Senior Associate, Payer Government Programs Compliance & Operations Consulting

Ankura

Remote, United States
**
Cms program audit experience
Compliance program design and assessment
Managed medicaid and aca product awareness
** Ankura is seeking a Senior Associate for its Payer Government Programs Compliance & Operations Consulting team, with a focus on delivering compliance and advisory services to healthcare clients. The ideal candidate will have extensive experience with CMS program audits and compliance program design, along with a strong background in the healthcare sector. **

Job Summary

  • The Senior Associate will lead multi-workstream engagements focusing on compliance, disputes, and investigations for healthcare clients.
  • This role requires a candidate who has previously worked inside a health plan setting while also delivering consulting engagements.
  • The position offers tremendous growth potential within Ankura's largest industry group, the healthcare practice.

Matching Summary

Match Score: 75

** Ankura is seeking a Senior Associate for its Payer Government Programs Compliance & Operations Consulting team, with a focus on delivering compliance and advisory services to healthcare clients. The ideal candidate will have extensive experience with CMS program audits and compliance program design, along with a strong background in the healthcare sector. **

Skills & Requirements

Must-have

  • CMS Program Audit experience
  • Compliance program design and assessment
  • Managed Medicaid and ACA product awareness
  • Medicaid Managed Care Audits
  • Engagement economics P&L awareness
  • Executive communication skills
  • Proposal and business development contribution

Nice-to-have

  • Experience on both sides of the table
  • Credibility with health plan clients
  • Deep understanding of SNP strategies
  • Knowledgeable in Paperwork Reduction Act
  • Ability to stimulate client thought

Key Requirements

  • Direct engagement with ODAG, CDAG, FA, SNP-CC, or CPE protocols
  • Experience with California DHCS audits and state SLA requirements
  • Must be legally authorized to work in the United States

Work Rights

Must be legally authorized to work in the US

Tailored Resume

Cover Letter