IMMEDIATE OPPORTUNITY: HEALTHCARE DIRECTOR – BOSTON, MA

 As a leader in the audit recovery business, Connolly Healthcare reviews more than $120 billion in paid medical claims data annually. That makes us the largest recovery audit expert in the industry. But we're not just big. We're also better. Annually, Connolly returns millions to the bottom lines of four of the six largest healthcare insurance companies.
 Connolly Consulting is a healthcare industry leader specializing in providing financial auditing, consulting and overpayment identification services to commercial insurers across the country. As a Healthcare Director being trained for future Principal position you will be responsible to assist in the management and operations of an audit reviewing paid medical claims to determine whether an overpayment exits due to duplicate payments, incorrect contract rates, and coordination of benefits.
         Requirements:

• 5+ years  of healthcare experience (Healthcare Recovery Auditing, Knowledge of Medical Claim Adjudication, Medical Billing, or Managed Care Contracting and Reimbursement)
• 5+ years of management experience
• Bachelor of Business/Finance Degree/Health Information Systems; MBA / CPA a plus
• Willing to travel up to 25% or as needed
• Willing to relocate to manage new audit
• Preferred knowledge of all healthcare standard code (CPT4, ICD-9, HCPCS and Revenue Codes)  
• Knowledge of healthcare claim adjudication procedures and standards
• Experience with direct client contact (account management, audit, sales, etc)
• Previous auditing experience a plus
• Strong analytical skills
• Proficient in Access and Excel