Litigation Lead, Regulatory Healthcare Consulting

Ascendient Healthcare Advisors

$155K — $196K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Qualified as an expert witness in administrative law hearings
  • Testified in 3-5 administrative law hearings (7 or more preferred)
  • Experience with Certificate of Need processes and state health planning frameworks
  • Ability to withstand cross-examination and defend analytical methodology
  • Expertise in authoring expert reports for administrative proceedings
  • Proficient in hospital financial modeling and feasibility analysis
  • Knowledge of hospital operations and healthcare data sources

Responsibilities

  • Lead litigation engagements as primary expert witness in CON hearings
  • Develop and execute litigation strategy with client attorneys
  • Author analytically rigorous expert reports and pre-filed testimony
  • Prepare hearing exhibits tied to CON review criteria
  • Participate in all phases of hearings, possibly spanning weeks
  • Provide deposition testimony as required
  • Mentor the firm's Opposition Lead and shape litigation methodology

Benefits

  • Full benefits package including health, dental, life, and disability insurance
  • 401(k) plan available
  • Paid time off provided
  • Incentive compensation opportunity up to 15% of base salary
  • Remote work flexibility with required availability during Eastern core hours
  • Travel opportunities for hearings and client engagements
Full Job Description
We are hiring a Litigation Lead to own that challenge. This is a rare, high-impact specialist role for someone who has been formally qualified as an expert witness in administrative law hearings, withstood cross-examination, and wants to be the person our clients rely on when the stakes are highest.

Litigation is the highest-stakes, highest-value work the firm does. It demands deep subject matter expertise, composure under adversarial pressure, and the ability to defend a position - analytically and strategically - when opposing counsel comes hard.

The Role

You will lead CON litigation engagements as the firm's expert witness, working directly with client attorneys to build case strategy, develop the evidence, and testify in contested case proceedings before administrative law judges. You are the firm's litigation anchor who shapes how Ascendient competes in a hearing room and who helps build the practice for the long term.

You will:
  • Serve as Ascendient's primary expert witness in contested CON hearings across multiple states, with particular depth in North Carolina
  • Develop and execute litigation strategy in direct partnership with client attorneys
  • Author expert reports and pre-filed written testimony that are analytically rigorous and fully defensible under cross-examination
  • Prepare hearing exhibits and supporting analytical work product tied to CON review criteria: need analysis, financial feasibility, utilization projections, and service area analysis
  • Attend and participate in all phases of hearings, including proceedings that may span multiple weeks
  • Prepare for and give deposition testimony as required
  • Mentor and develop the firm's Opposition Lead, with the potential to serve as their direct supervisor as the practice scales
  • Help shape the firm's litigation methodology, standards, and analytical capability over time


What You Bring

Required:
  • Formally qualified and accepted by an administrative law judge or hearing officer as an expert witness in CON, healthcare regulatory, or other administrative law hearings
  • Testified in a minimum of 3-5 administrative law hearings (7 or more preferred)
  • Direct experience with Certificate of Need processes, review criteria, and state health planning frameworks
  • Demonstrated ability to survive rigorous cross-examination and defend analytical methodology under adversarial pressure
  • Experience authoring expert reports or pre-filed written testimony for administrative proceedings
  • Hospital financial modeling and feasibility analysis experience
  • Deep understanding of hospital and health system operations, service line dynamics, and utilization data
  • Familiarity with healthcare data sources: CMS datasets, AHA data, state health planning databases, and similar

Preferred:
  • CON hearing experience in North Carolina (strongly preferred); multi-state experience a plus
  • Background in a healthcare consulting firm
  • Experience with CON opposition work - comments, responses, counter-arguments
  • Ability to be qualified as an expert in both need analysis and financial feasibility as distinct subject matter areas
  • Experience mentoring or developing staff on litigation-related analytical work


Who Thrives Here

You are:
  • Composed and steady under pressure while in a hearing room, in a deposition, and in the weeks of preparation that precede them
  • Analytically precise, with the ability to hold a complex position under sustained cross-examination
  • A strategic partner to attorneys who helps shape the case, not just your testimony
  • Someone who writes clearly and deliberately, knowing your expert report becomes part of the legal record
  • A developer of people who can transfer deep expertise without losing rigor
  • Direct, confident, and credible - in writing, in testimony, and in front of clients


Compensation and Structure
  • $155,000 - $196,000 base salary
  • Short-term incentive compensation: opportunity to earn an additional 15% of base salary annually
  • Remote (USA-based; must be available during Eastern core hours 8:30 AM - 5:30 PM ET)
  • Travel required for hearings, depositions, and client meetings
  • Full benefits including health, dental, life, and disability insurance, 401(k), and paid time off

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