Advisory Specialist Master

At Deloitte Risk & Financial Advisory, you'll gain valuable hands-on experience working alongside leading professionals across diverse industries while building your professional skills through various project experiences. Our practice helps organizations effectively navigate business risks and opportunities-from strategic, reputation, and financial risks to operational, cyber, and regulatory risks-gaining a competitive advantage. We leverage our experience in ongoing business operations and corporate lifecycle events to help clients become stronger and more resilient. Our market-leading teams help clients embrace complexity to accelerate performance, disrupt through innovation, and lead in their industries.

Work You'll Do

As a Specialist Master in our regulatory healthcare practice, you will lead projects leveraging your education and prior work experience to help our clients make confident decisions to drive performance. You will assist clients in embracing change, growing their business, accelerating performance, and navigating periods of crisis or controversy to emerge resilient.

Projects may be aligned to the following areas:

• Operational Improvement: Enhance efficiency and business outcomes for processes with significant regulatory requirements by leveraging process improvement, technology innovation, and operating model evolution.
• Clinical Payments Optimization: Validate that payments for clinical healthcare services comply with regulatory and contractual requirements and determine that payments are appropriate for the type and level of care provided.
• Strategic Risk: Enable senior healthcare executives to plan for, spot, assess, manage, and respond to significant regulatory risks, either avoiding harm or embracing risks as opportunities.
• Regulatory Response: Support clients with their most pressing regulatory and operational challenges. Help them identify, remediate, monitor, and manage enterprise risks, creating value through implementing a compliant, resilient enterprise. This includes managing and responding to internal and external investigations, regulatory concerns, and other business controversies.

Qualifications

Required:

• BS/BA Degree in health information, nursing, business, finance, accounting, or a related subject.
• 6+ 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.
• 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.
• Demonstrated experience as a senior resource in defining systems strategy, gathering and documenting business requirements, leading practice gap analysis, business process redesign, implementation of future state recommendations, and process improvement including functional configuration, testing, and client user training.
• Proven ability to understand the impact of technical changes and articulate high-level technical solutions to address business problems.
• Excellent problem-solving skills with a demonstrated ability to identify issues, resolve them quickly, and know when to rely on internal resources to assist.
• Practical experience in project management fundamentals, ability to meet deadlines, and manage a budget and resource utilization.
• Ability to travel up to 40%
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future

Preferred:

• Previous consulting experience.
• Epic or Cerner experience.
• Master's degree in healthcare administration or a related field.
• Any healthcare certification such as RHIA, RN, MD, CMM, AAHAM, CPHRM, CPHIMS, FACHE.
• 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.
• Other revenue cycle experience including conducting charge capture and coding reviews for compliance with billing and coding regulatory requirements.

Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html

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Benefits

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Professional development

From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.