Description #LI-HW1 #LI-Hybrid

Responsibilities

Essential Functions and Primary Duties

The Health Care Senior Manager will manage various compliance and consulting engagements including planning, communication, quality controls, client relationships, resource needs, training, monitoring, deliverable preparation and project evaluation.

Lead and provide management on one or more engagements
Conduct project planning and evaluate operational performance
Provide oversight of work plan functions, due dates, and preparation of deliverables
Develop a system of quality controls and procedures
Monitor compliance with professional standards
Develop subject matter expertise
Develop engagement tools, resources, and reference materials
Analyze and report industry trends
Collaborate with colleagues on the management of the team, contract, and practice areas
Provide support and contribute to other engagements and teams
Cultivate new opportunities and/or services
Represent the firm at conferences, workshops, and other industry related events
Establish, develop, and monitor client relationships
Evaluate and ensure client satisfaction with work product
Recruit, develop and retain staff
Maintain security and confidentiality of protected health information and other sensitive information

Preferred Qualifications

Bachelor's degree in a related field or equivalent experience
12 or more years’ of related experience
5 or more years’ of supervisory experience
RHIA Certification
Experience managing prepayment and postpayment review of health care claims projects for State Medicaid Agencies and/or the U.S. Department of Health and Human Services programs (Centers for Medicare and Medicaid Services, etc.)
Proficient use of applicable software programs, including Microsoft 365 Suite
Proficient with Claude, CoPilot, OpenAI, or related artificial intelligence models
Smartsheet experience preferred
Alteryx experience preferred
Demonstrated ability to communicate verbally and in writing with clients and internally at all levels of an organization
Strong analytical and problem solving skills
Effectively multi-task with planning and efficiency
Organized and detail oriented
Ability to effectively and comfortably operate in a team oriented environment
Demonstrated high level of integrity, client service and leadership skills
Ability to formulate business, technical, and operational strategies
Ability to travel on occasion based on business and client needs

Qualifications

Minimum Qualifications: High school diploma or GED