Ankura Consulting Group

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

Ankura Consulting Group$180K — $220K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree in business, finance, clinical, health care operations, or a related discipline.
  • RN preferred and coding certifications are a plus.
  • Ten years of experience in litigation/disputes consulting or forensic analyses.
  • Previous experience in a healthcare provider or payer is advantageous.
  • Strong grasp of legal and regulatory issues in healthcare.
  • Experienced in analyzing healthcare financial and operational data.
  • Ability to author expert reports and provide testimony, including depositions and arbitration.

Responsibilities

  • Drive business development to generate $3M to $5M+ in revenue annually.
  • Oversee a portfolio of projects with eight or more active engagements.
  • Lead the creation of complex analyses for healthcare disputes and investigations.
  • Coordinate data collection, medical record reviews, and claims analysis.
  • Innovate analytic techniques to enhance engagement outcomes.
  • Manage client relationships, focusing on engagement planning.
  • Prepare and present communications for senior-level client review.

Benefits

  • Opportunity for remote work arrangements.
  • Participation in industry conferences and thought leadership initiatives.
  • Engagement in team development and mentorship activities.
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.
#LI-NT1
#LI-Remote *

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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