Management Consulting ITL Associate Director | Senior Level | Full time
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. Technology is at the core of change today, and we are one of the world's leaders in helping drive that change.
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. Performance Management: Establish and oversee performance management processes, ensuring operational excellence and superior client outcomes. Client Management: Serve as the subject matter advisor and primary point of contact for health clients for risk adjustment services. Regulatory Compliance: Monitor regulatory changes, including CMS and HHS guidelines, and ensure risk adjustment services remain compliant. Operational Excellence: Oversee the performance of automated processes, including AI-based chart reviews and risk adjustment analytics. Business Development: Support sales initiatives, contributing to proposals and presentations to secure new clients. Travel: As needed, up to 80%. 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: Experience working with or leading global teams. 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.
Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed.
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