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Senior Director, Healthcare Disputes / Compliance

LocationSouth Carolina

Typefull-time

DepartmentHealthcare Payer

Company size1,001–5,000 people

First seen10h ago

Last seen10h ago

About the company

Ankura is a team of excellence founded on innovation and growth.

About the role

The Senior Director will support the Healthcare Payer team within Ankura’s Disputes & Economics practice - one of seven practices focused on client delivery services across the Firm. This role will use relevant expertise, regulatory knowledge, data analytics skills and project management capabilities to deliver valued client service and deliverables based upon their unique needs and the scope of the project for which we are retained. This might include the development of custom solutions for clients requiring proactive or reactive support for compliance, accreditations, operations, investigations, and/or litigation/dispute matters, particularly across Medicare Advantage, Medicaid managed care, D-SNP/MLTSS, and ACA markets.

The Senior Director will also support practice and firmwide business development activities and initiatives and will be required to participate and support revenue generation opportunities. They will also have oversight and management responsibilities for downline professionals including Directors, Senior Associates and Associates. They may be assigned as Performance Managers for these subordinate professionals and will support Ankura’s People Office and D&E practice management with human resource support.

Responsibilities:

The successful candidate would be assigned to various projects where he/she would perform the following types of activities:

· Help manage proactive or reactive compliance, audit, and accreditations client engagements.

· Oversee and conduct data gathering activities, document review, and quality control of data assessment.

· Work with Senior Managing Directors and Managing Directors to develop thought leadership, participate in industry conferences and events, and assist with proposal and business development efforts.

· Mentor, supervise and motivate a team of associates, senior associates, and director professionals.

· Prepare client communications, both written and oral, for senior level review.

· Perform client facing tasks including operational, compliance or regulatory assessments and develop associated deliverables.

· Develop and draft proposals, RFP responses and other business development material for the acquisition of client engagements and be active in the sales process with Managing Directors and Senior Managing Directors of the D&E practice.

· Work directly with Managing Directors and Senior Managing Directors in the development of practice initiatives and educational material for internal meetings and events.

· Perform research and interpret emerging and changing regulatory requirements impacting our clients and be able to develop materials that address the same.

Qualifications:

· Bachelor’s and/or master’s degree from an accredited college/university.

· 8+ years of experience in compliance, privacy, research, or litigation/disputes consulting, or other related work in a consulting firm including a Big 4 or other recognized organization.

· Robust understanding of the operational, compliance, and business issues that affect a health plan or healthcare organization, including experience with government programs such as Medicare Advantage, Medicaid managed care, and the ACA marketplace.

· Strong time management skills and ability to manage multiple concurrent projects.

· Commitment to quality and working within a team.

· Effective oral and written communication skills; and,

· Ability and willingness to travel.

· Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.

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Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Equal Employment Opportunity Posters, if you have a disability and believe you need a reasonable accommodation to search for a job opening, submit an online application, or participate in an interview/assessment, please email [email protected] or call toll-free +1.312-583-2122. This email and phone number are created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues unrelated to a disability, will not receive a response.

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