Manager | Healthcare Consulting | Payor Services

Company Profile:

At FORVIS, your career is designed with a purpose. We want our team members to thrive professionally and feel the impact their work yields when serving clients, industries, and local communities. This starts by empowering team members to design a career journey that leverages their skills and fuels their passions.

Creating a best-in-class employee experience is at the heart of our vision for the future. With several industry focus areas, multiple service lines, and locations in five geographical regions across the country to choose from, the opportunities for your career are without limit.

About FORVIS

FORVIS is a Top-10 professional services firm providing assurance, tax, and advisory services, driven by our commitment to using our forward vision to provide rewarding career opportunities and deliver unmatched client experiences. Learn more at FORVIS.com

Design your career with purpose at FORVIS. For more information about our firm locations, visit FORVIS.com. FORVIS, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, or other protected classifications.

It is FORVIS's standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

• FORVIS expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
• FORVIS further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with FORVIS.
• Any resume or CV submitted to any employee of FORVIS without having a FORVIS vendor agreement in place will be considered the property of FORVIS.

Requisition Number: 2234196

Position Title:

External Description: Description & Requirements

Are you a dedicated healthcare clinical regulatory and compliance professional with a strong work ethic and desire to use your skills on a variety of complex projects? Forvis Mazars is seeking a manager level Healthcare Consultant who is comfortable working with a high degree of detail and discretion, applying clinical and quality expertise, as well as incorporating new and effective ways to achieve better results. You will work closely with health plans, providers, and risk-bearing organizations to assess and improve their compliance to regulatory, clinical, and quality standards. You will also partner with firm leadership to facilitate and conduct engagements and finalize deliverables to clients.

Location Preference: While we offer flexibility in location, there is a preference for candidates based in California due to onsite client needs.

How you will contribute:

• Accomplishes assigned project objectives, both independently and in collaboration with colleagues, through direct work performance, including document review, observation, research, analysis, process improvement design, recommendation and strategy development, report writing, training design and implementation, and completion of other deliverables.
• Manages firm administrative duties, maintains quality of all internal and external deliverables, and provides consistent and superior customer service to both our clients and internal colleagues.
• Maintains a strong working knowledge of clinical, quality, regulatory and compliance issues specific to client and project needs, including state and federal regulations and statutes, and accreditation standards.
• Assists in the preparation of proposals, presentations, and other materials.
• Works closely with the Managing Directors/Partners/Principals and the consulting team to develop and implement the firm's overall marketing strategies, plans and programs, corporate communications, and client strategies and goals as relates to each project.
• Acts as a mentor and guide to junior staff as part of the Firm's professional development and talent management programs.
• Performs assigned duties and responsibilities in a professional manner that reflects the firm's style, reputation and overall goals.

We are looking for people with Forward Vision and:

• Exceptional presentation, writing, and editing skills
• High-level computer software proficiency, including in MS Teams, Word, Excel, PowerPoint, and Adobe
• Detail and solution-oriented with a positive attitude
• Ability to effectively communicate with clients, team members, all levels of professionals, executives, and providers, and government officials.
• Ability to successfully manage time, set priorities, delegate, and work independently and as a collaborative team member to meet both internal firm goals and client deliverables, particularly in a remote environment.
• Ability to manage existing clients as well as grow client accounts and associated revenue.
• Strong leadership skill to strategically guide and support teammates to accomplish goals.
• Professional presentation in all areas of communication, as well as professional appearance.

Minimum Qualifications:

• Bachelor's Degree
• 5 years or more of operational experience working in various care delivery settings across the healthcare continuum
• In-depth knowledge and experience interpreting and designing clinical and quality processes to adhere to healthcare compliance, regulatory, and accreditation requirements and regulatory agencies and accreditation bodies (e.g., State DOI, California DHCS, California DMHC, CMS, DHHS OIG, NCQA, The Joint Commission), in a health plan environment
• Licensed Registered Nurse with CA State, Unrestricted Licensure

Preferred Qualifications:

• Master's Degree
• Healthcare compliance, quality, and/or clinical certification
• Prior consulting, leadership, and team management experience
• Experience within healthcare clinical and quality roles with familiarity with TJC, NCQA, and CMS compliance and evidence-based practice.
• Correctional healthcare experience with the justice involved population
• Licensed Registered Nurse with TX State, Unrestricted Licensure

#LI-LA, #LI-SACR,

#LI-BM1

Colorado's Equal Pay for Equal Work Act (SB 19-085)

Pursuant to Colorado's Equal Pay for Equal Work Act, the salary range displayed is for the Colorado market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.

Colorado Salary Range:

CO Minimum Salary (USD)

$ 80,000

CO Maximum Salary (USD)

$ 140,000

New York City Pay Transparency

Pursuant to the pay transparency laws of New York State and other local ordinances within the state including (but not limited to) New York City, the salary range displayed is for the New York markets. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.

New York Salary Range:

NY Minimum Salary (USD)

$ 92,100

NY Maximum Salary (USD)

$ 192,000

California Pay Transparency

Pursuant to the pay transparency laws of California, the salary range displayed is for the California market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Total compensation and benefits consist of salary, group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.

California Salary Range:

CA Minimum Salary (USD)

$ 92,100

CA Maximum Salary (USD)

$ 196,000

Los Angeles County and City Fair Chance Ordinance

Los Angeles County and City Fair Chance Ordinance", Forvis Mazars will consider for employment all qualified applicants, including those with criminal histories and conviction records, in a manner consistent with the requirements of applicable state and local laws, including but not limited to the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the LA County Fair Chance Ordinance, and the California Fair Chance Act." Please see the City of Los Angeles Fair Chance Ordinance and the Los Angeles County Fair Chance Ordinance notice for more information.

Maryland Wage Transparency

Pursuant to Maryland's Wage Range Transparency Law, the salary range displayed is for the Maryland market. The salary for this role will be based on the experience, education, and skill set of the individual for the position. Positions that are non-exempt will be eligible for overtime pay compensable at a rate of one and a half times the hourly rate for any hours worked over 40 in a work week. Benefits are eligibility-based and could include group health plan benefits, 401(K), profit-sharing contributions, flexible time off, and parental leave. Forvis Mazars reserves the right to make changes to the salary range based on business needs.

MD Minimum Salary (USD)

$ 92100

MD Maximum Salary (USD)

$ 192000

Close Date: 03/03/2025

City: Sacramento

State: California

Community / Marketing Title: Manager | Healthcare Consulting | Payor Services

Location_formattedLocationLong: Sacramento, California US

CountryEEOText_Description:

With a legacy spanning more than 100 years, Forvis Mazars is committed to providing a different perspective and an unmatched client experience that feels right, personal and natural. We respect and reflect the range of perspectives, knowledge and local understanding of our people and clients. We take the time to listen to deliver consistent audit and assurance, tax, advisory and consulting services worldwide.

We nurture a deep understanding of our clients’ industries, delivering greater insight, deeper specialization and tailored solutions through people who listen to understand, are responsive and consult with purpose to deliver value.

About Forvis Mazars, LLP

Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm’s 7,000 dedicated team members provide an Unmatched Client Experience® through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network. Visit forvismazars.us to learn more.

Forvis Mazars, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.
It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

Forvis Mazars, LLP expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with Forvis Mazars, LLP.Any resume or CV submitted to any employee of Forvis Mazars, LLP without having a Forvis Mazars, LLP vendor agreement in place will be considered the property of Forvis Mazars, LLP.