Director, Forensics – Healthcare Consulting

jobs-near-me.org

Job Summary:

The Director is focused on the Healthcare industry verticals and responsible for project management, leading, managing, and directing staff in performing analysis, examination, review, assessment, and testing in a wide variety of healthcare related client engagements. In this role, the Director applies technical leadership experience in healthcare related fraud, disputes, compliance, and healthcare operational consulting. With a Managing Director or Principal, this position takes a leadership role in building out the Forensic Healthcare advisory practice. The Director serves as a designated point of contact with client personnel on engagements, thus good communication skills and a strong presence is required. This role collaborates with a Managing Director or Principal on business development initiatives, go to market strategies, thought leadership, and revenue generation targets.

Job Duties:

  • Manages and oversees engagements including methodologies related to healthcare related fraud, disputes, compliance, and operational consulting in verticals such as, hospitals, health systems, medical practices, skilled nursing facilities, physician practices, healthcare enterprises, and payers
  • Develops business through relationships, contacts, and other opportunities
  • Leads and actively participates in client discussions and meetings
  • Communicates with clients in an organized and knowledgeable manner, delivering clear, concise, and accurate documents and requests
  • Analyzes the current business environment, understands client needs, assesses risks, and identifies recommendations/areas of improvement
  • Collaborates with a Managing Director/Principal in the development of business opportunities and proposals
  • Develops industry specific thought leadership articles and communications
  • Aides in the development of targeted and industry specific marketing materials
  • Monitors and implements industry trends and best practices; creates a positive, team-focused environment
  • Other duties as required

Supervisory Responsibilities: 

  • Supervises projects, often multiple projects in healthcare fraud related engagements, disputes, compliance, and operational consulting
  • Acts as Career Advisor to Managers, Senior Associates, and Associates
  • Evaluates the performance of Managers, Senior Associates, and Associates and assists in the development of goals and objectives to enhance professional development
  • Other duties as assigned

Qualifications, Knowledge, Skills, and Abilities:

Education

  • Bachelor’s degree, required
  • MBA, JD, or MD, preferred

Experience

  • Ten (10) or more years of experience in developing business and managing relationships in the healthcare industry, required
  • Experience with medical billing practices, government programs such as Medicare and Medicaid, HIPAA, regulatory compliance, clinical coding & medical billing review, CID, False Claims/Qui tam, preferred

License/Certification:

  • N/A

Software

  • Proficient in Microsoft Excel, Word and PowerPoint, required
  • Experience leveraging data analytic tools to analyze patient trends, demographics, and fraudulent transactions, preferred

Language:

  • N/A

Other Knowledge, Skills & Abilities

  • Strong project management and leadership skills
  • Strong business development skills through relationships, contacts, and other opportunities
  • Self-starter with the ability to successfully multi-task while working independently or within a group environment
  • Strong analytical, writing, and presentation skills
  • Strong delivery focus
  • Excellent verbal and written communication skills
  • Solid organizational skills with the ability to meet project deadlines with a focus on details
  • Ability to work in a deadline-driven environment and handle multiple projects simultaneously
  • Ability to interact effectively with people at all organizational levels of the firm
  • Ability to effectively manage a team of professionals and delegating work assignments as needed
  • Capacity to build and maintain strong relationships with internal and client personnel
  • Ability to encourage team environment on engagements and contribute to the professional development of assigned personnel

Individual salaries that are offered to a candidate are determined after consideration of numerous factors including but not limited to the candidate’s qualifications, experience, skills, and geography.

National Range: $160,000 – $260,000

Maryland Range: $160,000 – $260,000

NYC/Long Island/Westchester Range: $160,000 – $260,000

Join us at BDO, where you will find more than a career, you’ll find a place where your work is impactful, and you are valued for your individuality. We offer flexibility and opportunities for advancement. Our culture is centered around making meaningful connections, approaching interactions with curiosity, and being true to yourself, all while making a positive difference in the world. 

At BDO, our purpose of helping people thrive every day is at the heart of everything we do. Together, we are focused on delivering exceptional and sustainable outcomes and value for our people, our clients, and our communities. BDO is proud to be an ESOP company, reflecting a culture that puts people first, by sharing financially in our growth in value with our U.S. team. BDO professionals provide assurance, tax and advisory services for a diverse range of clients across the U.S. and in over 160 countries through our global organization.

BDO is the first large accounting and advisory organization to implement an Employee Stock Ownership Plan (ESOP). A qualified retirement plan, the ESOP offers participants a stake in the firm’s success through beneficial ownership and a unique opportunity to enhance their financial well-being. The ESOP stands as a compelling addition to our comprehensive compensation and Total Rewards benefits* offerings. The annual allocation to the ESOP is fully funded by BDO through investments in company stock and grants employees the chance to grow their wealth over time as their shares vest and grow in value with the firm’s success, with no employee contributions. 

We are committed to delivering exceptional experiences to middle market leaders by sharing insight-driven perspectives, helping companies take business as usual to better than usual. With industry knowledge and experience, a breadth and depth of resources, and unwavering commitment to quality, we pride ourselves on:

  • Welcoming diverse perspectives and understanding the experience of our professionals and clients
  • Empowering team members to explore their full potential
  • Our talented team who brings varying skills, knowledge and experience to proactively help our clients navigate an expanding array of complex challenges and opportunities
  • Celebrating ingenuity and innovation to transform our business and help our clients transform theirs
  • Focus on resilience and sustainability to positively impact our people, clients, and communities
  • BDO Total Rewards that encompass so much more than traditional “benefits.” Click here to find out more!
  • Benefits may be subject to eligibility requirements.

Equal Opportunity Employer, including disability/vets

Click here to find out more! 

Read Full Description

Apply
To help us track our recruitment effort, please indicate in your cover/motivation letter where (jobs-near-me.org) you saw this job posting.

Share

Executive Director, US Oncology Marketing, Lifecycle Strategy

Job title: Executive Director, US Oncology Marketing, Lifecycle Strategy Company MSD Job description Job DescriptionThe…

25 minutes ago

Specialist – Health Information Services

jobs-near-me.org Job Description Hawai'i Pacific Health is a not-for-profit health care network with over 70…

26 minutes ago

Planning, Monitoring, Evaluation and Reporting (PMER) Delegate

jobs-near-me.org The International Assistance division is responsible for all Netherlands Red Cross international support for…

26 minutes ago

RELEASE INFORMATION SPEC

jobs-near-me.org Overview Release Information Specialist, Health Information Management Full Time, 80 Hours Per Pay Period,…

27 minutes ago

Information Systems Security Manager in Dayton, Ohio

jobs-near-me.org Job Number: R0210324 Information Systems Security Manager The Opportunity: Warnings about cyber threats are…

27 minutes ago

Health Information Coder II – Department of Behavioral Health

jobs-near-me.org The Job Be an agent of change and make a difference in delivering health…

27 minutes ago
For Apply Button. Please use Non-Amp Version

This website uses cookies.