Senior Managing Director, Health Care and Life Sciences, Clinical Coder

Ankura; Charlottesville (VA); À distance; USD 250 000 - 450 000; Plein temps

Résumé du poste

Ankura is seeking a Senior Managing Director for its Health Care team to originate, sell, lead, and testify in complex healthcare commercial disputes. You will engage with health plans, law firms and healthcare-focused stakeholders, building a credible market presence.

You will oversee multiple engagements, supervise analyses, develop client relationships, and contribute to go-to-market initiatives. Travel will be required.

Qualifications

• Bachelor’s degree in a relevant field.
• RN preferred; coding certifications are a plus.
• Ten or more years of experience in litigation/disputes consulting or related areas.
• Previous industry experience with providers or payers is a plus.
• Strong understanding of healthcare regulatory and reimbursement issues.
• Ability to travel; authorized to work in the United States without sponsorship.

Responsabilités

• Originate, sell, lead, and testify in complex healthcare commercial disputes.
• Manage a portfolio of projects with multiple active engagements.
• Direct and review complex analyses for provider and payer disputes and investigations.
• Supervise data collection, coding, billing analyses, and report production.
• Develop and apply innovative analytic techniques to engagements.
• Plan engagements and manage client relationships; deliver client communications.
• Serve as a testifying expert and mentor a team of consultants.
• Contribute to go-to-market strategies and industry thought leadership.

Connaissances

Business development

Team leadership

Client relationship management

Executive communication

Go-to-market strategy

Formation

Bachelor’s degree in business, finance, clinical, health care operations, or related discipline

RN preferred

Coding certifications are a plus

Description du poste

Washington D.C.

Vienna, VA

Tampa, FL

Seattle, WA

Phoenix, AZ

Oakland, CA

Nashville, TN

Miami, FL

Irvine, CA

Houston, TX

Fairfield, CT

Denver, CO

Dallas, TX

Charlottesville, VA

Orlando, FL

Boston, MA

Baltimore, MD

USA Hamilton

Full time

R104665

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

Practice Overview:

Ankura’s Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms.

Role Overview:

The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused private equity or strategic stakeholders.

Responsibilities:

• Proven, tangible business development record with the ability to produce at least $3M in revenue and a target opportunity to generate $3M to $5M+ annually

• Manage and deliver results for a portfolio of projects, which typically includes eight or more active engagements.

• Direct and review the development of complex analyses for provider and payer disputes and investigations.

• Supervise data collection and analysis, medical record review, the analysis of coding and billing of claims, quality control procedures, and the production of reports.

• Apply innovative analytic techniques to engagements.

• Responsible for engagement planning, as well as managing and building client relationships.

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

• Serve as a testifying expert.

• Develop, supervise, and motivate a team of high performing consultants.

• Demonstrate exceptional leadership capabilities through mentorship and the development of colleagues.

• Participate in relationship building through networking activities and other sales and marketing initiatives.

• Contribute meaningfully to practice development efforts, such as attendance at industry conferences and generation of written and spoken thought leadership.

• Be a key contributor to Go to Market strategies and campaigns designed around key industry issues that contribute to the firm and practice’s growth.

Qualifications:

• Bachelor’s degree from an accredited university in business, finance, clinical, health care operations, or a related discipline.

• RN preferred

• Coding certifications are a plus.

• Ten or more years of experience in litigation/disputes consulting, or other consulting roles providing forensic and disputes work.

• Previous industry experience with a provider or payer is a plus.

• Strong understanding of legal and regulatory issues that affect health care organizations.

• Familiarity with the analysis of health care financial and operational data sets.

• Experience authoring expert reports, rebuttal reports, declarations, affidavits, or damages analyses; prior deposition, arbitration, trial, or hearing testimony strongly preferred.

• Strong understanding of healthcare legal, regulatory, reimbursement, and operational issues affecting payers, providers, pharmacies, and government program participants.

• Exceptional executive communication skills, including the ability to explain complex technical, analytic, reimbursement, and damages issues to boards, C-suite clients, law firms, regulators, mediators, arbitrators, judges, and juries.

• Demonstrated commitment to privilege, confidentiality, work-product discipline, expert independence, collaboration, quality, and team development.

• Ability and willingness to travel; must be legally authorized to work in the United States without employer sponsorship now or in the future.

#LI-NT1#LI-Remote

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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 [e-mail] 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.

Ankura Consulting Group, LLC is an independent global expert services and advisory firm that delivers services and end-to-end solutions to help clients at critical inflection points related to conflict, crisis, performance, risk, strategy, and transformation. The Ankura team consists of more than 2000 professionals serving 3,000+ clients across 55 countries who are leaders in their respective fields and areas of expertise. Collaborative Lateral Thinking That Delivers, hard-earned experience, expertise, and multidisciplinary capabilities drive results and Ankura is unrivalled in its ability to assist clients to Protect, Create, and Recover Value. For more information, please visit, ankura.com.