Healthcare Process Risk Manager

As a Process Risk Experienced Manager, you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their business risks. You will play a key role in both proactively addressing and responding to these risks within our Risk Advisory Practice, supported by the resources and environment necessary for your success.

From day one, you’ll be empowered by the Process Risk team to help clients take the necessary steps to achieve their vision, while also empowering you to reach your own professional goals.

Your day-to-day may include:

• Review operational, financial, and technology processes to provide management with a comprehensive assessment of business risks, internal controls, and the overall effectiveness and efficiency of processes.
• Oversee internal audit outsourcing and co-sourcing engagements for clients.
• Manage the risk identification process, including the evaluation and testing of business processes and related controls.
• Foster and maintain strong working relationships with clients, collaborating effectively with client management and staff at all levels.
• Work closely with clients and staff to develop client and project risk assessments, and implement strategies and recommendations for business and IT process optimization, profit improvement, cost reduction, fraud prevention, internal control, and compliance.
• Perform engagement management responsibilities, including project scheduling, financial oversight, quality review, and client relationship management.
• Lead business development activities, including preparing proposals, managing account teams, creating whitepapers, organizing conferences, and contributing to other thought leadership initiatives.
• Manage, develop, train, and mentor staff on projects, and assess performance for both engagement-specific and year-end reviews.
• Perform other duties as assigned.

You have the following technical skills and qualifications:

• Bachelor’s degree in Accounting, Finance, Information Technology, Management Information Systems (MIS), or a related field required. A Master’s degree in Public Health or Health Administration is preferred.
• At least 6 years of relevant experience in a similar consulting role, working with cross-industry clients at the national level.
• A minimum of 4 years of direct experience with diverse life sciences companies or healthcare providers, including hospitals, academic medical centers, healthcare systems, and payers, with a strong understanding of their operational challenges and regulatory environments.
• Industry certifications such as CPA, CISA, CISSP, CIA, or CISM are required.
• Proficiency with Electronic Health Record (EHR) systems, particularly Epic and/or Cerner, including implementation, utilization, and operational experience.
• Demonstrated success in managing projects related to revenue cycle optimization, including patient access, revenue integrity, coding, claims processing, billing, and reimbursement, with a focus on enhancing financial performance and operational efficiency.
• Strong understanding of key healthcare regulations and initiatives, and the ability to evaluate organizational compliance with regulatory bodies such as the Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS).
• Experience with Sarbanes-Oxley Section 404 compliance.
• Proven ability to manage multiple engagements and meet priorities in a dynamic, growing team environment.
• Knowledge of audit-preparation software and an understanding of how technology impacts healthcare operations.
• Exceptional client service, communication, analytical, organizational, and project management skills.
• Ability to travel as needed.

The base salary range for this position in Los Angeles, and Orange County only is between $129,600 to 194,400.

The base salary range for this position in San Francisco only is between $138,000 to $207,000.

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