Senior Director, Payer Government Programs Compliance & Operations Consulting

Ankura

New York, US
Fully remote
Cms program audit experience
Compliance program design and assessment
Managed medicaid and aca product awareness
This exciting position will focus on driving value to clients through compliance, disputes, and investigations and advisory services

Job Summary

  • This exciting position will focus on driving value to clients through compliance, disputes, and investigations and advisory services.
  • The Senior Director helps lead and manage the day-to-day multi-workstream engagements and carries a business development expectation.
  • The ideal candidate has sat on both sides of the table, they have worked inside a health plan/healthcare setting, and they have delivered consulting engagements to health plan clients.

Matching Summary

This exciting position will focus on driving value to clients through compliance, disputes, and investigations and advisory services.

Skills & Requirements

Must-have

  • CMS Program Audit experience
  • Compliance program design and assessment
  • Managed Medicaid and ACA product awareness
  • Medicaid Managed Care Audits
  • Executive communication skills
  • CMS Part C & D annual calendar knowledge

Nice-to-have

  • Player-coach role
  • Business development expectation
  • Client relationship management
  • Team leadership

Key Requirements

  • Experience with ODAG, CDAG, FA, SNP-CC, or CPE protocols
  • Experience with OIG guidance and CMS expectations
  • Experience with California DHCS audits
  • P&L awareness, budget management, staffing decisions
  • Experience contributing to RFP responses
  • Knowledgeable in Paperwork Reduction Act of 1995

Work Rights

Must be legally authorized to work in the United States

Sponsorship: required

Tailored Resume

Cover Letter