Risk Adjustment Senior Manager

Accenture Health Team OpportunityAccenture 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 servicescreating 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.As a Risk Adjustment Operations Leader, your primary responsibilities may include:Product Roadmap Development and MaintenanceLead 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 ManagementEstablish 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 ManagementServe 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 ComplianceMonitor 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 ExcellenceOversee 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 DevelopmentSupport 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 LeadershipBuild, 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.TravelAs 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.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. 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