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Manager, Healthcare Regulatory & Compliance

KPMG

NEW YORK, NYJobSeen 4 days agoSeen in employer's feed 4 days ago

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At a glance

Compensation
No compensation found
Location
NEW YORK, NY
Work Authorization
Not specified

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Job overview

KPMG is seeking a Manager to develop, sell, and deliver healthcare regulatory and compliance services for providers and payer organizations. The role includes leading client engagements, analyzing data and documents, developing recommendations and dashboards, supporting business development, and coaching staff. Candidates need at least five years of applicable experience; a bachelor's degree is preferred, while a high school diploma or GED plus seven years of applicable experience is the stated alternative.

Skills & qualifications

RequiredNice to have

Skills

Healthcare Regulatory ComplianceCompliance Program AssessmentsInvestigationsOperational ImprovementBilling and Coding ReviewsPrivacy AssessmentsInternal AuditPolicy and Process DevelopmentData AnalysisDashboard DevelopmentAI ToolsPower BIHealthcare Regulations

Qualifications

5+ Years Healthcare ExperienceBachelor's DegreeHigh School Diploma or GED Plus 7 Years Applicable Experience

Full job description

The KPMG Advisory practice is at the forefront of transformation, offering excellent opportunities for individuals to advance their careers and expertise with KPMG. Looking ahead, we anticipate continued evolution and success within the practice, fostering both personal and professional development, thereby creating new pathways for growth. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility, and leading market tools, we help our people continue to grow both professionally and personally. If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory.KPMG is currently seeking a Manager, Healthcare Regulatory & Compliance to join our Advisory Services practice. Responsibilities: * Develop, sell and deliver Healthcare regulatory and compliance service offerings focusing on healthcare providers (hospitals, health systems) and health insurance/payer organizations; develop and execute structured detailed work plans in areas such as compliance program effectiveness assessments, investigations, operational improvements, billing and coding reviews, privacy assessments, internal audit, and policy and process development * Conduct interviews of client personnel (including compliance officers, legal counsel, and operational leadership), analyze and evaluate documents and other information objectively in order to form an observation and provide suitable recommendations and perform research and gather data to support conclusions and generate insights; create a collaborative team environment, foster a common understanding of team objectives and clearly articulate expectations * Oversee quantitative and qualitative data analysis leveraging a variety of tools and methods, including the development of dashboards to present findings from analysis * Ensure work product and related deliverables are performed in accordance with established standards and engagement requirements to meet client and firm expectations * Lead and participate in people development and business development efforts; proactively identify opportunities to enhance professional practices and processes; assist with business development initiatives, including the development of proposals * Develop and sustain solid relationships with client personnel and demonstrate the ability to identify additional opportunities with existing clients; identify and communicate technical, regulatory, legal and compliance matters while serving as a liaison to both clients and engagement leadership; participate and/or lead meetings with both clients and the engagement team; coach, mentor, and train staff by imparting knowledge, skills, and experience in attracting and retaining staff * Act with integrity, professionalism, and personal responsibility to uphold KPMG's respectful and courteous work environment Qualifications: * Minimum five years of recent applicable work experience in healthcare regulatory, legal, compliance and/or internal audit, preferably within a hospital, health system, healthcare provider, health insurance/payer organization, healthcare consulting firm, or law firm serving healthcare clients * Bachelor's degree from an accredited college or university is preferred; or minimum of a high school diploma or GED required plus seven years of applicable experience in healthcare regulations * Proficiency in AI tools, Power BI, or similar technologies * Experience in healthcare regulatory and compliance matters, with preference for a combination of healthcare industry and consulting/professional

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