Healthcare Review/Audit Consultant
About The Position
Guidehouse is looking for a 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 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.
Requirements
- Bachelor’s degree in health policy, public health, public policy, or other health, finance, accounting, or social science related field
- 1 – 3 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
- Ability to obtain a Public Trust clearance (US citizenship required)
Nice To Haves
- Knowledge of Health Insurance Exchanges preferred, but not required
- Knowledge of Medicare, Medicaid, Medicare Advantage preferred, but not required
- Auditing experience preferred
Responsibilities
- Analyze data and process documentation
- Identify policy and program updates
- Update program materials
- Verify error findings with stakeholders
- Document lessons learned
- Contribute to development of program documents and reporting
- Support other firm-wide initiatives to support the growth of the firm
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
