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
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