure automation Impact & Growth Opportunity: As a Staff Healthcare Data Scientist, you'll play a pivotal role in ensuring our AI platform delivers clinically meaningful insights to healthcare providers. You'll directly influence how cutting-edge AI technologies are applied to real healthcare challenges while working with advanced healthcare datasets. This position offers significant visibility and growth potential as we scale across major health systems. Why Join Qualified Health? This is an opportunity to join a fast-growing company and a world-class team, that is poised to change the healthcare industry. We are a passionate, mission-driven team that is building a category-defining product. We are backed by premier investors and are looking for founding team members who are excited to do the best work of their careers. Our employees are integral to achieving our goals so we are proud to offer competitive salaries with equity packages, robust medical/dental/vision insurance, flexible working hours, hybrid work options and an inclusive environment that fosters creativity and innovation. Our Commitment to Diversity Qualified Health is an equal opportunity employer. We believe that a diverse and inclusive workplace is essential to our success, and we are committed to building a team that reflects the world we live in. We encourage applications from all qualified individuals, regardless of race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, marital status, disability, or veteran status. Pay & Benefits: The pay range for this role is between $170,000 and $240,000, and will depend on your skills, qualifications, experience, and location. This role is also eligible for equity and benefits. Join our mission to revolutionize healthcare with AI. To apply, please send your resume through the application below.

Posted 30+ days ago

I logo
Interim HealthCare of AugustaAugusta, Georgia
Launch Your Career in Healthcare Leadership Looking for more than just a job? Join Interim Home Care as an Entry-Level Healthcare Recruiter and step into our Healthcare Administration Management Training Program . This unique opportunity is designed for individuals looking to grow into agency management and leadership roles . You'll start by learning how to recruit top clinical talent—and evolve into someone who understands and contributes to every part of running a home healthcare business. Responsibilities: Recruit, screen, and onboard healthcare professionals Engage and manage candidate relationships Participate in hiring campaigns and live recruitment events Track hiring performance metrics (time-to-hire, retention, etc.) Support agency operations, compliance, and reporting Gain cross-functional training in healthcare administration Requirements: Associate’s or Bachelor’s degree OR equivalent experience 2+ years in sales, service, or customer-focused roles Interest in leadership, healthcare operations, and growth Organized, proactive, and able to communicate clearly Familiarity with Microsoft Office and internet research Why Join Us: Competitive salary + commission structure Full mentorship and training in home care operations Long-term career path into leadership Purpose-driven work improving patient lives at home Collaborative and professional team environment To Apply: Submit your resume and cover letter to: Cutter Mitchell – cmitchell@interimhealthcare.comOr complete our online application: APPLY HERE Interim Home Care is proud to be an Equal Opportunity Employer. We celebrate diversity and welcome applicants of all backgrounds.

Posted 1 week ago

Essentia Health logo
Essentia HealthVirginia, MN

$71,926 - $107,890 / year

Building Location: Essentia Virginia Hospital Department: 2083820 SPEECH THERAPY - VIR HOSP Job Description: Evaluates, plans, treats and implements care for patients in the areas of speech, language, cognition and swallowing accordance with professional standards of the American Speech Language and Hearing Association (ASHA) using any established Clinical Practice Guidelines. Education Qualifications: Key Responsibilities: Provides therapy evaluation, treatment planning, treatment, patient/caregiver education, and discharge planning for a full caseload of patients Provides all ancillary/administrative requirements for a full caseload of patients, including documentation, billing, scheduling management, and other administrative duties There is a $20,000 bonus for this position Our ideal candidate will be self-motivated and have a passion for rural care, a variety of patients, and a variety of care settings Demonstrates appropriate communication, professionalism and supervision of support staff (licensed assistants, aides, volunteers) and complies with all organization policies This is a M-F position, no call, no weekends. Complies with organization code of conduct and meets professional organization core values, code of ethics, &/or scope of practice Provide staff education, participate/lead committee groups, participate in staff onboarding/orientation This position is open to students in their final year of training, they can receive a monthly stipend for a maximum of 12 months before the official start date New grads are encouraged to apply* Educational Requirements: Master's degree from accredited speech and language pathology program Licensure/Certification Qualifications: Certification/Licensure Requirements: Current registration/license to practice speech-language pathology in the state of practice For More Information, contact: Delaney Kennedy, Recruiter Email: delaney.kennedy@EssentiaHealth.org Phone: 612-655-7886 FTE: 1 Possible Remote/Hybrid Option: Shift Rotation: Shift Start Time: Shift End Time: Weekends: Holidays: No Call Obligation: No Union: Union Posting Deadline: Compensation Range: $71,926.40 - $107,889.60 Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

Posted 30+ days ago

P logo
Press Ganey Associates LLCBoston, MA

$81,000 - $115,000 / year

Company Description PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders. Our earliest roots are in U.S. healthcare -perhaps the most complex of all industries. Today we serve clients around the globe in every industry to help them improve the Human Experiences at the heart of their business. We serve our clients through an unparalleled offering that combines technology, data, and expertise to enable them to pinpoint and prioritize opportunities, accelerate improvement efforts and build lifetime loyalty among their customers and employees. Like all great companies, our success is a function of our people and our culture. Our employees have world-class talent, a collaborative work ethic, and a passion for the work that have earned us trusted advisor status among the world's most recognized brands. As a member of the team, you will help us create value for our clients, you will make us better through your contribution to the work and your voice in the process. Ours is a path of learning and continuous improvement; team efforts chart the course for corporate success. Our Mission: We empower organizations to deliver the best experiences. With industry expertise and technology, we turn data into insights that drive innovation and action. Our Values: To put Human Experience at the heart of organizations so every person can be seen and understood. Energize the customer relationship: Our clients are our partners. We make their goals our own, working side by side to turn challenges into solutions. Success starts with me: Personal ownership fuels collective success. We each play our part and empower our teammates to do the same. Commit to learning: Every win is a springboard. Every hurdle is a lesson. We use each experience as an opportunity to grow. Dare to innovate: We challenge the status quo with creativity and innovation as our true north. Better together: We check our egos at the door. We work together, so we win together. Location: Remote (U.S.) or Hybrid from Chicago, Boston, or South Bend hubs Travel: Up to 25% At Press Ganey, we empower healthcare organizations to understand their patients like never before. Our industry-leading Patient Experience Management platform enables providers to see patients from every angle-anticipating needs, removing friction, and delivering seamless care experiences across physical and virtual touchpoints. From start to finish and beyond, we help build better journeys for patients and providers alike. Position Overview: Patient Experience Advisor As a Patient Experience Advisor, you will serve as a strategic partner to our clients, owning the day-to-day relationship focused on driving meaningful improvements in patient experience. You'll bring a deep understanding of the healthcare landscape-including key trends, challenges, and priorities-and use that knowledge to guide clients toward impactful solutions. In this role, you'll collaborate cross-functionally with internal teams and client stakeholders to align on strategy, identify opportunities, and implement support processes that advance the client's patient experience goals. You'll leverage data analytics, industry best practices, peer networking, and Press Ganey's proprietary programs to deliver proactive insights that inform client decision-making. Job Responsibilities include: Lead the day-to-day execution of client improvement strategies, ensuring seamless coordination across Press Ganey support teams. Develop a deep understanding of client stakeholder challenges and priorities, and align Press Ganey's solutions and insights to support strategic decision-making. Deliver both on-demand and proactive improvement support, leveraging analytics and thought leadership to demonstrate Press Ganey's differentiated value. Collaborate cross-functionally with internal teams-including consulting, marketing, data science, and knowledge management-to create and adapt innovative resources such as toolkits, blogs, case studies, and scalable insights tailored to key stakeholders. Partner with Application Support Specialists to ensure timely and strategic follow-through that aligns with each client's patient experience (PX) strategy. Work closely with product, technology, and delivery teams to identify emerging market trends and inform future solution development. Coordinate and present regular client performance reviews in partnership with the Managing Director. Lead and support industry programs, webinars, online communities, and events that foster client networking and reinforce Press Ganey's value proposition. Collaborate with the Growth team to identify client needs and opportunities for improvement, delivering best practice recommendations that drive measurable impact. Qualifications Experience: Minimum 5 years in healthcare, with a strong focus on patient experience improvement. Expertise: In-depth knowledge of Hospital CAHPS (HCAHPS) and Clinician & Group CAHPS (CG-CAHPS) required. Skills: Exceptional interpersonal, communication, and presentation skills, with a polished executive presence. Analytical Ability: Strong grasp of improvement methodologies, data analytics, and industry best practices. Mindset: Passionate about patient experience, proactive in problem-solving, and committed to follow-through. Adaptability: Comfortable in a fast-paced environment with the ability to manage multiple priorities. Travel: Willingness to travel up to 25% for client engagements. Education Bachelor's degree required. Work Model To work #BetterTogether, we embrace a hybrid model for team members located near our hubs in Chicago, South Bend, or Boston. We gather in-office three days a week (Tuesday-Thursday), with remote flexibility on other days. This schedule may adjust based on travel needs. Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At PG Forsta we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles. Additional Information for US based jobs: Press Ganey Associates LLC is an Equal Employment Opportunity/Affirmative Action employer and well committed to a diverse workforce. We do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, and basis of disability or any other federal, state, or local protected class. Pay Transparency Non-Discrimination Notice - Press Ganey will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. The expected base salary for this position ranges from $81,000 - $115,000. It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus or commission tied to achieved results. All your information will be kept confidential according to EEO guidelines. Our privacy policy can be found here: https://www.pressganey.com/legal-privacy/

Posted 3 weeks ago

Huron Consulting Group logo
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. As a Senior Directors with Huron's IT Advisory team, you will collaborate with Huron and client senior leaders to design and implement complex and sustainable solutions while delivering remarkable results for our clients. You will create a high-performance environment-inspiring the respect of both clients and engagement teams. Through strong leadership and industry expertise, they ensure Huron's success shaping healthcare digital transformation. Your role will foster a supportive, inclusive environment, empowering team members and creating a workplace where diverse perspectives are valued. You will build strong executive-level relationships, lead change processes, and identify new business opportunities, leveraging Huron's capabilities to meet client objectives. This allows you to make an impact and provide career opportunities both within and beyond your areas of expertise. If you're passionate about driving impactful solutions and believe in the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Technical Consulting Senior Director, you will: Provide strategic leadership and insights on solution development and project delivery of innovative digital health solutions Guide healthcare organizations through complex digital transformation ensuring alignment with organizational goals impacting clinical, operational and financial performance Drive the strategy and implementation of IT Advisory engagements, expanding our digital services across Electronic Health Records (EHR) and Enterprise Resource Planning (ERP) for healthcare clients Provide insights on healthcare's digital landscape, focusing on strategies that are inclusive and consumer-centered to deliver impactful results in EHR and ERP modernization projects Leverage your internal and external networks to contribute to new business by delivering sales and industry presentations, participating in negotiations and successfully closing contracts for new work Deliver solutions tailored to each client's unique needs, enhancing both impact and accessibility across healthcare services Required: Bachelor's degree required; advanced degrees (e.g., MBA) or equivalent experience are valued 12+ years of consulting experience with healthcare systems, ideally with large healthcare organizations or similar environments Background in healthcare consumer transformation, process improvement, and strategic growth areas; candidates with similar experience in related fields are encouraged to apply Knowledge of finance and accounting systems (e.g., FP&A, revenue reconciliation, close automation), as well as ERP platforms (e.g., Workday, Oracle, SAP, Infor) Strong critical thinking skills for data analysis, with the ability to make actionable recommendations A willingness to travel as needed (typically Monday-Thursday) Authorization to work in the United States Preferred: Experience in a matrixed organization or cross-functional team environment Position Level Senior Director Country United States of America

Posted 30+ days ago

Sompo International logo
Sompo InternationalLos Angeles, CA

$150,000 - $250,000 / year

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an AVP or Vice President, Healthcare Underwriting candidate to join our Healthcare team. Our Healthcare Underwriting team offers solutions for Hospitals and Miscellaneous Healthcare facilities writing Healthcare Professional Liability, General Liability, and other ancillary lines for Primary, Umbrella, and Excess risks. We work through a network of brokers who share our commitment to long-term partnerships built on a strong service proposition. Location: This position can be based out of any of the following office locations: Chicago, IL; Dallas, TX; Alpharetta, GA; Boston, MA; Denver, CO; Los Angeles, CA; Miami, FL; New York, NY. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you'll be doing: This role will manage the total business environment related to the production, development, underwriting, expense control and profitability of the US Healthcare hospital accounts handled via the implementation of company underwriting discipline/guidelines, marketing plans and servicing standards for existing and potential clients. Prioritization and evaluation of new and renewal submissions to identify those accounts that provide the greatest opportunity for profit consistent with the business plan and corporate profit objectives. Reviews applications and financial requirements to determine acceptability of risk in accordance with Sompo International's guidelines and standards; Sets appropriate terms and conditions per the Company underwriting strategy and guidelines to quote qualified risks; Authorizes quotes/binders/invoices as appropriate; Exercises proper underwriting pricing and discipline to meet profitability goals, complying with underwriting guidelines, systems and procedures; Attends client/broker meetings, lunches, dinners and other social outings as applicable; Expands existing portfolio of business by developing existing relationships and new prospective clients; Coordinates production underwriting activity working with the SVP of US Healthcare regarding traveling/marketing and target production plans. Prioritizes time and resources to effectively manage and optimize producer performance. Develops producer relationships to build pipeline, agency intelligence, and drives performance to meet and exceed results; Maintains compliance with all regulatory requirements as well as internal policies, procedures and processing standards. Audits assigned accounts and provides feedback to underwriters. Liaises closely with team to ensure information is input correctly into in-house systems in an accurate and timely manner; Supports our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture. Places emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite. Conducts individual account underwriting audits as needed; Completes underwriting referral applications for risks outside of authority for higher level approval as necessary What you'll bring: Undergraduate or advanced degree preferred; 7+ years of Healthcare underwriting experience; in-depth knowledge of Healthcare products and marketing techniques; Established relationships with retail and wholesale producers; Strong negotiation skills; Excellent communication (both written and verbal) skills; Ability to plan strategically and prioritize workload to meet production and management objectives; Ability to be a team player. Salary Range: $150,000 - 250,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children Company-paid Disability benefits with very competitive salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tuition Reimbursement & Professional Qualification benefits In today's world, what do we stand for? Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo. Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.

Posted 30+ days ago

C logo
CNA Financial Corp.Austin, TX

$97,000 - $205,000 / year

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities. This individual contributor role will work on the largest exposure claims across all Healthcare segments. This individual must have the ability to step into a claim at various points, evaluate next steps and proactively move the claim toward resolution. The claim professional will handle approximately 65 high exposure claims. 25% travel. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. Counsels management on legal risks, claim and litigation strategy and obligations in complex matters. Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes. Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements. Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues. May participate with senior management in the development and implementation of claims policy and business strategy. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Director or above Skills, Knowledge & Abilities Expert knowledge of commercial insurance industry, products, policy language, coverage, and claim practices. Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies. Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment. Ability to drive results by taking a proactive long-term view of business goals and objectives. Extensive experience interpreting commercial insurance policies and coverage. Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers. Ability to lead multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's degree with JD preferred in a related discipline or equivalent. Typically a minimum ten years of relevant experience. Medical malpractice experience preferred. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Advanced negotiation experience Professional designations are highly encouraged (e.g. CPCU) #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consulting Director role is $144,500 to $205,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

Posted 6 days ago

DPR Construction logo
DPR ConstructionNashville, TN
Job Description DPR Construction is seeking a Healthcare Project Manager with a minimum of 5 years of commercial construction experience. This individual will be ultimately responsible for the day-to-day execution, project controls, project engineering, cost, risk and business management of a particular project. Management will be of commercial projects within our core markets: healthcare, higher education, advanced technology, life sciences and commercial. Project managers will work closely with all members of the project team, project executives and regional leadership teams and will be responsible for the following: Management of all project team members (senior project engineer, project engineers, superintendents, and field office coordinator). Mentor, develop and train project engineers for fast-paced growth. 100% detailed/hands-on knowledge of project scope. Cost control/billings/collections/change management/cash flows/monthly status reports. Key point of contact with owner and architect. Challenge and support jobsite and self-perform work team. Accountable for project completion and financials, critical success factors, and customer satisfaction results. Coordinate and manage the execution of planning and scheduling of projects. Qualifications We are looking for a flexible, detail-oriented team player with the ability to manage multiple tasks, produce quality work, and consistently meet deadlines. The successful candidate will possess: Excellent listening and strong communication skills. Ability to identify and resolve complex issues. Ability to create and support team morale. Demonstrated understanding of building processes and systems. Work scope requires complete understanding of cost estimating, budgeting and forecasting. Proficient computer skills in Microsoft Office Suite, project management software (Prolog or similar), accounting cost management software (CMIC or similar), and scheduling software (Primavera or similar). 5+ years of experience in commercial construction, preferably within DPR's core markets. Bachelor's degree in construction management, engineering or related field. A strong work ethic and a "can-do" attitude. This position is salaried. DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at www.dpr.com/careers.

Posted 30+ days ago

Vizient logo
VizientCape Girardeau, MO

$88,900 - $155,500 / year

When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future. Summary: As a Senior Sourcing Executive, you will serve as a strategic sourcing expert, delivering best-in-class sourcing and contracting strategies focused on optimizing value for Vizient clients. You will lead all aspects of the strategic sourcing process, including opportunity identification, strategy development, contract execution, negotiations, implementation, and supplier relationship management. By designing and executing client-specific sourcing strategies, you will drive cost savings, improve contract terms and conditions, and identify new value propositions. This role focuses on collaboration and building trusted relationships with stakeholders and suppliers to deliver long-term results. Responsibilities: Lead the development and execution of sourcing workplans that align to client objectives and savings goals. Analyze category spend and market trends to prioritize sourcing initiatives and develop a comprehensive roadmap. Work in collaboration with clients to develop customized contract portfolio. Manage sourcing projects from RFP development and bid facilitation through negotiation, contract award, and implementation. Conduct ongoing price monitoring and contract maintenance utilizing Vizient analytical tools and external sources to review existing agreement market relevance and pricing for negotiations. Collaborate with legal and cross-functional teams to ensure contracts meet organizational standards and guidelines. Serve as a key communication lead, delivering updates on opportunities, progress, and challenges to stakeholders. Facilitate feedback to drive continuous improvement. Qualifications: Relevant degree preferred. Advanced Degree a plus. 5 or more years of relevant experience working in strategic sourcing, contract management, or supply chain required. Experience in a healthcare setting is highly preferred. Experience working across a variety of healthcare supply categories preferred. Proficiency in Microsoft Office tools, with the ability to translate complex data into strategic insights. Experience with procurement and contracting platforms a plus. Ability to partner and collaborate cross functionally with internal and external stakeholders. Exceptional interpersonal and communication skills Willingness to travel. Estimated Hiring Range: At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $88,900.00 to $155,500.00. This position is also incentive eligible. Vizient has a comprehensive benefits plan! Please view our benefits here: http://www.vizientinc.com/about-us/careers Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.

Posted 3 weeks ago

Guidehouse logo
GuidehouseMclean, VA

$179,000 - $298,000 / year

Job Family: Operational Effectiveness Consulting Travel Required: Up to 75%+ Clearance Required: None As a director, you are a leader and strategic driver within our Healthcare Strategy practice. You are a high-impact, collaborative changemaker with a proven track record in healthcare payer/provider consulting. You bring advanced expertise in strategy, project leadership, and people development, and are adept at managing multiple complex projects simultaneously. Your role is pivotal in shaping client outcomes, developing future leaders, and advancing our firm's strategic vision. A core expectation of this role is to serve as a master practitioner and teacher, using an apprenticeship model to develop the next generation of consulting leaders. You will actively coach Managers and junior consultants in the foundational and advanced skills of strategy consulting, ensuring they learn not just by observation, but through deliberate practice, feedback, and structured skill-building. What You Will Do: Strategic Leadership and Project Oversight Lead multiple, concurrent client engagements, ensuring delivery of high-quality, innovative solutions that align with client and organizational goals. Develop and implement comprehensive strategies for healthcare payer/provider clients, including business model transformation, operating model design, enterprise transformation, M&A, and service line innovation. Oversee project teams, set clear objectives, and ensure projects are delivered on time, within scope, and on budget. Apply and teach advanced strategic frameworks (e.g., wind tunneling, SWOT, Porter's Five Forces, PEST, 3Cs) and data-driven methodologies to solve complex business challenges and drive measurable value. Client Relationship Management Serve as an advisor to senior client stakeholders, building and maintaining long-term relationships. Anticipate client needs, proactively identify opportunities, and deliver actionable recommendations that support client objectives. Represent the firm at industry events, conferences, and client meetings to enhance brand visibility and thought leadership. Team Leadership, Apprenticeship, and Talent Development Lead, mentor, and develop Managers and junior consultants, fostering a culture of collaboration, innovation, and continuous learning. Use an apprenticeship model to teach and model classic strategy consulting skills, including: Issue-based problem solving and hypothesis-driven analysis Choice structuring and decision-tree logic Structured communication (e.g., pyramid principle, storylining, executive summaries) Analytical and quantitative modeling Strategic thinking and business acumen Framework application and synthesis of insights Stakeholder management and influencing skills Project management and prioritization Provide regular feedback, conduct performance evaluations, and support career development for team members Business and Practice Development Drive business development initiatives, including proposal development, client presentations, and identification of new business opportunities Contribute to the growth of the healthcare strategy practice through thought leadership, offering development, and internal process improvement Collaborate with other leaders to shape the strategic direction of the practice and ensure alignment with organizational goals Financial and Operational Management Oversee project budgets, resource allocation, and financial performance, ensuring efficient use of resources and achievement of profitability targets Monitor and report on project progress, risks, and outcomes to senior leadership and clients What You Will Need: Bachelor's degree 10+ years of strategy consulting experience in top-tier or boutique consulting, with a focus on healthcare payer/provider industry. Demonstrated success managing multiple, complex projects and leading cross-functional teams. Advanced strategic thinking, analytical, and problem-solving skills. Exceptional communication, presentation, and relationship-building abilities. Proficiency in data analytics tools (e.g., PowerBI, Tableau, Alteryx) and financial modeling. Willingness to travel as required. What Would Be Nice to Have: Masters in healthcare administration (MHA) or related advanced degree. Experience with AI, cloud, or machine learning in healthcare. Active participation in healthcare industry associations. The annual salary range for this position is $179,000.00-$298,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave and Adoption Assistance 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Student Loan PayDown Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program Mobility Stipend About Guidehouse Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Posted 30+ days ago

Marsh & McLennan Companies, Inc. logo
Marsh & McLennan Companies, Inc.Atlanta, GA
We are seeking a talented individual to join our Casualty Healthcare team at Marsh. This role will be based in one of our Central or East coast offices. This is a hybrid role that has a requirement of working at least three days a week in the office. What can you expect? Be an integral member of a world leader's best in class placement team that delivers expert broking & strategic solutions to help manage risk with confidence Build and maintain relationships with underwriters to manage the placement of insurance programs Make an impact- your work will help people and businesses become more safe, secure and successful and you can create a career that matters Take lead on complex placement/technical support activities on big accounts, such as ensuring procedural compliance, reviewing data and updating annual renewal exhibits, maintaining accurate placement system entries, to ensure contract execution as required What is in it for you? Work in an inclusive, collaborative and innovative culture that embraces diversity Exposure to key stakeholders and senior leadership and the opportunity to make strong business connections Tremendous opportunity for long term growth within a dynamic and growing business We will count on you to: Devises the go-to-market strategy, advocates for the value of placement function and participates within pricing of services as applicable. Instructs the submission of coverage specifications and obtains quotes from carriers based upon the "assist, advise, and assume" transaction model Consults with client executives and client teams to support client retention and new business production Inspects the binding of coverage and is responsible for the accuracy of placement binders Drives and builds relationships with practice, insurance markets, clients, carriers and/or underwriters to provide cohesive client service. Consults management on complex client issues or trends through clear and concise communication and participates in development of solutions. Solid knowledge of market risk issues, insurance brokerage, account management, servicing and sales skills Masters a detailed understanding of changing insurance and risk management market conditions and informs client executives, client advisors, and/or clients of major developments affecting various types of products/coverage Formulates Placement strategy by utilizing substantial risk expertise and knowledge of industry and carriers to develop solutions that meet difficult client needs What you need to have: 10+ years industry experience and success working collaboratively in a matrix team environment Casualty experience lines needed along with Sr. Living/HealthCare experience (Medical Professional) Strong problem solving including critical thinking and communication skills P&C license, or ability to obtain What makes you stand out: Experience in loss sensitive polices Ability to build strong relationships and build rapport with internal colleagues, clients and carriers Self-starter, resourcefulness with the ability to bring solutions and ideas to the firm Being able to be part of a collaborative team and feel that you can make an immediate impact Having an interest in how you fit in with achieving the practice's goals and an interest in how to meet those goals Marsh, a business of Marsh McLennan (NYSE: MMC), is the world's top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $149,000 to $317,300. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 30+ days ago

American International Group logo
American International GroupAtlanta, GA

$96,000 - $129,000 / year

Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class claims function. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department of General Insurance (AIG Claims, Inc.). Manages an active claims portfolio of the most complex and high exposure medical malpractice (and some GL) claims at primary and excess coverage layers, applying best claims handling practices and following company protocols to manage and oversee all aspects of claims handling, including coverage determinations, investigations, and trial and resolution strategies. The analyst will investigate losses, orchestrate defense strategies for healthcare provider insureds, conduct independent assessments as to exposures and develop/implement effective litigation and action plans, including opportunities for contribution. Drives resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, negotiating complex settlements, and partnering with insureds and counsel to manage complex litigation. Determines the scope and extent of available coverage and vets/reports complex coverage issues when conflicts arise or are conceivable which may require increased internal coordination with the corporate legal team. Achieves quality standards by effectively managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely. Reports large losses and potential challenges anticipated in a given claim early and often to senior leadership. Prepares and presents high profile, complex information to senior leadership, customers, counsel, insureds, brokers, and others by effectively identifying high profile matters, developing executive loss summaries, coordinating and communicating resolution strategies and sharing relevant current events and case law. Maintains full compliance with NPDB and state medical malpractice reporting requirements. Participates in mediations, attend trials and occasionally conduct outside claim audits. Obtains appropriate authority to independently negotiate multi-million dollar claims with premier plaintiffs' counsel nationwide. Utilize ADR when necessary. Effectively strategizes and coordinates litigation budgets with counsel, insureds and third party vendors. Establish clear ground rules with defense and coverage counsel to maintain budget and work product expectations. Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical malpractice), and regulatory changes. Some travel will be required. What you'll need to succeed 7+ years of medical malpractice / professional liability complex claims and/or complex litigation experience. Law Degree (J.D.) or equivalent preferred. Strong written and verbal communication skills along with strong negotiation, litigation management and interpersonal skills. Excellent organizational and computer skills combined with the ability and flexibility to work in a dynamic, challenging and fast-paced environment. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies. Ability to lead multiple and shifting priorities in a fast-paced and challenging environment. Must be willing and able to travel occasionally. Ready to take your career to the next level? We would love to hear from you. The base salary range for this position in Jersey City, NJ, is $96,000 - $129,000. In addition, the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. We're proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview #LI-NT1 At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us - across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of inclusion We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com. Functional Area: CL - Claims AIG Claims, Inc.

Posted 30+ days ago

HDR, Inc. logo
HDR, Inc.San Francisco, CA
At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and novel ideas to work every day. As we work to weave diversity, equity, and inclusion into our work and foster a sense of belonging throughout the company and within our communities, we constantly ask ourselves: What is our impact on the world? Watch Our Story:' https://www.hdrinc.com/our-story ' Each and every role throughout our organization makes a difference in our ability to change the world for the better. Read further to learn how you could help make great things possible not only in your community, but around the world. Primary Responsibilities The position is responsible for collaborating with clients and leading teams and projects in the HDR San Francisco Health, or Education and Science "Ed-Sci" Studio. In Health, project types include hospitals, clinics and other related facilities; In Ed-Sci, projects include research and development facilities for academic, government, corporate sector and biopharma clients. Projects may include a variety of health delivery, research, imaging, metrology, teaching, testing, and pre-production facilities in the areas of public health, life sciences, physical sciences, biocontainment, related support facilities and other. In the role of Project Manager, we'll count on you to: Independently coordinate work of Project Architects and balance multidiscipline teams throughout the entire project's development Be involved with marketing, contractual, design and production meetings Participate in reviews with various governing agencies for code compliance Facilitate design work sessions during all phases of delivery with the client and their representatives; and facilitate sessions in collaboration with the Project Architect and other disciplines as required to advance the work throughout all phases of delivery Coordinate staffing workload through entire project development to complete documents on schedule Track financial aspects of projects, and coordinate and adjust work effort with team to ensure that work is completed within parameters of agreed-to schedule and internal labor budget Work with the Regional Controller and Managing Principal for project reviews with corporate management as needed Work with Quality Management Coordinator to facilitate quality meetings throughout all phases of project development Participate in marketing activities representing project management requirements of proposals, schedules, fees, interview teams, etc. Strengthen client relations through excellence in project delivery Perform other duties as needed Preferred Qualifications Experience with Health and/or Education and Science projects preferred Experience and/or interest in sustainable design/LEED desired but not required CA Registered Architect PMP certification Minimum of 10yrs in Architecture & Design industry Required Qualifications Bachelor's degree in Architecture 7 years related experience A minimum 2 years project management Registered Architect Must be able to lead a team on projects Experience with Microsoft Office (Word, Excel, Project) Good planning and mentoring skills An attitude and commitment to being an active participant of our employee-owned culture is a must What We Believe HDR is our company. Together, we build on each other's life experiences and perspectives to make great things possible every day. This shapes our collaborative culture, encourages organizational trust and connects us closer to the clients and communities we serve. Our Commitment As employee owners, we all have a role in creating an inclusive environment where each of us is welcomed, valued, respected and empowered to bring our authentic selves to work every day. Our eight Employee Network Groups (Asian Pacific, Black, Hispanic/Latino(a), LGBTQ , People with Disabilities, Veterans, Women, Young Professionals) help create a sense of belonging and foster a supportive environment where everyone is empowered to engage and contribute. Each group has an executive sponsor and is open to all employees.

Posted 30+ days ago

Philips logo
PhilipsJackson, MS

$212,500 - $300,000 / year

Job Title Healthcare Sales Specialist - MRI (TN/LA/MS/KY) Job Description In this role, the Imaging Modality Specialist (IMS) is the knowledge expert on product sales and positioning, who supports their territory by driving overall modality strategy, business and product deal support by providing additional clinical and technical product (modality) expertise on the product / modality across the accounts in their defined territory. Your role: In collaboration with the field sales teams the Sales Modality Leader creates an overall territory modality strategy to achieve sales growth and revenue. Assists field sales teams with customer presentations specifically focused on the clinical and technical components of the value proposition. Understand and address competitive positioning of respective product / modality, and supports where needed in identification of the tender strategy and quotation Driving strategy to build value by utilizing on-site demonstrations, clinical trials, site visits, and national clinical showcase sites. Manage the quoting process with the technical product input for the development of the quote and orders. Providing Field Marketing with input on sales tools, pricing issues and competitive threats which enable Field Marketing to best support the Specialists and provide input to the BIU. You're the right fit if: Bachelor's Degree or equivalent market experience, with 5+ years in MRI or capital imaging sales. Deep technical and clinical knowledge of MRI technology, enabling you to effectively communicate product value and application to clinicians and administrators. Proven ability to assess customer needs, develop tailored solutions, and close complex capital equipment deals. Skilled at establishing credibility with clinical and executive decision-makers, fostering long-term partnerships that drive adoption and satisfaction. High energy and results-oriented, comfortable with approximately 80% travel within your territory and 20% remote office work supported by digital tools and ongoing training. You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this Sales position. How we work together We believe that we are better together than apart. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is a field role. For this position, you must reside in the Gulf South territory which includes Kentucky, Tennessee, Louisiana, Mississippi. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. Learn more about our business. Discover our rich and exciting history. Learn more about our purpose. Learn more about our culture. Philips Transparency Details Total Target Earnings is composed of base salary + target incentive. At 85% to 120% performance achievement, the Target Earning potential is $212,500 to $300,000 annually, plus company fleet/car. Total compensation may be higher or lower dependent upon individual performance. Target Earnings pay is only one component of the Philips Total Rewards compensation package, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in the Gulf South territory which includes Kentucky, Tennessee, Louisiana, Mississippi. #LI- FIELD #LI-PH1 This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.

Posted 30+ days ago

CONTACT GOVERNMENT SERVICES logo
CONTACT GOVERNMENT SERVICESFairfax, VA

$85,000 - $105,000 / year

Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include: Review, sort, and analyze data using computer software programs such as Microsoft Excel. Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.). Develop HCF case referrals including, but not limited to: Ensure that HCF referrals meet agency and USAO standards for litigation. Analyze data for evidence of fraud, waste and abuse. Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence. Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings. Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. Assist conducting witness interviews and preparing written summaries. Qualifications: Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field. Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work. Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc. Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data). Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy. U.S. Citizenship and ability to obtain adjudication for the requisite background investigation. Experience and expertise in performing the requisite services in Section 3. Must be a US Citizen. Must be able to obtain a favorably adjudicated Public Trust Clearance. Preferred qualifications: Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3. Relevant experience working with a federal or state legal or law enforcement entity. #CJ $85,000 - $105,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Posted 30+ days ago

A logo
Aramark Corp.Whiteville, NC
Job Description The Environmental Services Worker Lead provides work leadership to hourly employees in completion of their job duties in Aramark Facility Services areas of responsibility during the event and will also perform hands-on work. Job Responsibilities Assists management and supervisors at beginning and end of shift with sign-in, supplies, equipment sign out and sign in Assist shift operation in the preparation and delivery of supplies necessary to help ensure all employees' needs are met May need to perform overall assessment of public restrooms and on-call rooms Adheres to all departmental sanitation procedures Report all employee issues (safety, injuries, and disciplinary) Supervises all staff assignments to ensure efficient and high-quality cleaning services Responsible for formulating action plans to correct inefficiencies and quality discrepancies Assists in employee training, coaching, and motivation Maintains an accurate record keeping system for quality control systems Adheres to all established systems and training programs to provide a safe working environment Complies with all OSHA regulations and other local, state, and federal government regulations Maintains compliance with Aramark's standards of operation and client contract Maintains all records and reports necessary to comply with Aramark, government, and accrediting agency standards, regulations, and codes At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications Requires 1-2 years of experience in environmental services Ability to communicate (both verbal and written) effectively Ability to apply elementary math functions Ability to work well under time constraints Ability to apply common sense understanding to carry out detailed, but uninvolved written or oral instructions Basic knowledge of infection control procedures and universal precautions and work independently after appropriate training and instruction Maintain a friendly and efficient service attitude towards customers, co-workers, and clients Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter. Nearest Major Market: Wilmington

Posted 30+ days ago

American Family Care, Inc. logo
American Family Care, Inc.Ladera Ranch, CA

$22 - $30 / hour

Benefits: 401(k) matching Bonus based on performance Competitive salary Health insurance Opportunity for advancement Training & development Benefits/Perks Competitive Pay + Bonus Flexible scheduling Paid time off, health insurance, dental insurance, retirement benefit, and more! Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Position Overview As a Healthcare Business Development Representative, you will be responsible for identifying and cultivating new business opportunities. You will work closely with our management team to develop strategies for reaching potential clients, building relationships, and driving revenue growth. Responsibilities Lead Generation: Identify and research potential healthcare clients and partners through various channels, including networking, industry events, and online platforms. Outreach: Conduct outreach efforts to engage potential clients, including cold calls, emails, and social media interactions. Relationship Building: Develop and maintain strong relationships with key decision-makers in healthcare organizations. Sales Strategy: Collaborate with the sales team to develop and execute strategies for converting leads into clients. Market Analysis: Stay informed about industry trends, competitor activities, and market needs to effectively position our solutions. Reporting: Track and report on sales activities, pipeline status, and performance metrics to ensure alignment with business goals. Client Support: Provide exceptional support and follow-up to ensure a positive client experience and address any concerns. Other: Increase the total number of patients per day. Establish and maintain effective, positive working relationships with all departments, center, and corporate employees, and franchisees. Maintain relationship with current partners. Other duties and responsibilities as assigned. Qualifications Experience: Minimum of 2 years of experience in business development, sales, or a related role within the healthcare industry. WC / OCCMED experience. Urgent Care experience. Knowledge: Strong understanding of the healthcare landscape, including key players, trends, and challenges. Skills: Excellent communication, negotiation, and presentation skills. Ability to build rapport with clients and stakeholders. Education: Bachelor's degree in Business, Healthcare Management, Marketing, or a related field is preferred. Tech-Savvy: Proficiency in CRM software (e.g., Salesforce) and Microsoft Office Suite. Familiarity with healthcare IT solutions is a plus. Drive: Proven track record of achieving sales targets and driving business growth. Why Join Us? Impact: Be part of a team that is making a tangible difference in the healthcare industry. Growth: Opportunities for professional development and career advancement. Culture: A collaborative and supportive work environment with a focus on work-life balance. Compensation: Competitive salary with performance-based incentives and a comprehensive benefits package. Compensation: $22.00 - $30.00 per hour PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 30+ days ago

P logo
PACSWillow Springs, IL

$18+ / hour

We're Cooking Up Something Great at Willow Springs Healthcare Center - and You Could Be the Secret Ingredient! Are you passionate about food and love making people smile with a great meal? We're on the hunt for a rockstar Cook to join our vibrant team and bring flavor, flair, and fun to our kitchen! ️ What You'll Be Stirring Up: Keep our kitchen sparkling clean and safe - because cleanliness is next to tastiness! Whip up delicious meals in large batches that make our residents feel right at home. Follow our menu magic and portion guides like a culinary pro. Prepare special diets with care and creativity. Record food temps like a food safety superhero. Puree with purpose - smooth, tasty, and nutritious! Team up with staff across departments to keep things running smoothly. Keep sanitizer buckets fresh and ready for action. Help serve meals with a smile. Tidy up cooking areas and carts like a kitchen ninja. Report any resident concerns to our leadership team. Help onboard and train new dietary team members. Make every plate look like a masterpiece. Be ready to lead or follow - we value both! Stick to our cleaning schedules like a champ. What You Bring to the Table: Previous cooking experience (bonus points if you've cooked for a crowd!) A positive attitude and a love for teamwork Perks & Benefits: Competitive pay (From $18 per hour + DOE) Healthcare, Vision & Dental (for full-time foodies) 401k (full-time only) Paid Time Off - because even chefs need a break! Ongoing training and growth opportunities Ready to turn up the heat on your career? Apply now and let's make something delicious together!

Posted 30+ days ago

Berkeley Research Group logo

Healthcare Compliance Auditor (Healthcare Transaction & Strategy)

Berkeley Research GroupWashington DC, District of Columbia

$70,000 - $150,000 / year

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Job Description

We do Consulting Differently

The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS is currently seeking a Healthcare Compliance Auditor at either the Consultant or Managing Consultant level.

HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents.  This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization. The work of a Healthcare Compliance Auditor will involve execution of engagement work streams that will primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on government programs such as Medicare and Medicaid. Responsibilities include working with team to develop audit specifications, expert analysis of healthcare claims and supporting documentation, quality control, and development of client deliverables.

The work of a Consultant involves execution of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: billing and coding audits, compliance program review, quality control, development of client deliverables, and industry research. The work of a Managing Consultant involves both execution and oversight of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: management of junior staff, quality control, development and presentation of client deliverables, and industry research.

This specific position will require knowledge of medical coding and compliance and potential candidates must have medical auditing expertise. Job title and compensation to be determined based on qualifications and experience.

Job Responsibilities:

  • Plan and perform medical record audits to determine coding accuracy and compliant claims submission;

  • Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance;

  • Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines;

  • Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicates the audit findings and recommended areas for improvement;

  • Serve as a subject matter expert on interpretation and application of coding and documentation guidelines;

  • Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas;

  • Stay current on coding guidelines.

  • Develop analyses using transactional data and/or financial data;

  • Generate client deliverables and make valuable contributions to expert reports;

  • Manage client relationships and communicate results and work product as appropriate;

  • Manage junior staff and delegate assignments as directed by more senior managers;

  • Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions;

  • Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting;

  • Prioritize assignments and responsibilities to meet goals and deadlines.

Qualifications:

  • An undergraduate degree (e.g., BS, BA);

  • Active coding certification from either AAPC or AHIMA is required;

  • Preference will be given to candidates that are certified in medical auditing;

  • 2+ years of work experience with a focus on healthcare provider billing and coding;  5-7 years of experience is required for the Managing Consultant level position. Job title to be determined based on relevant qualifications and experience.  

  • Preference will be given to candidates that are experienced with physician practice coding (e.g. primary care, dermatology, orthopedics, ophthalmology), ASC coding, and/or post-acute coding (e.g. hospice, home health, SNFs).

  • Comprehensive knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation.

  • Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements.

Required skills include: 

  • Demonstrated ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and recommend corrective action; develop reports, track, and trend audit findings and results.

  • Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word.  A desire to expand those capabilities is required, as is the ability to train others to use such tools.

  • Commitment to producing high quality analysis and attention to detail.

  • Excellent time management, organizational skills, and ability to prioritize work and meet deadlines.

  • Keen interest in healthcare compliance and healthcare policy.

  • Exceptional verbal and written communication skills.

  • Desire to work within a team environment.

Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship.

Consultant Salary Range: $70,000 – $150,000

Managing Consultant Salary Range: $100,000 – $230,000

#ThinkBRG #LI-JQ1|#LI-REMOTE

About BRGBRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead.

At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe.

Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world.

At BRG, we don’t just show you what’s possible. We’re built to help you make it happen.  

BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

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