Consultant I, Healthcare Regulatory and Reimbursement Due Diligence

Avalere Health is seeking a Senior Associate/Consultant l to join our growing Financial Services Practice.

Avalere’s Financial Services practice provides regulatory and reimbursement due diligence services to some of the country’s largest and most active healthcare investors. Our clients include private equity firms and healthcare service providers that purchase control stakes in non-public healthcare companies, as well as institutional asset managers that buy and sell securities issued by healthcare companies. Our services include identifying and gauging the magnitude of the regulatory and reimbursement risks inherent in these investments, assessing opportunities for growth, and advising our clients on the potential impact of healthcare policy and regulatory changes in an ever-evolving market. We work closely with other practices within Avalere, applying the full scope of the firm’s knowledge base and data analytics to the development of multidisciplinary, creative solutions on behalf of our clients.

Responsibilities

  • Manage and engage in due diligence projects with cross-practice teams on behalf of private equity and corporate clients
  • Conduct qualitative and quantitative research on a wide range of healthcare issues, at both the federal and state levels
  • Prepare written materials identifying the key diligence issues and then presenting conclusions and recommendations to clients
  • Manage relationships with new and existing clients
  • Develop and maintain subject-matter expertise in specific healthcare sectors
  • Quickly expand knowledge in evolving healthcare subject-matter topics as driven by client interests
  • Maintain compliance with Inovalon’s policies, procedures and mission statement
  • Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
  • Fulfill those responsibilities and duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the company
  • Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function

We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.

Skills, Experience, and Other Job-Related Requirements

Education Requirements

  • Bachelor’s degree in a related field or a graduate degree in business, law, public health, or other health field

Skill Requirements

  • Strong understanding of the fundamental elements that drive the healthcare policy, regulatory, and reimbursement landscape
  • General understanding in one or more healthcare verticals (examples include reimbursement and coverage, physician and provider, pharmacy distribution, life sciences, device and DME, health plans and payers, Medicare, and Medicaid)
  • Strong quantitative skills, including data analytics, with extensive experience utilizing these skills
  • Ability to quickly understand and articulate complex concepts and relationships
  • Excellent analytic and problem-solving skills and ability to think critically and holistically about issues related to clients’ potential healthcare investments, often under tight timeframes
  • Demonstrated ability to be proactive, learn independently, and anticipate work-flow or policy issues in advance and develop effective solutions
  • Strong organizational skills and ability to multi-task in a fast-paced working environment
  • Very strong proficiency in Microsoft Office Suite, especially Microsoft Excel and PowerPoint, in which most of our analyses are developed and presented
  • Excellent communication skills (written and verbal), survey and interview skills, and the ability to deliver professional presentations to colleagues and clients
  • Prefer eventual location in Avalere’s offices in the District of Columbia

Additional Skills and Competencies

  • Solid interpersonal and verbal skills and experience working in a collaborative environment
  • Intellectual curiosity about the US healthcare system and financial services
  • Sound judgment, creativity, attention to detail, and flexibility
  • Knowledge of healthcare subject-matter areas
  • Health care policy or reimbursement knowledge and experience
  • Client services savvy and experience

Physical Demands and Work Environment

  • Sedentary work (i.e., sitting for long periods of time)
  • Exerting up to 10 pounds of force occasionally and/or negligible amount of force
  • Frequently or constantly lift, carry push, pull, or otherwise move objects
  • Repetitive motions
  • Subject to inside environmental conditions

Experience Requirements

  • 2–4 years of work experience, including experience at a top-tier healthcare consulting, trade association, or equivalent healthcare firm
*Avalere is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.