Healthcare Payer Management Strategist
4 days ago
Payscale Estimate: $120,000 - $180,000 per year
Job Description:Company OverviewAccenture is a global leader in professional services, helping businesses and organizations build their digital core, optimize operations, accelerate growth, and enhance citizen services.
We combine our strength in technology and leadership with industry expertise, functional knowledge, and global delivery capabilities to drive tangible outcomes for our clients.
Job Responsibilities- Serve as a trusted advisor to clients, understanding their utilization management challenges and designing tailored strategies to enhance efficiency, compliance, and member experience.
- Lead client engagements, ensuring high-quality deliverables and satisfaction.
- Oversee multiple, complex projects simultaneously, managing cross-functional teams to deliver on time and within budget.
- Develop and implement best practices for utilization management, including prior authorization, case management, and appeals processes.
- Facilitate workshops, presentations, and working sessions with clients and stakeholders.
- Bachelor's degree in Business Administration, Healthcare Management, Health Policy, or a related field.
- Minimum of 5 years of experience in payer utilization management, health administration, healthcare consulting, or payer operations with a focus on utilization management.
- Minimum of 5 years of experience in healthcare regulations and accreditation requirements.
- Preferred qualifications include a Master's degree, experience working with or leading global teams, and leadership experience executing and achieving specific health utilization and medical cost outcome metrics.
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