Ankura — ұйымдарға күрделі тәуекелдерге, сәйкестікке, трансформацияға және дағдарыстарға байланысты мәселелерді шешуге көмектесетін жаһандық сараптамалық қызметтер мен кеңес беру компаниясы. Оның көпсалалы командалары шешім қабылдауды қолдау, процестерді оңтайландыру және құндылықты қорғау, арттыру немесе қалпына келтіру үшін жасанды интеллектіні пайдалана отырып, қорғаныс, құрылыс және денсаулық сақтау сияқты салаларда стратегиялық кеңес береді. Ankura жұмысы кеңес беру тәжірибесін әр клиенттің операциялық қажеттіліктеріне бейімделген практикалық шешімдермен ұштастырады.
Senior Associate, Government Programs Compliance and Regulatory
Senior Associate supporting Ankura client engagements through Medicare, Medicaid, and ACA compliance analysis. Converts CMS and state requirements into actionable health plan operations and client deliverables.
Сипаттама
- Research federal and state regulatory requirements governing Medicare Advantage, Medicaid managed care, and Affordable Care Act programs
- Interpret CMS guidance, state Medicaid contracts, regulatory communications, and related requirements to assess their operational effect on health plans
- Evaluate health plan policies, procedures, reports, data, operational records, and supporting documentation for compliance
- Assess regulatory and operational matters, identify gaps or risks, and present conclusions to engagement leadership
- Prepare workpapers, findings, reports, presentations, and other materials for clients
- Lead assigned workstreams, organize activities, track progress, and deliver work within agreed timelines
- Partner with Project Managers and engagement leaders to clarify client issues, establish objectives, and create work plans
- Use structured analysis, critical thinking, and problem-solving to address complex regulatory and compliance matters
- Provide engagement leaders with updates on progress, emerging concerns, and findings
- Coordinate effectively with colleagues and client stakeholders
- Review junior team members’ work and provide guidance when appropriate
- Help produce accurate, high-quality client deliverables on schedule
- Support practice development through knowledge sharing and contributions to tools, methodologies, and service offerings
- Protect confidential client information and recognize privileged or confidential communications
Талаптар
- Bachelor’s degree from an accredited college or university
- Approximately three to five years of relevant experience in health plan compliance, regulatory affairs, health plan operations, consulting, or a related field
- Experience with Medicare Advantage, Medicaid managed care, Affordable Care Act programs, or other government-sponsored health care programs
- Working knowledge of CMS guidance, state Medicaid contract requirements, and health plan operations
- Experience researching regulations and converting complex requirements into practical operational guidance
- Experience evaluating health plan data, policies, procedures, documentation, or operational processes
- Strong analytical, critical-thinking, and problem-solving capabilities
- Ability to produce clear, concise, well-supported analyses and client deliverables
- Excellent written and verbal communication skills
- Ability to prioritize multiple assignments and meet deadlines in a client-service setting
- Ability to work independently and contribute effectively to a collaborative engagement team
- Proficiency with Microsoft Excel, Word, and PowerPoint
- Willingness to travel according to client and engagement requirements
- Consulting or professional services experience is preferred
- Experience supporting or mentoring junior team members is preferred
- Experience evaluating health plan compliance with regulatory or contractual obligations
- Experience with compliance audits, operational assessments, risk reviews, corrective action plans, or regulatory readiness work
- Familiarity with several areas of health plan operations
- Experience working directly with clients or senior internal stakeholders
Артықшылықтар
- Ankura is an affirmative action and equal opportunity employer
- Reasonable accommodations are available for applicants with disabilities