Ankura Consulting Group

Senior Managing Director, Health Care and Life Sciences, Clinical Coder

Ankura Consulting Group$160K — $200K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree in business, finance, clinical, health care operations, or related field.
  • RN preferred and coding certifications are a plus.
  • Over ten years of experience in litigation or disputes consulting.
  • Prior experience with health care providers or payers is advantageous.
  • Strong grasp of legal and regulatory issues in health care.
  • Familiarity with healthcare financial and operational data analyses.
  • Experience writing expert reports and providing testimony in legal settings is strongly preferred.
  • Exceptional executive communication skills for diverse audiences.

Responsibilities

  • Originate and sell services, aiming to generate $3M to $5M+ in annual revenue.
  • Manage a portfolio of at least eight active project engagements.
  • Direct complex analysis development for healthcare disputes and investigations.
  • Supervise the processes of data collection, medical record review, and report production.
  • Utilize innovative analytic techniques for project engagement.
  • Plan engagements and cultivate client relationships.
  • Prepare and present communications for senior-level review.
  • Serve as an expert witness in litigation cases.
  • Mentor and develop a high-performing consulting team.
  • Engage in relationship building through networking and marketing initiatives.
  • Contribute to practice development and Go to Market strategies.
  • Participate in recruitment efforts for new hires.

Benefits

  • Flexible working arrangements including remote work options.
  • Opportunities for professional development and mentorship.
  • Participation in industry conferences and networking events.
  • Engagement in marketing and practice-building initiatives.
  • Access to a diverse portfolio of healthcare consulting projects.
Full Job Description

Practice Overview:

Ankura’s Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms.

Role Overview:

The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused private equity or strategic stakeholders.

Responsibilities:

  • Proven, tangible business development record with the ability to produce at least $3M in revenue and a target opportunity to generate $3M to $5M+ annually

  • Manage and deliver results for a portfolio of projects, which typically includes eight or more active engagements.

  • Direct and review the development of complex analyses for provider and payer disputes and investigations.

  • Supervise data collection and analysis, medical record review, the analysis of coding and billing of claims, quality control procedures, and the production of reports. 

  • Apply innovative analytic techniques to engagements.

  • Responsible for engagement planning, as well as managing and building client relationships. 

  • Prepare and deliver client communications, both written and oral, for senior level review.

  • Serve as a testifying expert.

  • Develop, supervise, and motivate a team of high performing consultants. 

  • Demonstrate exceptional leadership capabilities through mentorship and the development of colleagues.

  • Participate in relationship building through networking activities and other sales and marketing initiatives.

  • Contribute meaningfully to practice development efforts, such as attendance at industry conferences and generation of written and spoken thought leadership.

  • Be a key contributor to Go to Market strategies and campaigns designed around key industry issues that contribute to the firm and practice’s growth.

  • Participate in recruiting of new hires to the practice.

Qualifications: 

  • Bachelor’s degree from an accredited university in business, finance, clinical, health care operations, or a related discipline.

  • RN preferred

  • Coding certifications are a plus.

  • Ten or more years of experience in litigation/disputes consulting, or other consulting roles providing forensic and disputes work. 

  • Previous industry experience with a provider or payer is a plus.

  • Strong understanding of legal and regulatory issues that affect health care organizations. 

  • Familiarity with the analysis of health care financial and operational data sets.

  • Experience authoring expert reports, rebuttal reports, declarations, affidavits, or damages analyses; prior deposition, arbitration, trial, or hearing testimony strongly preferred.

  • Strong understanding of healthcare legal, regulatory, reimbursement, and operational issues affecting payers, providers, pharmacies, and government program participants.

  • Exceptional executive communication skills, including the ability to explain complex technical, analytic, reimbursement, and damages issues to boards, C-suite clients, law firms, regulators, mediators, arbitrators, judges, and juries.

  • Demonstrated commitment to privilege, confidentiality, work-product discipline, expert independence, collaboration, quality, and team development.

  • Ability and willingness to travel; must be legally authorized to work in the United States without employer sponsorship now or in the future.

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About Ankura Consulting Group

Ankura Consulting Group is a management consulting firm founded in 2014 and headquartered in Washington, D.C. The company provides consulting services in the areas of data analytics, investigations, disputes and litigation, risk and compliance, and strategy and performance. Ankura Consulting Group serves clients in the healthcare, financial services, energy, and construction industries, among others. The company has offices in the United States, Europe, and Asia.
Learn more about Ankura Consulting Group
Size
1,000 employees
Industry
Founded
2014

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