Posted:
12/3/2024, 10:22:12 AM
Location(s):
New York, New York, United States ⋅ Illinois, United States ⋅ Chicago, Illinois, United States ⋅ California, United States ⋅ New York, United States ⋅ Cincinnati, Ohio, United States ⋅ Texas, United States ⋅ Arlington, Virginia, United States ⋅ San Francisco, California, United States ⋅ Pennsylvania, United States ⋅ Philadelphia, Pennsylvania, United States ⋅ Albany, New York, United States ⋅ Minnesota, United States ⋅ Minneapolis, Minnesota, United States ⋅ Ohio, United States ⋅ Virginia, United States ⋅ Connecticut, United States ⋅ Hartford, Connecticut, United States
Experience Level(s):
Mid Level ⋅ Senior
Field(s):
Operations & Logistics
Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 750,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song. These capabilities, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us
Strategy & Consulting: We work with C-suite executives, leaders and boards of the world’s leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Our deep industry and functional expertise is supported by proprietary assets and solutions that help organizations transform faster and become more resilient. Underpinned by technology, data, analytics, AI, change management, talent and sustainability capabilities, our Strategy & Consulting services help architect and accelerate all aspects of an organization’s total enterprise reinvention.
As a Risk Adjustment Operations Leader, your primary responsibilities may include:
Product Roadmap Development and Maintenance
Lead the development and continuous refinement of the firm’s risk adjustment product roadmap.
Ensure the product offering leverages cutting-edge technology, including AI-driven chart reviews and advanced analytics.
Performance Management
Establish and oversee performance management processes, ensuring operational excellence and superior client outcomes.
Develop and maintain reporting frameworks to monitor performance metrics, identifying areas for improvement.
Client Management
Serve as the subject matter advisor and primary point of contact for health clients for risk adjustment services.
Proactively identify and communicate risks, issues, and improvement opportunities to clients.
Set and manage client expectations, ensuring satisfaction and alignment with service objectives.
Regulatory Compliance
Monitor regulatory changes, including CMS and HHS guidelines, and ensure risk adjustment services remain compliant.
Oversee enhancements to processes and tools in response to evolving regulatory requirements.
Operational Excellence
Oversee the performance of automated processes, including AI-based chart reviews and risk adjustment analytics.
Identify opportunities to improve speed, breadth, and accuracy of risk adjustment operations.
Business Development
Support sales initiatives, contributing to proposals and presentations to secure new clients.
Leverage industry insights to identify growth opportunities and expand the firm’s risk adjustment client base.
Team Leadership
Build, mentor, and provide strategic direction to a team of junior resources.
Foster a culture of continuous improvement, ensuring the team delivers high-quality, efficient services.
Travel
As needed, up to 80%
Why should I join the Accenture Health team?
Innovate every day. Be at the forefront of designing and delivering health technology solutions that push boundaries and create new opportunities for our clients.
Lead with the industry’s best. Join an industry-recognized healthcare leader with more than 20,000 global healthcare professionals collaborating to drive enterprise-wide transformational projects on a global scale. Accenture has worked with more than 200 clients to deliver healthcare transformation to meet the diverse needs of patients and members.
Learn and grow continuously. Harness unmatched training and professional development to help you build and advance your health, consultative and delivery skills. With learning resources, interactive classroom courses, real-life client simulations and ongoing mentoring available when you need it, you’ll expand your thinking beyond the core Workday implementation.
Qualification
Here’s what you need:
Bachelor’s degree in Business Administration, Health Administration, Information Technology, or related field preferred.
A minimum of 5 years of experience in healthcare consulting, or risk management operations with a health plan or risk adjustment service provider.
A minimum of 5 years of experience planning, securing funding for, and executing a roadmap for continual improvement of risk adjustment capabilities.
Bonus points if you have:
Master’s degree preferred.
Experience working with or leading global teams.
Thrive in a diverse, fast paced environment.
Exceptional problem-solving and analytical skills.
Excellent communication and presentation abilities.
Leadership experience, including team management and project oversight.
Experience leveraging automation for medical chart capture and AI for supporting medical chart reviews.
Experience presenting operational and financial impacts of risk adjustment services to health plan leadership.
Participated in CMS compliance audits.
Certified medical coder.
What’s in it for you?
You will be part of a diverse, vibrant, global Accenture community; teams pushing the boundaries of new business capabilities and emerging technologies and services, sharing their experiences and lessons learned with each other. You’ll have the chance to thrive in an environment where your ideas are valued and your voice matters.
At Accenture, you will be able to work on meaningful and innovative projects, powered by the latest technologies and industry best practices such as event-driven architectures and domain driven design.
Accenture will continually invest in your learning and growth. You'll learn from and work with Accenture’s certified practitioners and Accenture will support you in growing your own tech stack, sales skills, and certifications.
You'll be immersed in the design and implementation of human-centric solutions to help solve complex challenges with some of the world’s largest companies.
Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired in California, Colorado, District of Columbia, Illinois, Maryland, Minnesota, New York or Washington as set forth below.
We accept applications on an on-going basis and there is no fixed deadline to apply.
Information on benefits is here.
Role Location Annual Salary Range
California $132,500 to $338,300
Colorado $132,500 to $292,200
District of Columbia $141,100 to $311,200
Illinois $122,700 to $292,200
Minnesota $132,500 to $292,200
Maryland $122,700 to $270,600
New York $122,700 to $338,300
Washington $141,100 to $311,200
About Accenture
Accenture is a leading global professional services company that helps the world’s leading organizations build their digital core, optimize their operations, accelerate revenue growth and enhance services—creating tangible value at speed and scale. We are a talent- and innovation-led company with 774,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities. Visit us at www.accenture.com
What We Believe
We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment.
Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here
Equal Employment Opportunity Statement
Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion, or sexual orientation.
All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.
Accenture is committed to providing veteran employment opportunities to our service men and women.
For details, view a copy of the Accenture Equal Employment Opportunity and Affirmative Action Policy Statement
Requesting An Accommodation
Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.
If you would like to be considered for employment opportunities with Accenture and have accommodation needs for a disability or religious observance, please call us toll free at 1 (877) 889-9009, send us an email or speak with your recruiter.
Other Employment Statements
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.
The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.
California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.
Please read Accenture’s Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
Website: https://accenture.com/
Headquarter Location: Dublin, Dublin, Ireland
Employee Count: 10001+
Year Founded: 1989
IPO Status: Public
Last Funding Type: Grant
Industries: Business Information Systems ⋅ Construction ⋅ Consulting ⋅ Information Services ⋅ Information Technology ⋅ Infrastructure ⋅ Management Consulting ⋅ Outsourcing