Healthcare Process Risk Manager

Grant Thornton (US); Newport Beach (CA); On-site; USD 129,000 - 195,000; Full time

Job summary

A leading consulting firm in Newport Beach seeks a Process Risk Experienced Manager to identify and address business risks for clients. This role requires strong project management and healthcare expertise. Responsibilities include reviewing processes, managing audits, and mentoring staff. Ideal candidates will have a strong background with life sciences providers and relevant certifications.

Benefits

Work-life integration options

Personalized benefits

Inclusive work environment

Qualifications

• 6+ years of experience in a consulting role.
• 4+ years of experience with life sciences companies or healthcare providers.
• Industry certifications such as CPA, CISA, CISSP, CIA, or CISM are required.

Responsibilities

• Review operational, financial, and technology processes.
• Lead risk identification process and evaluate business processes.
• Manage, develop, train, and mentor staff on projects.

Skills

Project management

Client service

Communication

Analytical skills

Organizational skills

Education

Bachelor’s degree in Accounting, Finance, IT, or related field

Master’s degree in Public Health or Health Administration

Tools

Electronic Health Record (EHR) systems

Audit-preparation software

Job description

Job Description

As a Process Risk Experienced Manager, you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business risks.

You will play a key role in both proactively addressing and responding to these risks within our Risk Advisory Practice, supported by the resources and environment necessary for your success.

Day‑to‑Day Responsibilities

• Review operational, financial, and technology processes to provide management with a comprehensive assessment of business risks, internal controls, and the overall effectiveness and efficiency of processes.
• Oversee internal audit outsourcing and co‑sourcing engagements for clients.
• Manage the risk identification process, including the evaluation and testing of business processes and related controls.
• Foster and maintain strong working relationships with clients, collaborating effectively with client management and staff at all levels.
• Work closely with clients and staff to develop client and project risk assessments, and implement strategies and recommendations for business and IT process optimization, profit improvement, cost reduction, fraud prevention, internal control, and compliance.
• Perform engagement management responsibilities, including project scheduling, financial oversight, quality review, and client relationship management.
• Lead business development activities, including preparing proposals, managing account teams, creating whitepapers, organizing conferences, and contributing to other thought leadership initiatives.
• Manage, develop, train, and mentor staff on projects, and assess performance for both engagement‑specific and year‑end reviews.
• Perform other duties as assigned.

Qualifications and Technical Skills

• Bachelor’s degree in Accounting, Finance, Information Technology, Management Information Systems (MIS), or a related field required. A Master’s degree in Public Health or Health Administration is preferred.
• At least 6 years of relevant experience in a similar consulting role, working with cross‑industry clients at the national level.
• A minimum of 4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and payers, with a strong understanding of their operational challenges and regulatory environments.
• Industry certifications such as CPA, CISA, CISSP, CIA, or CISM are required.
• Proficiency with Electronic Health Record (EHR) systems, particularly Epic and/or Cerner, including implementation, utilization, and operational experience.
• Demonstrated success in managing projects related to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing, billing, and reimbursement, with a focus on enhancing financial performance and operational efficiency.
• Strong understanding of key healthcare regulations and initiatives, and the ability to evaluate organizational compliance with regulatory bodies such as the Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS).
• Experience with Sarbanes‑Oxley Section 404 compliance.
• Proven ability to manage multiple engagements and meet priorities in a dynamic, growing team environment.
• Knowledge of audit‑preparation software and an understanding of how technology impacts healthcare operations.
• Exceptional client service, communication, analytical, organizational, and project management skills.
• Ability to travel as needed.

Base Salary

Los Angeles, Orange County only: $129,600 – $194,400.

San Francisco only: $138,000 – $207,000.

About Grant Thornton

At Grant Thornton, we believe in making business more personal and building trust into every result – for our clients and you. Here, we go beyond your expectations of a career in professional services by offering a career path with more opportunity, flexibility, and support.

Team Culture and Benefits

We support your well‑being through work‑life integration options, personalized benefits that recognize all identities and roles, and an inclusive environment that empowers you to thrive.

Benefits Overview

For an overview of our benefit offerings, please visit: https://www.grantthornton.com/careers/rewards-and-benefits

Equal Employment Opportunity Statement

It is the policy of Grant Thornton to promote equal employment opportunities. All personnel decisions (including, but not limited to, recruiting, hiring, training, working conditions, promotion, transfer, compensation, benefits, evaluations, and termination) are made without regard to race, color, religion, national origin, sex, age, marital or civil union status, pregnancy or pregnancy‑related condition, sexual orientation, gender identity or expression, citizenship status, veteran status, disability, handicap, genetic predisposition or any other characteristic protected by applicable federal, state, or local law.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of Grant Thornton LLP to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. To make an accommodation request, please contact [e-mail].

For Los Angeles Applicants only: We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.

For Massachusetts Applicants only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Grant Thornton does not require or administer lie detector tests as a condition of employment or continued employment.

Contact and Application

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