Deloitte's Risk & Financial Advisory provides you an opportunity to gain valuable hands-on experience working alongside leading professionals across diverse industries while building your professional skills in a variety of project experiences. Our Deloitte Risk & Financial Advisory practice helps organizations effectively navigate business risks and opportunities-from strategic, reputation, and financial risks to operational, cyber, and regulatory risks-to gain competitive advantage. We apply our experience in ongoing business operations and corporate lifecycle events to help clients become stronger and more resilient. Our market-leading team's help clients embrace complexity to accelerate performance, disrupt through innovation, and lead in their industries.
Work you'll do
As a Senior Consultant in our Regulatory Healthcare Practice, you will have the opportunity to work on multiple projects leveraging your education and prior work experience to help our clients more confidently make decisions to drive performance. You will help our clients embrace change, grow their business, accelerate performance, and navigate periods of crisis or controversy and emerge resilient.
Projects may be aligned to the following areas and include:
Operational Improvement: For business process that include significant regulatory requirements, you will improve efficiency and business outcomes by leverage process improvement, technology innovation and operating model evolution.
Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Strategic Risk: Helping clients to embrace their most significant regulatory risks, by enabling senior health care executives to plan for, spot, assess, manage, and respond to those risks to either avoid harm or to embrace risks as opportunity.
Regulatory Response: Supporting clients with their most pressing regulatory and operational challenges. Helping them to identify, remediate, monitor, and manage enterprise risks and create value through implementing a compliant, resilient enterprise. Includes helping clients manage and respond to internal and external investigations, regulatory concerns and other business controversy.
BS/BA Degree required in health information, nursing, business, finance, accounting or other related subject
US citizen with valid US passport
3+ years of experience working with health plans, healthcare providers, or other healthcare sector companies (e.g. Pharmacy & Life Sciences); or relevant consulting experience
Experience with healthcare payer or provider operations
â¢ Experience with federal and state regulatory requirements, regulatory compliance, and billing requirements
Experience with medical related data sets, including medical services documentation and claims data
â¢ Experience designing, implementing and operating charge description master, clinical documentation, and revenue integrity activities
â¢ Experience participating in clinical operational transformational programs
â¢ Experience leveraging data and analytics to enhance clinical operations, system management, quality and compliance
Proficiency in verbal and written communication skills essential to interacting with clients and teams including presentation skills (MS Power Point, MS Visio)
Practical experience in project management fundamentals, and ability to meet deadlines
Advanced proficiency with tools like Excel, Access, SQL, and Tableau
Ability to work independently and manage multiple projects/assignments/responsibilities in a fast-paced environment
Excellent problem-solving skills with a demonstrated ability to identify issues, resolve them quickly and know when to rely on internal resources to assist
Ability to travel up to 80% (While up to 80% travel is a historical requirement of the role, due to COVID-19, non-essential travel has been suspended until further notice. Our travel requirements post COVID-19 return to work are to be determined but are likely to be less than 80%)
Previous consulting experience
â¢ Leading the development of proposals, marketing content, and thought leadership as a key contributor to developing new business
Master's degree in healthcare administration or related field, preferred
Any healthcare certification such as RHIA, RN, MD, CMM, AAHAM, CPHRM, CPHIMS, FACHE, preferred
â¢ Experience with application security controls, risk and compliance
Experience in quality measurement, quality improvement, and value-based payment models
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment; coding certification and CCDS preferred
Prior EHR implementation experience including CDM Management, Charge Capture, HIM/Coding, and Clinical Documentation (e.g. Epic, Cerner); other clinical application experience and certifications desired
â¢ Other revenue cycle experience including conducting charge capture and coding reviews for compliance with billing and coding regulatory requirements
â¢ Experience in program and/or project management for technology implementations using third party software
â¢ Knowledge of process excellence (Six Sigma, LEAN, Design Excellence), certifications preferred
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits.Our positive and supportive culture encourages our people to do their best work every day. We celebrate individuals by recognizing their uniqueness and offering them the flexibility to make daily choices that can help them to be healthy, centered, confident, and aware. We offer well-being programs and are continuously looking for new ways to maintain a culture where our people excel and lead healthy, happy lives. Deloitte is led by a purpose: to make an impact that matters. This purpose... defines who we are and extends to relationships with our clients, our people and our communities. We believe that business has the power to inspire and transform. We focus on education, giving, skill-based volunteerism, and leadership to help drive positive social impact in our communities. We want job seekers exploring opportunities at Deloitte to feel prepared and confident. To help you with your interview, we suggest that you do your research: know some background about the organization and the business area you’re applying to.