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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare commercial disputes, including litigation consulting, revenue generation, and client relationship management. Proficient in analyzing healthcare financial data and delivering high-quality expert reports while leading and mentoring a team of consultants.
Highest-signal resume keywords
Litigation ConsultingHealthcare Financial AnalysisExpert Report AuthoringExecutive Communication SkillsTeam Development
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Complex AnalysesData CollectionMedical Record ReviewCoding and Billing AnalysisQuality Control ProceduresAnalytic TechniquesForensic AnalysisReimbursement IssuesDamages AnalysisRegulatory Compliance
Soft Skills
Client Relationship ManagementMentoringCollaborationNetworkingCommunication
Certifications & Qualifications
RN PreferredCoding Certifications
Industry Keywords
Healthcare DisputesProvider and Payer IssuesLegal and Regulatory IssuesExpert TestimonyPractice Development
About the role
Key responsibilities & impact- Originate, sell, lead, and testify in complex healthcare commercial disputes
- Produce at least $3M in revenue, with a target opportunity to generate $3M to $5M+ annually
- Manage and deliver results for a portfolio of projects, typically including eight or more active engagements
- Direct and review complex analyses for provider and payer disputes and investigations
- Supervise data collection and analysis, medical record review, coding and billing analysis of claims, quality control procedures, and report production
- Apply innovative analytic techniques to engagements
- Plan engagements and manage and build client relationships
- Prepare and deliver written and oral client communications for senior-level review
- Serve as a testifying expert
- Develop, supervise, and motivate a high-performing team of consultants
- Mentor and develop colleagues
- Participate in networking, sales, and marketing initiatives
- Contribute to practice development through industry conferences and written and spoken thought leadership
- Contribute to go-to-market strategies and campaigns supporting firm and practice growth
- Participate in recruiting new hires
Requirements
What you’ll need- Bachelor’s degree from an accredited university in business, finance, clinical, health care operations, or a related discipline
- Ten or more years of experience in litigation/disputes consulting, or other consulting roles providing forensic and disputes work
- Strong understanding of legal and regulatory issues that affect health care organizations
- Familiarity with the analysis of health care financial and operational data sets
- Experience authoring expert reports, rebuttal reports, declarations, affidavits, or damages analyses
- Strong understanding of healthcare legal, regulatory, reimbursement, and operational issues affecting payers, providers, pharmacies, and government program participants
- Exceptional executive communication skills, including the ability to explain complex technical, analytic, reimbursement, and damages issues to boards, C-suite clients, law firms, regulators, mediators, arbitrators, judges, and juries
- Demonstrated commitment to privilege, confidentiality, work-product discipline, expert independence, collaboration, quality, and team development
- Ability and willingness to travel
- Must be legally authorized to work in the United States without employer sponsorship now or in the future
- RN preferred
- Coding certifications are a plus
- Previous industry experience with a provider or payer is a plus
- Prior deposition, arbitration, trial, or hearing testimony strongly preferred
Benefits
Comp & perks- Ability and willingness to travel
- Equal employment opportunity and affirmative action protections
- Reasonable accommodation assistance for disabled job seekers