Risk and Compliance - Healthcare Industry, Senior Consultant 2

You Belong Here  

The Protiviti Career provides opportunity to learn, inspire, and advance within a collaborative and inclusive culture.  We hire curious individuals for whom learning is a passion. We lean into our mission: We Care. We Collaborate. We Deliver.   

At every level, we champion leaders who live our values of integrity, inclusion, innovation, and commitment to success. Imagining our work as a journey, we believe integrity guides our way, inclusion moves us forward together, innovation creates new destinations, and our commitment to success empowers us to deliver on our vision to be the most trusted global consulting firm. 

Where We Need You 

Protiviti is looking for a Risk and Compliance Senior Consultant to join our growing Healthcare team.  

What You Can Expect 

As a Senior Consultant, you will be a mentor, trainer, and coach to Interns and Consultants as you facilitate the successful completion of project work plans. You’ll identify areas of risk and opportunities to increase efficiency. You’ll strengthen relationships and deepen your abilities to communicate, gain trust, and network with client personnel and professional associates.  At the direction of Managers, you may accept responsibility for decision-making in areas including establishing project scope and work plans, project staffing, preparation of deliverables, and application of methodologies. 

What Will Help You Be Successful 

• You enjoy and have a deep understanding of Healthcare.  

• You are motivated to learn and interested in all things related to R&C Healthcare, including the latest trends and developments.  

• You are passionate about building relationships with clients and providing exceptional experiences. 

• You have an inherent interest in project management and team leadership.  

• You promote a positive team culture that fosters open communication among all engagement team members.  

• You create development opportunities for others, including participating in the creation and rollout of training, and ways for your team to improve our clients and communities. 

• You have interest in participating in the preparation of client proposals and strategies to win new business.  

• You have interest in working with a diverse portfolio of clients across multiple.   

Do Your Talents Include the Following? 

• Demonstrated experience with: 

• Expert understanding of healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual. 

• Expertise of core business processes related to payer practices. 

• Expert understanding of commonly used internal control frameworks, risk frameworks and regulatory/compliance methodologies.   

• Expertise of risk assessment methodologies and developing key deliverables, including process flows, work programs, reports, and control summaries  

• Ability to multi-task and oversee multiple engagements and work streams with various clients.  

• Strong ability to work with a diverse portfolio of clients across the healthcare payer sector. 

• Evaluating, summarizing, organizing, and interpreting data.  

• Establishing and cultivating business relationships and a professional network.  

• Evaluating, summarizing, organizing, and interpreting data.  

• Establishing and cultivating business relationships and a professional network, including with senior executives.  

• Ability to translate and communicate challenges to client personnel, including executives.  

• Leadership and direct supervisory experience of teams including conducting performance appraisals, mentoring and coaching, oversight and review of work, coordination across teams, and understanding how to motivate.   

Your Educational and Professional Qualifications 

• Bachelor’s degree from accredited university in relevant academic area (e.g. Nursing, Economics, Business, Finance, or Other Related Field) or equivalent relevant work experience. 

• 2+ years working in payer environment, health plan, law firm, consulting or related field, either in professional services or industry. 

• Knowledge of healthcare payer regulatory requirements, including Medicare Advantage. 

• Proficiency in Microsoft Office suite applications with specific emphasis on Word, Excel and PowerPoint. Secondary emphasis on Visio and Access. 

• Juris Doctor preferred. 

• Professional Certification such as HCCA’s CHC or similar preferred. 

Our Hybrid Workplace 

Protiviti practices a hybrid model, which is a combination of working in person with a purpose and working remotely. This model creates meaningful experiences for our people and our clients while offering a flexible environment. The ratio of remote to in-person requirements vary by client, project, team, and other business factors. Our people work both in-person in local Protiviti offices and on client sites, which can include local or out-of-state travel based on our projects and client requests and commitments.   

Protiviti is not registered to hire or employ personnel in the following states –  West Virginia, Alaska.

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