Healthcare Review/Audit Senior Consultant

Job Family :

Operational Effectiveness Consulting

Travel Required :

Up to 10%

Clearance Required :

Ability to Obtain Public Trust

What You Will Do :

Guidehouse is looking for a Senior Consultant to work on a Centers for Medicare and Medicaid Services (CMS) project with the Office of Financial Management (OFM).

This role will help us ensure that we successfully conduct thorough reviews of CMS programs, specific to the Affordable Care Act. The Senior Consultant will work with a team of reviewers to support a CMS program integrity initiative. The individual will be expected to analyze data and process documentation; identify policy and program updates; update program materials; verify error findings with stakeholders; document lessons learned; and contribute to development of program documents and reporting. To succeed in this role, the individual should have some experience in conducting data validation and/or audits, excellent time management skills, and communication skills as he/she collaborates with the team and external stakeholders.

In addition, the individual will be responsible for supporting other firm-wide initiatives to support the growth of the firm.

What You Will Need :

Bachelor’s degree in health policy, public health, public policy, or other health, finance, accounting, or social science related field

3 – 5 years of professional experience in audit, compliance, research, program management, process improvement, or operations

Experience with and/or knowledge of data analysis

Strong writing and presentation skills

Ability to work independently as well as part of a team, with experience identifying and communicating key work issues to project and task leaders

Acute attention to detail, process-oriented, and strong work ethic

What Would Be Nice To Have :

Knowledge of Health Insurance Exchanges preferred, but not required

Knowledge of Medicare, Medicaid, Medicare Advantage preferred, but not required

Auditing experience preferred

What We Offer :

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

Medical, Rx, Dental & Vision Insurance

Personal and Family Sick Time & Company Paid Holidays

Position may be eligible for a discretionary variable incentive bonus

Parental Leave and Adoption Assistance

401(k) Retirement Plan

Basic Life & Supplemental Life

Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

Short-Term & Long-Term Disability

Student Loan PayDown

Tuition Reimbursement, Personal Development & Learning Opportunities

Skills Development & Certifications

Employee Referral Program

Corporate Sponsored Events & Community Outreach

Emergency Back-Up Childcare Program

Mobility Stipend

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.