Manager, Forensics - Healthcare Consulting

Job Summary:

The Manager is focused on the Healthcare industry verticals and responsible for project execution and 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 Manager applies technical competency in healthcare related fraud, disputes, compliance, and healthcare operational consulting. This position serves as the Project Manager on select health care related assignments and participates as a core project team member on others. The Manager is required to document engagement findings including authoring written reports requiring good written and verbal communication skills. This role authors thought leadership and begins developing a personal and collaborative go to market strategy.

Job Duties:

• Project manages and participates in complex healthcare related fraud investigations, disputes, compliance matters, and operational consulting engagements. Clients may include hospitals, health systems, medical practices, skilled nursing facilities, physician practices, healthcare enterprises and payers
• Develops project workplans and supervises staff; executes the more complex part of workplans including books and record analyses, data analytics, conducting interviews, market research and liaising with BDO Forensic Technology and Corporate intelligence representatives
• 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 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 staff on projects, including parallel multiple projects in healthcare fraud related engagements, disputes, compliance and operational consulting
• Acts as Career Advisor to Senior Associates and Associates
• Evaluates the performance of 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

• Five (5) or more years of experience in performing healthcare forensics including investigations, disputes and compliance as well as conducting operational reviews and other related healthcare engagements, 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
• Experience leveraging data analytic tools to analyze patient trends, demographics, and fraudulent transactions, preferred

License/Certification:

• N/A

Software

• Proficient in Microsoft Excel, Word and PowerPoint, required

Language:

• N/A

Other Knowledge, Skills & Abilities

• Strong project execution and management skills
• Desire to participate in business development through project contacts and existing clients and to develop additional clients and contacts through thought leadership, panel presentations, and networking
• 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 staff level 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