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Mj053r6p06jln9bgwg2

Healthcare Senior Consultant

Myers & Stauffer Indianapolis Full-Time
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Myers and Stauffer LC is a certified public accounting and health care reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare and Medicaid Services). We have 40+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 19 offices and have over 800 associates nationwide.

At Myers and Stauffer you will have a career that is rewarding on every level of the organization. We are committed to providing our employees with:

  • Professional growth and development opportunities
  • Educational opportunities leading to certifications
  • A diverse, dynamic, and challenging work environment
  • Strong leadership, communication, and feedback
  • A well-balanced lifestyle, that includes personal and family time in addition to professional and networking opportunities
  • Creative and innovative solutions to challenges facing our government clients

Job Purpose / Objective:
The Health Care Senior Consultant will consult on engagements with government healthcare programs, including primarily the Medicaid and Medicare programs. Services include the design, implementation, compliance and review of traditional and evolving health care delivery models, including program models such as, but not limited to: patient-centered medical home models, accountable care organization models, managed care organization models, accountable communities of health and others.

Essential Functions:

  • Utilizing healthcare knowledge and experience to perform accuracy, completeness and consistency validation procedures, document findings, and develop reports
  • Participating in on-site field examinations of providers
  • Interpreting and analyzing health care data
  • Supporting learning collaborative events that offer didactic, peer-to-peer, and exercise-based learning practices
  • Providing research and technical assistance on broad topics impacting providers who are participating in transformation projects moving from a traditional fee-for-service reimbursement model to an advanced delivery system focused on care coordination, team-based and patient-centered care
  • Maintaining security of and confidentiality of all protected health information (PHI)
  • Participating in and contributing to quality management systems
  • Additional responsibilities as assigned

Requirements:

  • Bachelor's degree in Nursing, Social Work, or related field preferred; Master's degree in Social Work or a related field preferred
  • Licensed Clinical Social Worker (LCSW) or BS Registered Nurse (RN) with behavioral health experience or related degree with relevant experience preferred
  • Minimum 3 years of related experience required
  • Knowledge of state and federal healthcare regulations, including reimbursement and coverage policies
  • Strong understanding and application of quality improvement principles and their application to support change management
  • Strong understanding of care delivery and practice level workflows
  • Deep expertise in the delivery and coordination of behavioral health services
  • Experience practicing in a care setting that has adopted principles to integrate physical and behavioral health
  • Experience managing large, complex projects
  • Learning collaborative or large group meeting facilitation experience
  • Proficient use of applicable software tools, including Microsoft Windows, Word, Excel, and Access
  • Strong analytical and problem solving skills
  • Excellent communication skills including written and verbal, including ability to present to large or small groups
  • Self-directed and motivated, with ability to work independently under general instructions
  • Ability to work in a team environment and manage multiple deadlines and prioritize assignments
  • Well organized with a high degree of accuracy and attention to detail
  • Must be able to travel based on client and business needs

Equal Opportunity Employer committed to employment of Females, Minorities, Persons with Disabilities and Veterans. An E-Verify Employer. Drug-free workplace.

 

Recommended skills

Instructions
Nursing
Medicaid
Complex Problem Solving
Analysis
Medicare
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Job ID: 8451

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Myers and Stauffer provides professional accounting, consulting, data management and analysis services to state and federal agencies managing government-sponsored health care programs. The firm’s health care practice has helped more than 49 state Medicaid programs address complex reimbursement issues for hospitals, long term care facilities, home health agencies, federally qualified health centers, rural health clinics, pharmacy providers, physicians and other practitioner providers. In addition, for more than a decade, we have provided Medicare and Medicaid audit, investigative and consulting services to federal health care agencies, including the Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services (HHS) Office of the Inspector General, and U.S. Department of Justice and the Federal Bureau of Investigation.

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