PwC Risk Assurance Healthcare Compiance Director in Boston, Massachusetts

A career in our Risk Management and Compliance Solutions practice, within Internal Audit services, will provide you with an opportunity to gain an understanding of an organisation’s objectives, regulatory and risk management environment, and the diverse needs of their critical stakeholders. We focus on helping organisations look deeper and see further considering areas like culture and behaviours to help improve and embed controls. In short, we seek to address the right risks and ultimately add value to their organisation.

Our team helps organisations anticipate risks that can threaten their strategic growth. You’ll help organisations with improving the quality of their internal controls, enhancing reliability of information through objective testing, and increasing business alignment and cost reductions through risk and compliance efforts.

Responsibilities

As a Director, you’ll work as part of a team of problem solvers with extensive consulting and industry experience, helping our clients solve their complex business issues from strategy to execution. Specific responsibilities include but are not limited to:

  • Proactively lead the practise by setting strategy, drive the development of new business in the market, and provide technical advice across disciplines

  • Building strong networks within the firm to spot and capitalise on opportunities to get involved in projects that others are leading across a number of different business units and sectors

  • Identifying and discussing key issues with our clients to identify potential opportunities

  • Responsibility for a majority of day to day client communications

  • Responsibility to shape and deliver various projects that exceed the expectations of our clients and our own assignment quality criteria

  • Manage and deliver large projects by developing the project team, assessing engagement risks throughout, driving conclusions, and reviewing / challenging the output produced by the team

  • Responsibility for management of engagement financials

  • Helping to grow and develop our team through hands on training and coaching

Job Requirements and Preferences :

Basic Qualifications :

Minimum Degree Required :

Bachelor Degree

Required Fields of Study :

Accounting, Finance, Management Information Systems, Management Information Systems & Accounting, Computer and Information Science, Computer and Information Science & Accounting, Mathematical Statistics, Statistics, Mathematics, Economics, Economics and Finance, Economics and Finance & Technology, Business Administration/Management, Engineering

Minimum Years of Experience :

6 year(s) of Healthcare-related compliance experience, including consulting, risk management or operational roles

Preferred Qualifications :

Degree Preferred :

Juris Doctorate

Preferred Fields of Study :

Accounting, Business Administration/Management, Economics, Finance, International Business, Management, Quantitative Finance, Public Health

Additional Educational Preferences :

Other business, accounting or healthcare related fields of study may be considered

Certification(s) Preferred :

CHC, CHPC or CCEP

Preferred Knowledge/Skills :

Demonstrates proven expertise and success managing the implementation of an Ethics and Compliance program within healthcare industries, including:

  • Federal Sentencing Guidelines and OIG guidance, healthcare-related laws, regulations (e.g., HIPAA, Medicare, Medicaid, Anti-Kickback, Fraud and Abuse laws, False Claims Act) and regulatory agencies to implement and monitor changes to Federal and State healthcare compliance program requirements, including systems, processes, policies and procedures;

  • Advisement to executive leaders on healthcare compliance and ethics matters, including designed healthcare compliance controls recommendations;

  • Conduct of healthcare compliance program effectiveness reviews;

  • Leading and developing auditing and monitoring programs to address identified compliance risks; overseeing the implementation of corrective actions and monitoring responses to identified compliance issues and audits; and conducting healthcare compliance risk assessments, leveraging enterprise databases that include advanced data analytics and management reporting;

  • Oversight, development and conduct of healthcare compliance education and training programs; and,

  • Extensive knowledge of fraud and abuse prevention programs, compliance hotline protocols, and compliance investigation process and procedure.

Demonstrated proven expert-level abilities and success to lead teams and client engagements related to directing and implementing ethics and compliance programs within the healthcare industries, including:

  • Leading and managing business development opportunities and/or engagements from pre-sale and initial scoping through final delivery and signoff;

  • Utilizing consistent creative problem-solving abilities and consultancy mindsets while working on, as well as researching problems and/or issues and developing effective solutions for clients' healthcare compliance activities;

  • Identifying and addressing client needs: build solid relationships with clients; develop an awareness of Firm services; approach client in an organized and knowledgeable manner; deliver clear requests for information; demonstrate flexibility in prioritizing and completing tasks;

  • Maintaining relationships and building credibility with key executives, companies, and a network of professional organizations or affiliations within healthcare, ethics and compliance;

  • Conducting analyses that leverage creative and critical thinking and problem solving, as well as advise on and derive solutions through, utilizing information systems, databases;

  • Developing strategy as well as writing, communicating, facilitating, and presenting cogently; to and/or for all levels of industry audiences, clients and internal staff and management;

  • Budgeting and forecasting on large engagements;

  • Leading teams: supervising to create an atmosphere of trust; seeking diverse views to encourage improvement and innovation; participating in various staff recruitment and retention activities; and coaching staff including providing timely meaningful written and verbal feedback; and,

  • Demonstrating flexibility and desire to travel, as client assignments require.

Demonstrates prior success in business development and conduct of internal audits within a professional services environment, emphasizing clinical, legal, auditing or other compliance areas.

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law.