Manager, Forensics and Compliance - Disputes, Claims & Investigations
About The Position
At Stout, we’re dedicated to exceeding expectations in all we do – we call it Relentless Excellence ®. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. The Manager / Senior Manager, Forensics & Compliance will play a key role in supporting complex disputes, investigations, and compliance matters through advanced healthcare data analytics. This role requires deep expertise in healthcare data ecosystems, claims and revenue cycle analytics, ETL design, and business intelligence, with the ability to translate complex datasets into clear, defensible insights for internal teams, clients, and counsel. The ideal candidate brings 8+ years of experience working with healthcare data, SaaS or multi-tenant platforms, and advanced analytics tools, along with experience operating in consulting, investigative, or regulated environments. Impact You’ll Make This role plays a critical part in delivering defensible, data-driven insights that support complex disputes, investigations, and compliance matters—particularly within the healthcare sector. You will help shape analytical strategy, elevate engagement quality, and strengthen client confidence through rigorous, scalable healthcare data solutions.
Requirements
- Bachelor’s degree required; preference for Health Policy, Health Administration, Data Analytics, Information Systems, or related field
- 8+ years of progressive experience in healthcare data analytics, consulting, forensics, compliance, or related analytical roles
- Demonstrated expertise working with healthcare claims, revenue cycle data, payer/provider datasets, and EDI transaction sets
- Strong hands-on experience with SQL and ETL tools (e.g., SSIS, Talend, or similar) and cloud-based data environments
- Advanced experience with BI and visualization tools such as Power BI, Tableau, Spotfire, Qlik, or similar platforms
- Knowledge of HIPAA, healthcare data governance, and privacy considerations
- Strong written and verbal communication skills, with the ability to explain complex technical concepts clearly and concisely
- Adapt comfortably to changing priorities, deadlines, and engagement needs
- Apply strong organizational and project management skills to balance multiple engagements effectively
- Collaborate closely with engagement leaders and teammates while embodying Stout’s core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and Great Communicators
- Demonstrate sound judgment, intellectual curiosity, and attention to detail in all analyses
- Maintain a strong commitment to delivering Relentless Excellence® in both client service and team leadership
Nice To Haves
- Experience supporting SaaS or multi-tenant data platforms strongly preferred
Responsibilities
- Lead or co-lead the day-to-day execution of healthcare-focused forensic, disputes, and compliance engagements
- Drive the design and delivery of complex healthcare data analyses that support investigations, regulatory reviews, and dispute matters
- Translate large, complex healthcare datasets into clear, defensible insights that inform legal, compliance, and business decisions
- Elevate analytical rigor, data governance, and documentation standards to ensure accuracy and defensibility of work product
- Mentor and develop Analysts and Associates, fostering technical growth and a collaborative, high-performing team environment
- Build trusted client relationships through proactive communication, thoughtful insights, and consistent delivery of value
- Partner with engagement leaders to define analytical strategy, develop workplans, manage timelines, and monitor critical path items
- Design, develop, and oversee ETL pipelines and data models supporting healthcare claims, revenue cycle, EDI, and operational datasets
- Analyze healthcare data to identify trends, anomalies, risks, and compliance-related issues relevant to disputes and investigations
- Develop dashboards, reports, and visualizations that clearly communicate findings to technical and non-technical audiences
- Collaborate with legal, forensic, compliance, and client teams to scope analyses, define data requirements, and support expert narratives
- Prepare and review written reports, exhibits, and presentations to ensure clarity, accuracy, and consistency with engagement objectives
- Ensure adherence to healthcare data privacy, governance, and documentation standards across engagements
Benefits
- At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
- We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success.
- Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
- We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
- Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
- Learn more about our benefits and commitment to your success. https://www.stout.com/en/careers/benefits
- A reasonable estimate of the current range is $87,000.00 - $195,000.00 Annual.
- This role is also anticipated to be eligible to participate in an annual bonus plan.
- Information about benefits can be found here - https://www.stout.com/en/careers/benefits.
- At Stout, whether you're launching your career or bringing decades of expertise, you'll find the challenges, collaboration, and support that fuel real growth.
- We invest in our people because we know that exceptional client service starts with how we take care of our own.
- We reward outstanding performance, encourage continuous learning, and foster a culture where different perspectives strengthen our work and our team.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
