Onsite Senior Consultant – Public Health, Healthcare Review/Audit Policy

Posted 5 minutes ago

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About the role

  • Senior Consultant at Guidehouse responsible for healthcare review/audit policy compliance. Monitoring policy changes and coordinating with technical and review teams.

Responsibilities

  • The Healthcare Review/Audit Policy Member is responsible for monitoring federal/state policy changes and court rulings relevant to the Exchanges.
  • Assesses the impact of those changes on Exchange Improper Payment Measurement (EIPM) methodology, including review unit logic, scripts, and review tools, and determines where updates are required.
  • Develops policy update deliverables and coordinates with technical, review, and data teams to accurately reflect changes.

Requirements

  • Bachelor’s degree
  • 3-5+ years of relevant experience
  • Experience working in or knowledge of the Affordable Care Act, specifically State-Based Exchanges, Federally-Facilitated Exchanges, and health insurance markets and exchanges
  • Ability to oversee multiple concurrent workstreams
  • Excellent communication skills (verbal and written)
  • Strong stakeholder management skills and experience

Benefits

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave and Adoption Assistance
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Student Loan PayDown
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
  • Mobility Stipend

Job title

Senior Consultant – Public Health, Healthcare Review/Audit Policy

Job type

Experience level

Senior

Salary

$98,000 - $163,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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