Manager, Healthcare Regulatory & Compliance

About the role

The KPMG Advisory practice is at the forefront of transformation, offering excellent opportunities for individuals to advance their careers and expertise with KPMG. Looking ahead, we anticipate continued evolution and success within the practice, fostering both personal and professional development, thereby creating new pathways for growth. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility, and leading market tools, we help our people continue to grow both professionally and personally. If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory. KPMG is currently seeking a Manager, Healthcare Regulatory & Compliance to join our Advisory Services practice.

Responsibilities

• Develop, sell and deliver Healthcare regulatory and compliance service offerings focusing on healthcare providers (hospitals, health systems) and health insurance/payer organizations
• Develop and execute structured detailed work plans in areas such as compliance program effectiveness assessments, investigations, operational improvements, billing and coding reviews, privacy assessments, internal audit, and policy and process development
• Conduct interviews of client personnel (including compliance officers, legal counsel, and operational leadership), analyze and evaluate documents and other information objectively in order to form an observation and provide suitable recommendations
• Perform research and gather data to support conclusions and generate insights
• Create a collaborative team environment, foster a common understanding of team objectives and clearly articulate expectations
• Oversee quantitative and qualitative data analysis leveraging a variety of tools and methods, including the development of dashboards to present findings from analysis
• Ensure work product and related deliverables are performed in accordance with established standards and engagement requirements to meet client and firm expectations
• Lead and participate in people development and business development efforts; proactively identify opportunities to enhance professional practices and processes; assist with business development initiatives, including the development of proposals
• Develop and sustain solid relationships with client personnel and demonstrate the ability to identify additional opportunities with existing clients
• Identify and communicate technical, regulatory, legal and compliance matters while serving as a liaison to both clients and engagement leadership
• Participate and/or lead meetings with both clients and the engagement team
• Coach, mentor, and train staff by imparting knowledge, skills, and experience in attracting and retaining staff
• Act with integrity, professionalism, and personal responsibility to uphold KPMG's respectful and courteous work environment

Qualifications

• Minimum five years of recent applicable work experience in healthcare regulatory, legal, compliance and/or internal audit, preferably within a hospital, health system, healthcare provider, health insurance/payer organization, healthcare consulting firm, or law firm serving healthcare clients
• Bachelor's degree from an accredited college or university is preferred; or minimum of a high school diploma or GED required plus seven years of applicable experience in healthcare regulations
• Proficiency in AI tools, Power BI, or similar technologies
• Experience in healthcare regulatory and compliance matters, with preference for a combination of healthcare industry and consulting/professional services experience or law firm and consulting experience
• Previous supervisory and leadership experience, including oversight of projects and team efforts
• Solid experience collaborating cross-functionally with legal, compliance, regulatory, internal audit, and operational stakeholders, with strong analytical, written and verbal communication, facilitation, presentation, and client-facing skills
• Demonstrated ability to identify business opportunities, develop new business, build relationships with senior client executives, and successfully manage projects
• Willingness and ability to travel based on client and project needs, including potential international travel; travel may be up to 60-80%
• Applicants must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future; KPMG LLP will not sponsor applicants for U.S. work visa status for this opportunity (no sponsorship is available for H-1B, L-1, TN, O-1, E-3, H-1B1, F-1, J-1, OPT, CPT or any other employment-based visa)

Pay

KPMG LLP and its affiliates and subsidiaries (“KPMG”) complies with all local/state regulations regarding displaying salary ranges. If required, the ranges displayed below or via the URL below are specifically for those potential hires who will work in the location(s) listed. Any offered salary is determined based on relevant factors such as applicant's skills, job responsibilities, prior relevant experience, certain degrees and certifications and market conditions. Salary ranges by city outside of CA: https://kpmg.com/us/en/how-we-work/pay-transparency.html/?id=M117ADV_3_26

Benefits

KPMG LLP is proud to offer a comprehensive, competitive benefits package, with options designed to help you make the best decisions for yourself, your family, and your lifestyle. Available benefits are based on eligibility. Depending on job classification, standard work hours, and years of service, KPMG LLP provides a Total Rewards Package that includes 401(k) and medical and may include dental, vision, disability and life insurance, personal well-being and Personal Time Off. Additionally, each year KPMG publishes a calendar of holidays to be observed during the year depending on your job classification and entity affiliation. Additional details about our benefits can be found towards the bottom of our KPMG US Careers site at Benefits & How We Work.

Travel

Willingness and ability to travel based on client and project needs, including potential international travel; travel may be up to 60-80%.

Work Authorization

Applicants must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future; KPMG LLP will not sponsor applicants for U.S. work visa status for this opportunity (no sponsorship is available for H-1B, L-1, TN, O-1, E-3, H-1B1, F-1, J-1, OPT, CPT or any other employment-based visa).