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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 1 week ago

Cigna logo
CignaIndependence, OH

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks ago

Cigna logo
CignaChicago, IL

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks ago

Cigna logo
CignaSaint Louis, MO

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks 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

Cigna logo
CignaMorris Plains, NJ

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks ago

Cigna logo
CignaPhiladelphia, PA

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks ago

S logo
Sales Focus Inc.North Charleston, SC
Are you interested in working with pharmacies to help individuals save money on their prescriptions? If your passion is sales, working with pharmacies, and working in a fast-paced, fun sales team, then we might be right for you! This is a great opportunity for a entry-level sales representative. You will be part of a team dedicated to developing new business and establishing long-lasting relationships. The Inside Sales Representative is responsible for the acquisition of new customers and managing existing customers by calling on pharmacies in a designated territory. This will be achieved through daily prospecting, rapport building, and conducting follow-ups. Reps will be conducting consultative sales and presenting our unique value proposition. The candidate will be tasked with achieving a minimum quota and logging all sales activities each day into a CRM. The candidate will be effective at selling a solution, getting past gatekeepers, and relating to all staffing levels within the pharmacies. We offer a competitive base pay plus UNCAPPED Commission (this is not a commission-only position), vacation, healthcare & 401K!   The Role and Responsibilities: responsible for performing all phases of the sales cycle: get past the gatekeeper, identify decision-makers, qualify opportunities, overcome objections, prepare quotes, negotiate terms, and close sales Prospect for new clients Meet activity goals established within the assigned territory for visits and other key outreach metrics Deliver sales presentations and utilize effective sales techniques to influence target accounts Maintain professional communication with management regarding activities, customer needs, and other business opportunities Actively demonstrate a commitment to excellent service to all customers Qualifications: Strong work ethic and customer focus Very strong relationship building skills Excellent communication and presentation skills Energetic and outgoing personality with an affinity for engaging with the public Ability to focus on new business development, as well as continued contact with current business Experience with MS Office products (Outlook, Word, Excel, etc.) CRM software experience a plus (Salesforce, Spotio, Badger, etc.) Demonstrated success working independently and without close supervision Perks Competitive / plus UNCAPPED Commission Paid training An industry-leading onboarding and sales development program, including professional sales coaching and training from an accomplished team Ongoing training Ability to accrue 2 weeks’ vacation PTO 10 paid major holidays Ability to accrue health/dental/vision 401K About Sales Focus Inc. (SFI) SFI pioneered the sales outsourcing industry in the United States in 1998. We have over  25 years of experience working within a wide range of industries to boost regional, national, and international sales performance for our clients. For more information about Sales Focus Inc., visit our website at www.salesfocusinc.com Powered by JazzHR

Posted 30+ days ago

R logo
Rocky Mountain Laboratories LLCDraper, UT

$100,000 - $125,000 / year

Compliance Officer (Healthcare Operations) Rocky Mountain Laboratories – Remote in UT, AZ, TX, ID, NV, or CO About Us Rocky Mountain Laboratories (RML) is a clinical laboratory providing comprehensive laboratory services across multiple states. We are dedicated to delivering accurate and timely diagnostic information and committed to improving healthcare outcomes through cutting-edge technology, strong healthcare compliance practices, and a customer-focused approach. Position Rocky Mountain Laboratories (RML) is seeking a Compliance Officer (Healthcare Operations) to help develop, strengthen, and oversee our organization’s compliance program in collaboration with Legal Counsel. This role is ideal for a healthcare compliance professional with hands-on experience in clinical laboratory compliance, medical billing compliance, internal audits, and healthcare regulatory oversight. Candidates should have supported or contributed to healthcare compliance operations and be ready to take on broader ownership of compliance program development within a growing, multi-state laboratory organization. Responsibilities Develop, implement, and maintain RML’s healthcare compliance program, policies, and procedures Monitor regulatory and payer updates (OIG, CMS, CLIA, HIPAA, Medicare, Medicaid) and advise leadership on required changes Promote and maintain a strong culture of regulatory compliance across the organization Coordinate employee compliance training programs and track completion Develop, manage, and report on the annual compliance work plan, including identification of risk areas and trends Develop internal audit plans; conduct and document internal audits to identify and correct areas of non-compliance Perform audits such as CLIA documentation reviews, billing compliance checks, policy adherence reviews, and training completion audits Partner with HR, Billing, and Operations teams to ensure consistent adherence to company policies and payer requirements Maintain awareness of emerging laws, CLIA updates, HIPAA changes, and payer rules that impact laboratory operations and reimbursement Collaborate with Legal Counsel on audits, investigations, compliance documentation, and policy updates Prepare periodic compliance reports and updates for the leadership team Other duties as assigned Required Qualifications Bachelor’s degree required; Master’s degree or Law degree preferred 5+ years of healthcare compliance experience in a clinical, laboratory, billing, or healthcare operations environment Strong understanding of CLIA, HIPAA, Medicare, Medicaid, and healthcare regulatory frameworks Excellent organizational, analytical, and communication skills Strong attention to detail with the ability to prioritize and manage multiple projects Ability to apply project management skills to meet goals and deadlines Ability to work independently and cross-functionally in a remote, multi-state healthcare setting Preferred Qualifications Healthcare compliance certification (CHC, CCEP, or equivalent) Experience with diagnostic laboratories, CLIA regulations, and accreditation requirements Experience collaborating with Legal Counsel and HR on compliance matters Familiarity with compliance tracking systems, audit documentation tools, or policy management platforms Compensation Full-time position with an annual salary range of $100,000–$125,000 , depending on experience. Work Location Remote – limited to candidates licensed and based in UT, AZ, TX, ID, NV, or CO Benefits for full-time W2 Team Members: New benefits effective January 1, 2026.Benefits begin 60 days after the first full month of full-time employment. Health, Dental, and Vision Insurance Paid Time Off (21 days annually for full-time team members) 7 Paid Holidays 401(k) with 50% Company Match up to 6% Health Savings Account (HSA) Short-Term & Long-Term Disability (RML covers 60% of STD premium) Voluntary Life and AD&D Insurance 100% Company-Funded Employee Assistance Program (EAP) Ability to commute/relocate: Applicants must be based in Nevada (ideally near the Vegas or Reno area) Ideal start date: As soon as the right candidate is identified Application Deadline: Applications are reviewed on a rolling basis, and the position may be filled before any stated deadline. If you meet the above qualifications and are interested in joining our team, please submit your resume for consideration. We look forward to hearing from you! At Rocky Mountain Laboratories, we prioritize the care and well-being of our team members. Equal Opportunity Employer Statement Rocky Mountain Laboratories is an Equal Opportunity Employer committed to diversity in its workforce. We comply with all applicable federal and state laws and prohibit discrimination based on race, ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, veteran status, disability, or genetic information. We also comply with the Americans with Disabilities Act (ADA) and provide reasonable accommodations to qualified individuals with disabilities. Pre-Employment Notice & E-Verify Rocky Mountain Laboratories participates in E-Verify.Employment is contingent upon successful completion of a background check and other pre-employment screenings, as required. Employment with Rocky Mountain Laboratories is at-will. This means either the Team Member or the company may end the employment relationship at any time, with or without cause or notice, in accordance with applicable laws. Nothing in this posting or in future communications alters that relationship. While we appreciate interest from staffing agencies, Rocky Mountain Laboratories does not currently partner with external agencies. Resumes submitted unsolicited will not be considered, and no fees will be paid. Please only reference our LinkedIn and Indeed pages for current openings: www.linkedin.com/company/rocky-mountain-laboratories www.indeed.com/cmp/Rocky-Mountain-Laboratories www.rockylabs.com Powered by JazzHR

Posted 4 weeks ago

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Marand Builders IncPompano Beach, FL
We are seeking a dynamic and experienced General Contractor Healthcare Construction Superintendent to join our team and play a crucial role in ensuring the successful execution of construction projects from inception to completion. We are seeking a candidate with previous ground up Hospital or free-standing Emergency Room experience that is familiar with local government entities and their requirements. Estimated Start Date: ASAP About Us In 1999, armed with an Electrical Engineering degree, 14 years of business experience with Hoechst Celanse and a restless entrepreneurial spirit, Francisco Alvarado decided to embark on a new venture and Marand Builders, Inc was established. Since the conception of Marand, our goal has been to understand the individual needs of our customers and provide them with a customized solution. We have built our reputation on reliability, attentiveness, and quality of execution. We succeed when we have provided our clients with the best construction experience. We started in Charlotte, NC, but rapidly expanded to cover the Carolinas, Mid-Atlantic and Southeast US regions. We have 7 regional offices in Virginia, North Carolina, Georgia, and Florida. Our team of highly talented professionals has allowed us to become a preferred vendor with many of our clients, exceeding 95% repeat business. Marand specializes in serving the healthcare, financial services, commercial / administrative and light-industrial industries. Our ideal candidate will have: A bachelor’s degree in construction management, engineering, or a related field, or equivalent work experience At least ten years of experience in the Healthcare construction industry, overseeing all aspects of ground-up projects in hospitals, medical clinics, facilities, and lab upfits Strong leadership, communication, and interpersonal skills, with the ability to manage multiple teams, subcontractors, and stakeholders A Construction OSHA 30 within the last 5 years or ability to renew ICRA certification and familiarity with local government entities Proficient in project reporting software, MS Office, and blueprint reading Knowledge of building codes, safety regulations, air flow standards, and quality standards Problem-solving and decision-making abilities, with a proactive and results-oriented approach A valid driver’s license and the ability to travel to various job sites Requirements Leadership: individual needs to have the ability to supervise and lead the team. Organization: individual should be able to schedule and supervise multi-tasking work of a multi-member team. Experience: individual should have required and proven knowledge in commercial building and construction and related sectors. Scope of Work: individual should have experience with running all aspects of large commercial projects from inception to full profitable completion, to including the following: large ground up projects, interior renovation projects of all sizes, finish work, and all relocation and replacement work on project sizes in the $2M+ valuation range. Safety: A Superintendent Level 3 is required, at a minimum, to possess a valid OSHA 30 card at all times while working on Marand projects. Problem-Solving: individual should have and demonstrate good problem-solving skills. Communication: individual should possess and demonstrate excellent communication skills not only with team members, but also with the Project Management and the Customer. Computer Skills: individual needs to be computer literate and should have basic computer knowledge and experience in the use of Microsoft Office and Procore software. OSHA-30 Hour Training Required as well as recertification every 5 years per Marand policy The successful Construction Project Superintendent should have the minimum of a High School Diploma. A Bachelor’s Degree from a 4-year College or University or an Associate’s Degree from a Vocational School is a plus. A minimum of five to ten years’ experience “on the job” is required. Travel is a requirement of this job. Travel can be up to 75% Responsibilities Enforcing safety compliance (OSHA and Marand safety plan and policies) and advocating for safety is the number one priority. Supervise the construction effort in the field to ensure that the project is completed in accordance with design, budget, schedule, and customer objectives. Conduct weekly on-site meetings with subcontractors, vendors, and others as appropriate with respect to schedule safety issues, and other matters relating to performance in the field. Enforce compliance with all project procedures, safety program requirements, and work rules. Supervises and ensures the health and safety of the workers by enforcing all company, state, and federal guidelines. Prepare and distribute field reports in a timely manner (i.e., daily superintendent’s reports, safety reports, etc.). Completion of punch list items in a time frame consistent with the customer’s requirements and the project budget. Procore for punch list management Monitor and direct subcontractor’s progress and ensure manpower is adequate to meet project schedule and customer expectations. Prepare as necessary subcontractor work schedules and provide input to the Project Manager in preparing and updating project construction schedules to jointly ensure timely completion. Verification of all layouts and/or checking of layout by subcontractors and the establishment of initial control lines and grades. Respond with clarity to subcontractors with respect to questions regarding the project documents and their work. Provide documentation and coordinate with Construction Manager as appropriate. Participate in pre-construction planning, including logistics, means and methods, bid and scope reviews, and project estimates. Maintain an up-to-date set of contract documents on site. Ensure that the subcontractors are maintaining record drawings (“red line as builts”) during construction. Responsible for the organization, establishment, and maintenance of the on-site field office to project a professional image (organized, clean, signage, etc.) The timely communication with the Construction Manager on matters regarding financial issues, safety, construction progress, labor issues, material problems, quality, code issues, etc. Interface and work harmoniously with respective Project Managers and other personnel. Manage, oversee, provide training, and act as a mentor to other Superintendent levels. Work in harmony with other Superintendents that may be assigned as part of a team on larger projects. Continue education in areas including OSHA and safety, means and methods, codes, management skills, new technology, etc. Maintain current Red Cross First Aid and CPR certification. Maintain a current working knowledge of the permit process in those communities where performing work and communicate information on changes to the office. Ensures overall cleanliness of the jobsite to Marand’s standards. Physical Demands: This position involves work at a construction site where duties will be performed both indoors and outdoors Working hours may be extended to meet project deadlines Ability to work night shifts Dexterity of hands and fingers to operate a company iPad, phone, and other business machines While performing the duties of this job, the employee is regularly required to sit, stand and walk. Generally, the job requires 20% sitting, 40% walking, and 40% standing. Includes crawling, standing, stooping, bending, crouching, kneeling, sitting, reaching. Physical work is a primary part (more than 70%) of the job Talk or hear The employee must occasionally lift and/or move up to 50 pounds Performance of the required duties will require physical ability to climb permanent and temporary stairs, passenger use of construction personnel hoists, ability to climb ladders and negotiate work areas under construction Work Environment The job is performed indoors in a variety of settings, including the office, interior building job sites, and job sites outside. While performing the duties of this job on a construction job site, the employee may be exposed to wet and/or humid conditions; moving mechanical parts; high, precarious places; fumes or airborne particles (before the use of air scrubbers); outside weather conditions; extreme cold and extreme heat. The employee may potentially run the risk of being exposed to toxic or caustic chemicals, risk of electrical shock and risk of vibration. The noise level in the work environment is occasionally loud. Personal protective equipment (hard hat, safety glasses and vest) and safety gear (including appropriate clothing, shoes, and gloves) are required on job sites. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Powered by JazzHR

Posted 4 days ago

Data Ideology logo
Data IdeologyPittsburgh, PA
Data Ideology At DI, we provide Data & Analytics expertise to drive measurable business outcomes, often solving complex business problems for our clients. Our data analytics advisory services enable our customers to transform data into insights by driving a culture of empowerment and ownership of results. Our team consists of highly motivated individuals passionate about learning, understanding, collaborating, and intellectually curious. For more information about Data Ideology, visit www.dataideology.com Senior Data Engineer We are looking for a Senior Data Engineer to join our growing Quality Engineering team. The Senior Data Engineer will leverage their business and technical knowledge to develop production-ready data models by integrating multiple data sources while working with business and technical teams to understand business strategy and objectives, gather information, and ensure business requirements are being fulfilled throughout the entire data & analytics lifecycle. Key Responsibilities To perform in this position successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Other duties may be assigned to meet business needs. Ability to collect and understand business requirements and translate those requirements into data models, integration strategies, and implementation plans. Lead modernization and migration initiatives to move clients from legacy systems into Snowflake, ensuring functionality, performance and data integrity. Ability to work within the SDLC framework in multiple environments and understand the complexities and dependencies of the data warehouse. Optimize and troubleshoot ETL/ELT workflows, applying best practices for scheduling, orchestration, and performance tuning Maintain documentation, architecture diagrams, and migration plans to support knowledge transfer and project tracking. Supervisory Responsibilities: None Qualifications Education and Experience: Bachelor’s degree in Computer Science, Information Systems, or a related field (or equivalent experience) 5+ years of experience in data engineering, data warehousing, or data architecture Expert-level experience with Snowflake, including data modeling, performance tuning, security, and migration from legacy platforms Hands-on experience with Azure Data Factory (ADF) for building, orchestrating, and optimizing data pipelines Strong experience with Informatica (PowerCenter and/or IICS) for ETL/ELT development, workflow management, and performance optimization Deep knowledge of data modeling techniques (dimensional, tabular, and modern cloud-native patterns) Proven ability to translate business requirements into scalable, high-performance data solutions Experience designing and supporting end-to-end data pipelines across cloud and hybrid architectures Strong proficiency in SQL and experience optimizing large-scale analytic workloads Experience working within SDLC frameworks, CI/CD practices, and version control Ability to lead technical work and provide code reviews Excellent communication and documentation skills Healthcare domain experience is a plus Work Environment: Remote-first role with a limited hybrid requirement . Candidates must be able to attend occasional in-person meetings or client sessions as needed (approximately once per quarter ). Minimal travel required. Hours of work and days are generally Monday through Friday. Specific business hours will depend on client needs. Physical Demands: Must be able to remain in a stationary position 50% of the time. The person in this position must occasionally move about inside the office to access file cabinets, library stacks, office machinery, etc. Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and printer. The person in this position frequently communicates with clients and coworkers. Must be able to exchange accurate information in these situations. Benefits: PTO Policy Eligibility for Health Benefits Retirement Plan Work from Home Data Ideology is an EEO Employer Powered by JazzHR

Posted 2 days ago

Prosper Infusion logo
Prosper InfusionTampa, FL
POSITION DESCRIPTION *Healthcare Financial Analyst (Accounts Receivables) Experience Required* Prosper Infusion is looking for experienced and motivated Healthcare Financial Analyst (AR) to join our dynamic team! The Healthcare Financial Analyst (AR) is responsible for a broad range of billing processes related to paid and unpaid claims. Responsible for contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred. Major Responsibilities: Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined. Strong skills and knowledge in collections and timely follow ups with insurance companies for positive outcome is highly recommended. Processes unpaid claims quickly to ensure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims. Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets. If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed. Works within specified deadlines and stressful situations. Works overtime when necessary to meet department goals and objectives. Performs other tasks or special projects as assigned. Education/Experience: High School Diploma or equivalent (GED) required. College degree preferred in accounting or business. Excellent interpersonal, communication and organizational skills required. Ability to prioritize, problem solve, and multitask is required. A minimum of 1–2 years’ experience in Home Infusion Pharmacy billing and collections, with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred. Powered by JazzHR

Posted 30+ days ago

Rhythm Pharmaceuticals logo
Rhythm PharmaceuticalsBoston, MA

$182,000 - $275,000 / year

Company Overview Rhythm is a global, commercial-stage biopharmaceutical company committed to transforming the lives of patients living with rare neuroendocrine diseases. We develop medicines for previously untreatable or undertreated diseases and provide meaningful support for healthcare providers and patients and their families. We recognize the courage it takes for patients and their caregivers to begin their journey of advocacy to find the answers they need. Their courage inspires us to challenge convention, ask bold questions and seek answers for them. Every day, we strive for excellence through our willingness to adapt, learn, and our tenacity to overcome barriers, together. Opportunity Overview Rhythm seeks an experienced and highly motivated healthcare compliance leader with a strong life sciences background to join the Legal & Compliance Department in our Boston office. This is a global role that will provide the opportunity to work closely with the U.S. and International businesses and contribute to enhancing an existing healthcare compliance infrastructure. The ideal candidate will be energized by the pace and complexity of a rapidly growing global biotechnology company, and will excel at building relationships, driving cross-functional collaboration, and inspiring others to uphold the highest standards of compliance and integrity. This position will report to the Senior Legal Counsel in the US. The Director, Healthcare Compliance will collaborate with diverse business stakeholders within the North America and International businesses and engage with external counsel and other external advisors. Responsibilities and Duties Build, implement and further enhance Rhythm’s healthcare compliance program in accordance with government/regulator guidance, including HHS/OIG and DOJ guidelines and applicable EMA, MHRA and other global guidelines or requirements. Assist in development, implementation, and oversight of healthcare compliance policies and procedures to foster compliance with applicable laws and regulations. Oversee processes and systems for international, federal and state transparency (Sunshine Act and similar state requirements) aggregate spend reporting. Develop and implement a risk-based compliance audit and monitoring plan for US and international operations to confirm alignment with local laws and company policies. Manage and oversee processes and systems for third party engagements using applicable healthcare compliance technology systems Support the Legal & Compliance department’s ongoing efforts to use data, technology and analytics to monitor for compliance and enhance issue identification and remediation. Integrate global data privacy requirements, including GDPR and other relevant regulations, into healthcare compliance activities and processes. Collaborate with internal stakeholders to address privacy considerations and support responsible data handling across the organization. Develop, conduct, and track completion of healthcare compliance training. Maintain awareness of applicable laws, rules and regulations and stay apprised of changes that may affect Rhythm’s business operations and healthcare compliance program. Keep up-to-date on best practices in healthcare compliance. Champion company culture in which employees view compliance as aligned with core values and regard it as a key objective in business decisions and process development. Partner with Legal and Compliance colleagues to ensure consistency in approach across the global organization. Manage outside counsel as needed in connection with executing above responsibilities and duties. Qualifications and Skills 10+ years of healthcare compliance experience in a global biotech/pharma organization. Experience with rare diseases and international regulatory environments preferred B.A./B.S. degree required. Broad understanding of the life sciences industry and the evolving regulatory landscape, including the laws, regulations, and industry guidance that affect biopharmaceutical companies including global aggregate spend and other reporting/sunshine laws, fraud and abuse and anti-kickback statutes, FDA, OIG/HHS, DOJ and PhRMA requirements, Foreign Corrupt Practices Act and anti-bribery and anti-corruption laws, data privacy laws and regulations (including HIPAA and GDPR), government enforcement actions, and U.S. state compliance requirements. Outstanding communication skills, with strong ability to communicate across various functions and communicate compliance risks clearly and effectively. Ability to use data to analyze information for healthcare compliance purposes. Ability to be a solutions-oriented collaborator (yet take a firm stand where necessary) with excellent judgment and interpersonal skills. Exceptional written, organization, and presentation skills. Demonstrable experience taking ownership of issues and providing timely, actionable and practical advice. Ability to work independently and prioritize multiple demands, including a diverse mix of issues and responsibilities, in a fast-paced environment. This role is based out of our corporate office in Boston, Massachusetts. Rhythm operates in a hybrid-work model. Candidates applying must be willing and able to be in the Boston office in coordination with their department and business needs. This role may involve some travel, including potential international travel. The expected salary range for this position is $182,000 - $275,000. Actual pay will be determined based on experience, level, qualifications, geographic location, and other job-related factors permitted by law. A discretionary annual bonus may be available based on individual and company performance. This role may be eligible for benefits and other compensation such as restricted stock units. More about Rhythm We are a dynamic and growing global team spanning more than a dozen countries. At Rhythm we are dedicated to transforming the lives of patients living with rare neuroendocrine diseases by rapidly advancing care and precision medicines that address the root cause. Our team is passionate about expanding access to reach more patients and developing novel therapies for other rare neuroendocrine diseases, including congenital hyperinsulinism. At Rhythm our core values are: We are committed to advancing scientific understanding to improve patients’ lives We are inspired to tackle tough challenges and have the courage to ask bold questions We are eager to learn and adapt We believe collaboration and ownership are foundational for our success We value the unique contribution each individual brings to furthering our mission Rhythm is an equal employment opportunity employer and does not discriminate against any applicant because of race, creed, color, age, national origin, ancestry, religion, gender, sexual orientation, disability, genetic information, veteran status, military status, application for military service, or any other class protected by state or federal law. Headquartered in Boston, Rhythm is proud to have been named one of the Top Places to Work in Massachusetts. Powered by JazzHR

Posted 1 week ago

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Prometheus Federal ServicesFairfax, VA
Position Summary Prometheus Federal Services (PFS) is a trusted partner to federal health agencies and is seeking a Healthcare Scheduling Administrator. The candidate will own scheduling and staffing across multiple clinical and non-clinical programs. This role will set standards, make real-time decisions to keep coverage on track, and represent the organization in partnership with internal teams, partners, and clients, and drive measurable improvements in coverage, utilization, and compliance. Essential Duties and Responsibilities Develop, execute, and uphold enterprise scheduling and staffing policies and coverage standards for assigned programs. Author and adjust schedules daily/weekly across multiple sites and teams. Make real-time decisions to address callouts, census changes, and credentialing delays. Investigate and resolve timekeeping and scheduling issues, document decisions and resolutions. Coordinate with Onboarding and Credentialing teams to align clearance timelines with staffing needs. Own key metrics (coverage, schedule adherence, utilization, timekeeping) and implement improvements based on results. Prepare and present reports to internal leaders, partners, and government stakeholders as required. Lead or contribute to labor optimization projects (e.g., shift redesign, float pools, cross-training). Minimum Qualifications Bachelor’s degree in Business, Healthcare Administration, or related field. Minimum four (4) years of workforce scheduling/operations experience (healthcare preferred). Experience in investigating and resolving significant scheduling/timekeeping issues that affect finance, service levels, and compliance. Skill in planning and carrying out major staffing requirements (surge plans, contingency coverage, ramps-up/downs) that materially impact operations and partner/clients' SLAs. Stakeholder management excellence: ability to negotiate operational adjustments with partners/clients and align multiple teams (Operations, Onboarding, Credentialing). Advanced proficiency with scheduling platforms and Excel; strong system orientation and recordkeeping discipline. Clear, concise communication, both written and verbal, with the ability to document decisions and present recommendations to leadership. Strong organization and time-management; able to prioritize independently in a fast-paced environment. Authorized to work in the U.S. indefinitely without sponsorship. Ability to obtain public trust. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. This position may be subject to client or government vaccination, policy, or requirements that may change from time to time. The work location is flexible if the company approves it, except that the position may not be performed remotely from Colorado. PFS offers a comprehensive benefits package that includes health insurance, dental and vision insurance, flexible spending accounts, disability insurance, life insurance, a retirement plan, paid time off, remote work, and other benefits to accommodate what matters most to you and your family. Learn more about PFS Benefits. Note: PFS benefits, compensation, and bonuses are subject to eligibility requirements and other applicable plan or program terms. Powered by JazzHR

Posted 2 days ago

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Raintree Systems, IncPhoenix, AZ
Enterprise Business Development Representative Location: Phoenix, AZ (On-Site) Department: Sales Overview: At Raintree, we're committed to transforming the therapy Electronic Medical Record (EMR) industry, empowering therapy professionals to deliver enhanced care and achieve the best outcomes for all. As a Sales Development Representative (SDR), you play a pivotal role in achieving this. Engage with therapy clinics across adult and child care domains, building relationships and driving new business opportunities. Key Responsibilities: Drive outbound prospecting and/or inbound outreach: Target and engage potential clients through cold calling, emailing, and LinkedIn prospecting. Collaborate with Account Executives: Assist in identifying potential business opportunities, researching lines of business and personas, and maintaining accurate records in Salesforce. Evangelize Raintree: Be the voice and ambassador, generating interest in our top-rated Therapy EMR platform. Utilize sales tools: Maximize Outreach.io for engagement, and maintain accurate customer data in Salesforce. Qualifications: Bachelor's degree or equivalent experience. 1-3 years in lead-gen/lead-nurturing roles, preferably in tech or healthcare sectors. Previous sales or cold calling experience. Experience with sales tools like Salesforce, Outreach.io, Salesloft, Hubspot, etc. Strong written, verbal, and interpersonal communication skills. Proficient with Google Suite (Google Drive, Gmail, Google Docs, Google Sheets) and Salesforce.com. Previous experience within Physical Therapy, Occupational Therapy, Speech Therapy, and Pediatric Therapy is a plus! Attributes: Entrepreneurial spirit: Own your role, work autonomously, and prioritize effectively. Detail-oriented: Excel in organization and execution. Team player: Collaborate seamlessly within diverse teams. Professional: Maintain a neat, professional demeanor in-person and virtually. Why Raintree?: Innovation: Dive into the world of Medical SaaS with the industry-leading Therapy EMR. Impact: Be at the forefront, shaping the future of healthcare by driving transformative business solutions. Career Advancement: Seize the unique opportunity to fast-track from foundational skills to a closing role in a dynamic convergence of tech and healthcare. Competencies for Success: Exceptional verbal, listening, and written communication skills. Analytical: Define problems, collect data, and identify trends. Accountable: Own your responsibilities and outcomes. Relationship-builder: Internally and with potential clients. Strong customer focus: Prioritize client success at all times. Note: This role requires a 5-day on-site presence in Phoenix, AZ Our Perks Paid Time Off/11 Paid Holidays/Year-End Holiday Break Health, Dental, Vision, HSA/FSA 401K with Company Match Disability & Life Insurance Employee Assistance Program Paid Parental Leave About Raintree Systems​ Raintree is the preeminent platform for enterprise and mid-sized therapy provider organizations. Our award-winning solutions in patient engagement and communications, clinical documentation, revenue cycle management (RCM), and business intelligence are tailored to the needs of physical therapy, occupational therapy, speech therapy, and ABA practices across all treatment settings. Our Core Values We put our Clients First - We are Open and Honest - We are Disciplined, Yet Flexible We love to Solve Problems - We are Committed to Greatness - We are a High Performance Team Raintree Systems provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Powered by JazzHR

Posted 3 weeks ago

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Comfort Keepers of North GeorgiaEllijay, GA

$23+ / hour

Calling All Future Healthcare Heroes! Medical, Nursing, and Allied Health Students – Start Gaining Real-World Experience Now! Are you a nursing student, medical student, or enrolled in any healthcare-related program?Looking for a flexible job that fits your class schedule, builds your resume, and helps you earn extra income (with scholarship opportunities, too)?Comfort Keepers in Ellijay, GA is hiring, and we want YOU on our team! Why Join Us? • Flexible Scheduling – We work around your classes & clinicals• Scholarship Opportunities – Ask us how we can help with tuition• Hands-On Experience – Start gaining real-world skills NOW• Extra Cash – Starting pay up to $23/hr (based on experience & availability)• Work More Over Breaks – Pick up extra shifts when school’s out The Role: Part-Time & PRN Caregiver You’ll provide one-on-one care for seniors in their homes – a chance to apply your bedside manner, communication skills, and patient care skills. Must live within 30 minutes of Ellijay, GA Must enrolled in a medical programReliable transportation required – this is not a remote position Perks & Benefits: • Premium Weekend Pay• Holiday Pay at Double Time (For Holidays Worked)• Paid Continued Education• Medical, Dental & Vision Options (Full Time Employees)• Scholarship Program• Retirement Plan with Employer Match (Full Time Employees)• Flexible Schedules & Monthly Calendars• Smart Apps for Scheduling & Payroll• Paid Travel Time + Mileage (For Transportation For or With Client in Your Vehicle).• Pay Day Advance Options• Direct Deposit• Supportive Team + Career Growth Ready to apply or want to talk with someone now?Call us M-F 9am to 5pm at 770-887-0499 and press option 3 to connect directly with a recruiter! or apply 24-7 online. Make your time as a student count — gain experience, earn money, and help others while preparing for your future in healthcare.Join Comfort Keepers and become the hero someone needs today. Powered by JazzHR

Posted 30+ days ago

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Sales Focus Inc.North Charleston, SC
Are you interested in working with pharmacies to help individuals save money on their prescriptions? If your passion is sales, working with pharmacies, and working in a fast-paced, fun sales team, then we might be right for you! This is a great opportunity for a entry-level sales representative. You will be part of a team dedicated to developing new business and establishing long-lasting relationships. The Inside Sales Representative is responsible for the acquisition of new customers and managing existing customers by calling on pharmacies in a designated territory. This will be achieved through daily prospecting, rapport building, and conducting follow-ups. Reps will be conducting consultative sales and presenting our unique value proposition. The candidate will be tasked with achieving a minimum quota and logging all sales activities each day into a CRM. The candidate will be effective at selling a solution, getting past gatekeepers, and relating to all staffing levels within the pharmacies. We offer a competitive base pay plus UNCAPPED Commission (this is not a commission-only position), vacation, healthcare & 401K! The Role and Responsibilities: responsible for performing all phases of the sales cycle: get past the gatekeeper, identify decision-makers, qualify opportunities, overcome objections, prepare quotes, negotiate terms, and close sales Prospect for new clients Meet activity goals established within the assigned territory for visits and other key outreach metrics Deliver sales presentations and utilize effective sales techniques to influence target accounts Maintain professional communication with management regarding activities, customer needs, and other business opportunities Actively demonstrate a commitment to excellent service to all customers Qualifications: Strong work ethic and customer focus Very strong relationship building skills Excellent communication and presentation skills Energetic and outgoing personality with an affinity for engaging with the public Ability to focus on new business development, as well as continued contact with current business Experience with MS Office products (Outlook, Word, Excel, etc.) CRM software experience a plus (Salesforce, Spotio, Badger, etc.) Demonstrated success working independently and without close supervision Perks Competitive / plus UNCAPPED Commission Paid training An industry-leading onboarding and sales development program, including professional sales coaching and training from an accomplished team Ongoing training Ability to accrue 2 weeks’ vacation PTO 10 paid major holidays Ability to accrue health/dental/vision 401K About Sales Focus Inc. (SFI) SFI pioneered the sales outsourcing industry in the United States in 1998. We have 25 years of experience working within a wide range of industries to boost regional, national, and international sales performance for our clients. For more information about Sales Focus Inc., visit our website at www.salesfocusinc.com Powered by JazzHR

Posted 30+ days ago

Satori Digital logo
Satori DigitalChicago, IL
Our client is on a mission to transform the future of caregiving by providing critical support to families caring for loved ones with dementia and other conditions. With strong traction and rapid growth, the team is scaling its impact to empower millions of caregivers in need. To support this mission, we are hiring multiple Enrollment specialists to join their fully remote team. This role is pivotal as Enrollment Specialists will act as the first voice struggling caregivers hear—bringing empathy, support, and encouragement while enrolling them into the program.This is a remote position Why Join Us 100% remote role – flexible and accessible anywhere High-growth team – up to 50 hires in the next 6 months Fast hiring process – interview to offer in as little as 1 day Flexible schedules – both part-time and full-time opportunities available Unique talent pool – we welcome applicants from all backgrounds, including retirees Make real impact – directly support caregivers and families navigating dementia What You will do Make outbound cold calls to a set list of potential users Introduce Ceresti and enroll caregivers into our program Be the compassionate, empathetic first point of contact for struggling families Handle rejection with resilience and keep driving toward enrollment goals Collaborate with our team to continuously improve outreach and caregiver experience Who we are looking for Resilient communicators – comfortable with high-volume cold calling Empathetic listeners – able to connect with caregivers authentically Persuasive enrollers – strong ability to sign people up over the phone Mission-driven individuals – personal or professional connection to dementia/caregiving is highly valued Powered by JazzHR

Posted 30+ days ago

Coefficient Health logo
Coefficient HealthNew York, NY

$95,000 - $120,000 / year

We have an immediate, full-time opening for a Account Manager with healthcare and/or pharmaceutical creative/ad agency experience.  About Us, About You Based in New York City, and launched in early 2023, Coefficient Health is a full-service healthcare marketing agency designed to be more like the commercial leaders we partner with. In the pharmaceutical and biotech industries, we understand that driving change effectively requires expertise in more areas than ever and the ability to integrate that knowledge across teams.  That's why Coefficient Health is built on a new model of multidimensional talent. We are a team of agile and entrepreneurial go-getters who do not subscribe to the traditional siloed agency structure. At Coefficient Health, you will have the opportunity to break out and flex your muscles in multiple areas to partner with our clients, seamlessly integrate into their teams, and truly see the contribution of your work in action. You will have the flexibility of an integrated, hybrid role that allows you to contribute across disciplines and work with other multidimensional experts to own, shape, and develop smart, strategically grounded creative solutions that increase brand impact and lead to meaningful results. If this sounds like a role for you, read on! Are you a star performer ready to go from big to boutique?  Are you multidimensional, looking for a hybrid role that allows you to flex your muscles in multiple areas: strategy + account + project management? Are you equally comfortable organizing and driving a project forward as you are engaging with clients and coming up with smart solutions that increase brand impact? Do you thrive in an entrepreneurial + integrated environment, and enjoy working within multiple disciplines to truly take ownership of your accounts + team?  Are you ready to break out and get to the next level? Primary Responsibilities Client and Account Management Develop great relationships and build trust with your clients Understand your client’s business, brands, and organizational structure Support and participate in strategic processes with Directors Ensure strategic pull through of all work through the production process  Protect the integrity of the brand (strategy, identity, creative, messaging) as we deliver key initiatives  Project Management Define and plan project workstreams assumptions and deliverables Built and manage bottom-up budgets Develop detailed and interconnected project timelines  Manage client billing and invoicing  Own and be the steward of an efficient and organized process  Lead the execution of integrated healthcare marketing campaigns with specific emphasis on digital  Drive the tasks, timelines, and outputs on time and on budget  Manage and maintain quality over the full processes Be the expert in internal and client promotional review and submission processes Professional Development Learn next level roles and strategic principles for advancement Take initiative to over deliver and provide exceptional client experiences Direct and support your team by teaching, listening and staying one step ahead  Desired Skills and Experience We seek highly motivated individuals with a strong track record of professional achievement who can bring intellectual curiosity, determination, and creativity to our client work. You must have the following qualifications: Minimum of 5 years in a relevant field (pharmaceutical, pharma advertising, medical communications, public relations, consulting or life sciences) Experience with developing cross channel assets with specific emphasis on digital (web, email, rep triggered email, detail aids, etc), familiarity with Veeva a plus Client relationship management experience Excellent communication (written and verbal), interpersonal, and presentation skills Superior organization skills and exacting attention to detail High proficiency in PowerPoint, Excel, Word Familiarity with project management tools like AirTable, SmartSheet, routing tools  Disciplined self-starter + team organizer Ability to work in a high performance, fast-paced team environment with an adaptive workflow Attention to detail and proofreading skills Bachelor's degree (communications, healthcare, science) Must be willing to come into the NYC office in the Financial District 3 days per week WHAT’S IN IT FOR YOU: Y ou will work directly with the founding partners and leaders of the business. You will collaborate with a team of smart and friendly people. You will take ownership of your work and be challenged. If you rise to the challenges of your position, you will grow fast, do more, and be rewarded. The position offers competitive pay with benefits based on experience and qualifications: Salary Range: $95,000–$120,000 The salary range provided represents what a potential hire may expect to earn in this role at Coefficient Health. Actual salary decisions will be influenced by several factors that we use to determine overall fit, including experience (both direct and indirect), education, training, demonstrated qualifications, and organizational needs. Salary is only one component of the total rewards package offered at Coefficient Health, and we encourage you to apply if this range falls outside of your expectations. Coefficient Health LLC. provides Equal Employment Opportunities to all employees and applicants for employment without regard to race, color, religion, creed, national origin, ancestry, sex, age, physical or mental disability, pregnancy, veteran or military status, genetic information, sexual orientation, gender identity or expression, marital status, civil union/domestic partnership status, familial status, domestic violence victim status, or any other legally recognized protected basis under federal, state or local laws. The Company complies with applicable federal, state and local laws governing nondiscrimination in employment in every location in which the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the Company. Please inform our team if you need assistance completing this application or to otherwise participate in the application process. Powered by JazzHR

Posted 30+ days ago

S logo
Sales Focus Inc.North Charleston, SC
Are you interested in working with pharmacies to help individuals save money on their prescriptions? If your passion is sales, working with pharmacies, and working in a fast-paced, fun sales team, then we might be right for you! This is a great opportunity for a entry-level sales representative. You will be part of a team dedicated to developing new business and establishing long-lasting relationships. The Inside Sales Representative is responsible for the acquisition of new customers and managing existing customers by calling on pharmacies in a designated territory. This will be achieved through daily prospecting, rapport building, and conducting follow-ups. Reps will be conducting consultative sales and presenting our unique value proposition. The candidate will be tasked with achieving a minimum quota and logging all sales activities each day into a CRM. The candidate will be effective at selling a solution, getting past gatekeepers, and relating to all staffing levels within the pharmacies. We offer a competitive base pay plus UNCAPPED Commission (this is not a commission-only position), vacation, healthcare & 401K! The Role and Responsibilities: responsible for performing all phases of the sales cycle: get past the gatekeeper, identify decision-makers, qualify opportunities, overcome objections, prepare quotes, negotiate terms, and close sales Prospect for new clients Meet activity goals established within the assigned territory for visits and other key outreach metrics Deliver sales presentations and utilize effective sales techniques to influence target accounts Maintain professional communication with management regarding activities, customer needs, and other business opportunities Actively demonstrate a commitment to excellent service to all customers Qualifications: Strong work ethic and customer focus Very strong relationship building skills Excellent communication and presentation skills Energetic and outgoing personality with an affinity for engaging with the public Ability to focus on new business development, as well as continued contact with current business Experience with MS Office products (Outlook, Word, Excel, etc.) CRM software experience a plus (Salesforce, Spotio, Badger, etc.) Demonstrated success working independently and without close supervision Perks Competitive / plus UNCAPPED Commission Paid training An industry-leading onboarding and sales development program, including professional sales coaching and training from an accomplished team Ongoing training Ability to accrue 2 weeks’ vacation PTO 10 paid major holidays Ability to accrue health/dental/vision 401K About Sales Focus Inc. (SFI) SFI pioneered the sales outsourcing industry in the United States in 1998. We have over 25 years of experience working within a wide range of industries to boost regional, national, and international sales performance for our clients. For more information about Sales Focus Inc., visit our website at www.salesfocusinc.com Powered by JazzHR

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

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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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