Healthcare Process Risk Manager (Consulting)

TL;DR

Healthcare Process Risk Manager (Consulting): Identifying and managing business risks for healthcare and life sciences clients with an accent on internal controls, operational efficiency, and regulatory compliance. Focus on overseeing internal audit engagements, optimizing revenue cycles, and implementing strategies for process optimization and fraud prevention.

Location: Hybrid (Must be based in or near Los Angeles, Newport Beach, or Atlanta; in-person attendance at least three days per week)

Salary: $138,000 – $172,500

Company

A global professional services network providing audit, tax, and advisory services to a diverse range of clients.

What you will do

• Review operational, financial, and technology processes to assess business risks and internal control effectiveness.
• Oversee internal audit outsourcing and co-sourcing engagements for healthcare clients.
• Manage risk identification processes, including the evaluation and testing of business controls.
• Collaborate with client management to implement strategies for process optimization, cost reduction, and fraud prevention.
• Perform engagement management including project scheduling, financial oversight, and quality review.
• Lead business development activities and mentor project staff through performance reviews.

Requirements

• Bachelor’s degree in Accounting, Finance, IT, or MIS; Master’s in Public Health or Health Administration preferred.
• 5+ years of consulting experience with cross-industry clients at a national level.
• 4+ years of direct experience with life sciences or healthcare providers (hospitals, payers, medical centers).
• Required certifications: CPA, CISA, CISSP, CIA, or CISM.
• Proficiency with EHR systems, specifically Epic and/or Cerner.
• Experience with Sarbanes-Oxley (SOX) Section 404 compliance and regulatory bodies like OIG and CMS.

Culture & Benefits

• Hybrid work model allowing for flexibility in weekly schedules and time off.
• Comprehensive medical, dental, and vision insurance programs.
• Eligibility for a 401(k) savings plan and employee retirement plan.
• Discretionary annual bonus based on individual and firm performance.
• Strong commitment to diversity, equity, and inclusion in the workplace.