Manager, Healthcare Reimbursement and Regulatory Risk Consulting
$112.1k - $225.5kRSM US LLP
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. RSM’s National Healthcare Consulting practice is searching for a Healthcare Regulatory Manager who will provide healthcare regulatory and reimbursement consulting services to clients, potential clients and centers of influence. RSM’s Healthcare Regulatory recovery services are designed to identify high-impact Medicare cost report-related opportunities, including Medicare Critical Access Hospitals, PPS hospitals disproportionate share, bad debts, wage index and other related issues. As a member of the National Healthcare Consulting practice, you will join professionals with a broad knowledge of the healthcare industry including: financial analysis, regulatory reporting and compliance, and healthcare technology. You will be part of a collaborative consulting team to deliver exceptional client service to meet our client's objectives. Responsibilities Work with clients regarding regulatory, compliance, strategies, and other business needs. Work interactively with clients and client team members to create deliverables. Assist in the development of training materials for client personnel related to any new processes/systems. Assist in creating, managing, and executing project work plans to provide high-quality client service delivery. Assist in preparing and maintaining internal and external project status reports. Assist in leading and directing support staff on projects to prioritize work tasks, ensuring project milestones and deadlines are met, and ensuring work products meet quality standards. Mentor junior team members in industry best practices for implementation and project management. Support sales activity with new and existing clients by participating in meaningful conversations regarding current challenges while representing RSM’s capabilities. Basic Qualifications Bachelor's degree in accounting, finance or related field. 5+ years of health care reimbursement & regulatory experience, consulting experience desirable. Hands‑on experience completing Medicare, Medicaid & Blue Cross reimbursement reports. Strong knowledge of third‑party reimbursement procedures. Previous practice development experience. Strong project management skills. Strong leadership and management experience. Strong skills in Microsoft Office software and industry‑related software programs. Proven experience leading and/or supervising client service teams. Ability and willingness to travel. Preferred Qualifications Ability to analyze and interpret financial data. Ability to read, analyze and interpret industry information and regulations. Ability to build strong relationships and work well with others. Ability to understand the economics of the firm's consulting practice. Exceed client expectations, accurate and timely completion of projects and/or reports. Successful in obtaining consulting services from new and existing clients. Professional representation of the firm and the services provided. Excellent time management and organizational skills. Effective in working independently. Exceptional oral, written, communication and facilitation skills. Interpersonal relationships which encourage openness, candor and trust, both internally and outside the organization. Initiative and creative thinking in decision‑making, problem resolution situations and the performance of job duties. At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre‑disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at View phone number on click.appcast.io or send us an email at View email address on click.appcast.io. RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate. RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information. At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range. Compensation Range: $112,100 - $225,500 Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance. #J-18808-Ljbffr RSM US LLP
$59.42 - $86.2 per hour
...supervision of the Case Management Manager acts as a... ...quality healthcare and assists in the... ...ensure continued reimbursement and to avoid reimbursement... ...to 12 PM. b - Consults with physicians,... ...team patients at risk of losing... ...meet all applicable regulatory requirements c...ReimbursementRiskRegulatoryDaily paid16 hoursPart timeWork experience placementSummer holidayShift workNight shiftWeekend workAfternoon shift$250k - $300k
...providers; support performance improvement Ensure regulatory compliance and oversee risk management Optimize workflows, staffing models, and care... ...Malpractice with tail coverage Licensing/DEA reimbursement Requirements ~ MD or DO with active Massachusetts...ReimbursementRiskRegulatory- ...Digital Transformation consulting firm headquartered in... ...Director to lead and manage enterprise-wide cybersecurity... ...security governance, risk management, audit... ...(NIST, ISO, CIS) and regulatory compliance (HIPAA, GDPR... .... Experience in healthcare, government, or other...RiskRegulatoryFull timeRemote work
$134k - $186k
...Ultrasound QMS Manager In this role you Are responsible... ...point of contact for regulatory bodies, ensuring that... .... • Coordinates risk assessments and risk... ...access to the quality healthcare that we all deserve.... ...purchase plan, education reimbursement and much more. Details...ReimbursementRiskRegulatoryFull timeWork at officeLocal areaRemote workWork visaRelocation package3 days per week- ...Development Health Care Management Consulting Medical Care... ...care payer relations healthcare finance and reimbursement clinical advisement... ...management patient safety regulatory readiness patient... ...manage financial risk. Applicants for the Vice...ReimbursementRiskRegulatory
$139.4k - $209.2k
...with our solutions in Healthcare, Life Science, and Electronics... ..., medical affairs, regulatory, data/analytics,... ...practice workflows. Manage the product backlog and... ...physician feedback, payer/reimbursement impact, media reach/... ...willingness to take risks and stand up for what...ReimbursementRiskRegulatoryContract workFlexible hours$103k - $136k
...Health is a fast-growing healthcare technology company... ...for a Senior Account Manager, PBM Partnerships to own... ...accurate revenue timing and risk visibility. Monitor... ...dynamics, and regulatory developments—including... .... One‑time workspace reimbursement to help you optimize your...ReimbursementRiskRegulatoryContract workRemote workFlexible hoursShift work- ...and environmental consulting firm serving... ...energy producers, healthcare systems, and large... ...Responsibilities include managing complex projects,... ...at industry and regulatory events in... ..., reporting, and risk characterization.... ...and educational reimbursement. Additional perks...ReimbursementRiskRegulatoryTemporary workFlexible hours
$177.5k - $205.5k
...Director, Revenue and Reimbursement directs the day-... ...including the management of their... ...particularly among high-risk and underserved populations... ...related to the regulatory structure and... ...with consultants, payers, government... ...years of relevant healthcare industry work experience...ReimbursementRiskRegulatoryContract workWork experience placementRemote work$102.48k - $163.97k
...developing, maintaining, and managing comprehensive software... ...their accuracy and regulatory compliance throughout... ...design/verification, Risk management, Systems... ...access to the quality. healthcare that we all deserve. Do... ...plan, education reimbursement and much more. Details...ReimbursementRiskRegulatoryFull timeWork at officeImmediate startWork visaRelocation package3 days per week- ...Ambulatory Oncology Case Manager/ RN Care... ...closely with high-risk patients, the Ambulatory... ..., health care reimbursement, sound problem-... ...recruitment. Consults with patients'... ...initial assessment, healthcare education, and... ...Works within legal, regulatory, accreditation...ReimbursementRiskRegulatoryWork at officeFlexible hours
- ...and environmental consulting services for... ...companies, corporations, healthcare systems, colleges... ...role includes managing complex projects,... ...at industry and regulatory events in Massachusetts... ..., reporting, and risk characterization;... ...and educational reimbursement. Langan offers...ReimbursementRiskRegulatoryFull timeTemporary workWork at officeWorldwideFlexible hours
- ...professionals or manage processes and programs... ...as needed and consults with RN Case... ...eligibility for reimbursable home health services... ...guidelines set forth by regulatory agencies (DPH,... ...exposed to the risk of bloodborne... ...physicians, and healthcare team. 2. Knowledge...ReimbursementRiskRegulatoryWork at officeLocal area
- ...aligned patients and healthcare providers (HCPs). This... ...expertise in access, reimbursement, financial assistance... ...Identifies adherence risks and tailors outreach... ...support and/or case management experience (pharmaceutical... ...and the broader regulatory environment.* Excellent...ReimbursementRiskRegulatorySummer workRemote workFlexible hoursAfternoon shift2 days per week
- ...engineering and environmental consulting services for major... ..., corporations, healthcare systems, colleges/... ...Geotechnical Engineer / Project Manager to join its... ...understanding of codes and other regulatory requirements... ...; and educational reimbursement. Langan offers employee...ReimbursementRegulatoryFull timeTemporary workWork at officeWorldwideFlexible hours
$50 - $60 per hour
...Benefits: Mileage Reimbursement Referral Bonus Bonus... ...Nurse (RN) Case Manager Job Responsibilities:... ...physicians and other healthcare providers. Conduct... ...that patient care meets regulatory and company standards.... ...Quality Assurance & Risk Management – Experience...ReimbursementRiskRegulatoryHourly payDaily paidFull timePart timeRelocation packageFlexible hours$117.71k - $170.77k
...supervision of the Case Management Manager acts as a... ...quality healthcare and assists in the... ...ensure continued reimbursement and to avoid reimbursement... ...to 12 PM. b - Consults with physicians,... ...team patients at risk of losing... ...meet all applicable regulatory requirements c...ReimbursementRiskRegulatoryFull timeWork experience placementShift workWeekend work$146.1k - $219.1k
...with our solutions in Healthcare, Life Science, and Electronics... ...learning, performance consulting, instructional design,... ...exceptional project management, time management,... ...Medical, Legal, and Regulatory (MLR) review process for... ...willingness to take risks and stand up for what...RiskRegulatoryLocal areaRemote workHome officeFlexible hoursShift work$50 - $60 per hour
...Benefits: Mileage Reimbursement Referral Bonus Bonus... ...physicians and other healthcare providers. Conduct... ...patient care meets regulatory and company standards.... ...requirements. Supervise and manage the home care nursing... ...Quality Assurance & Risk Management –...ReimbursementRiskRegulatoryHourly payFull timePart timeRelocation packageFlexible hours- ...with multidisciplinary healthcare teams. The position... ...techniques Operate and manage advanced life support... ...and compliance with regulatory standards Provide education... ...patients and reduce risks Engage in quality... ...recruiter support ~ Reimbursement for licensure and CEUs...ReimbursementRiskRegulatoryTemporary work
- ...supervision of the Case Management Manager, the RN... ...ensure continued reimbursement and avoid... ...prior to 12:00 PM. Consult with physicians,... ...patient, family or healthcare proxy sign the discharge... ...team patients at risk of losing... ...meet all applicable regulatory requirements....ReimbursementRiskRegulatoryDaily paid16 hoursWork experience placementSummer holidayShift workNight shiftWeekend work
$129k - $173k
...strategic Senior Category Manager to lead the category... ..., value, and risk mitigation. Leverage... ...assigned Medical and Regulatory service areas. Build... ..., safety, compliance, consulting, or similar). Demonstrated... ...programs including a fitness reimbursement Short‑and‑Long‑Term...ReimbursementRiskRegulatoryContract workTemporary workLocal area$70 - $85 per hour
...provide comprehensive consulting, engineering and... ...program and project management, construction management... ...required environmental and regulatory applications.... ...construction cash flow and risk matrices, ensuring... ...Flexible PTO ~ Tuition Reimbursement ~ Long-Term...ReimbursementRiskRegulatoryContract workTemporary workFor contractorsLocal areaFlexible hours$115k - $277k
...is a $180M global consulting firm that... ...advisory, project management, and dispute resolution... ...challenges in a world of risk. We embody our... ...is seeking a Healthcare Construction... ...materials, codes, and regulatory requirements.... ...program offers tuition reimbursement and personalized...RiskRegulatoryContract workTemporary workPart timeFor subcontractorLocal areaImmediate startFlexible hours$80k - $90k
...across corporate and healthcare environments. The team... ...Healthcare Operations Manager is responsible for the... ...healthcare claims and reimbursement, this role also works... ...Quality, Compliance & Risk Management Ensure healthcare... ...operations meet regulatory, compliance, and payer...ReimbursementRiskRegulatoryContract work$2,131 - $2,368 per week
...Registered Nurse (RN) | Case Manager Location: Boston, MA... ...preference with judicious use of healthcare resources. Educates physicians... ..., JCAHO, NYS DOH and other regulatory bodies. Works in... ...coordinating patient care for high-risk patients across the healthcare...RiskRegulatoryWeekly payFull timeContract workLocumImmediate start$1,898 - $2,019 per week
...Infusion RN collaborates with healthcare teams to ensure high-quality... ...CDC guidelines, to minimize risks Float among various... ...infection control guidelines, and regulatory standards Required... ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs...ReimbursementRiskRegulatoryFull timeContract workTemporary workShift work$1,830 - $1,947 per week
...Infusion RN collaborates with healthcare teams to ensure high-quality... ...CDC guidelines, to minimize risks Float among various... ...infection control guidelines, and regulatory standards Required... ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs...ReimbursementRiskRegulatoryFull timeContract workTemporary workShift work$2,119 - $2,254 per week
...and collaborating with healthcare teams to ensure high-... ...adherence to professional and regulatory standards.... ...identifying potential risks Prepare patients for... ...for complications and manages pain and recovery Administer... ...recruiter support ~ Reimbursement for licensure and CEUs...ReimbursementRiskRegulatoryFull timeContract workTemporary workShift work$2,205 - $2,346 per week
...treatments, and collaborating with healthcare teams to ensure high-quality... ...focusing on cardiac health, risk factors, and lifestyle... ...control guidelines, and regulatory standards Required Essential... ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs...ReimbursementRiskRegulatoryFull timeContract workTemporary workShift work
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