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

This is a fully remote position, open to applicants in Arizona, +10 more states.

📋 Description

• Initiate, market, lead, and provide expert testimony in intricate healthcare commercial disputes

• Generate a minimum of $3M in revenue, with a goal to produce between $3M and $5M+ annually

• Oversee and achieve outcomes for a portfolio of projects, usually encompassing eight or more active engagements

• Direct and evaluate sophisticated analyses related to provider and payer disputes and investigations

• Manage data collection and analysis, review of medical records, coding and billing assessments of claims, quality control processes, and report generation

• Employ innovative analytical methods in engagements

• Strategize engagements and cultivate client relationships

• Create and present written and oral communications for senior-level client review

• Act as a testifying expert

• Develop, oversee, and inspire a high-performing team of consultants

• Mentor and nurture colleagues

• Engage in networking, sales, and marketing initiatives

• Contribute to practice development through participation in industry conferences and thought leadership in both written and verbal forms

• Assist in formulating go-to-market strategies and campaigns that bolster firm and practice growth

• Participate in the recruitment of new hires

⛳️ Requirements

• Bachelor’s degree from an accredited institution in business, finance, clinical, healthcare operations, or a related field

• Ten or more years of experience in litigation/disputes consulting or similar consulting roles focused on forensic and disputes work

• In-depth understanding of legal and regulatory matters impacting healthcare organizations

• Familiarity with analyzing healthcare financial and operational data sets

• Experience in drafting expert reports, rebuttal reports, declarations, affidavits, or damage analyses

• Comprehensive knowledge of healthcare legal, regulatory, reimbursement, and operational issues affecting payers, providers, pharmacies, and government program participants

• Outstanding executive communication skills, with the capability to convey complex technical, analytic, reimbursement, and damage issues to boards, C-suite clients, law firms, regulators, mediators, arbitrators, judges, and juries

• Proven dedication to maintaining privilege, confidentiality, work-product discipline, expert independence, collaboration, quality, and team development

• Willingness and ability to travel

• Must be legally authorized to work in the United States without employer sponsorship, both now and in the future

• RN designation is preferred

• Coding certifications are advantageous

• Previous industry experience with a provider or payer is beneficial

• Prior experience in deposition, arbitration, trial, or hearing testimony is highly preferred

🏝️ Benefits

• Willingness and ability to travel

• Equal employment opportunity and affirmative action protections

• Reasonable accommodation assistance for disabled job seekers