Health Payer Government Programs Operations Manager/Consultant

$63,800 - $293,800/Yr

Accenture - Irving, TX

Full-time - Senior

Irving, TX

10,001+ employees

Professional, Scientific, and Technical Services

About the position

The Health Payer Government Programs Operations Manager/Consultant at Accenture is responsible for managing day-to-day operations of government health payer programs, ensuring compliance with regulatory standards and client expectations. This role involves leading transformational change initiatives, optimizing operational processes, and enhancing service delivery within the healthcare sector. The position requires strong leadership skills to mentor a team of analysts and consultants while maintaining client relationships and driving program performance improvements.

Responsibilities

• Manage day-to-day operations of government health payer programs, ensuring alignment with regulatory standards and client expectations.
• Conduct comprehensive assessments of clients' government health payer operations to identify areas for optimization and growth.
• Develop and implement operational processes to improve program efficiency, accuracy, and cost-effectiveness.
• Collaborate with cross-functional teams to enhance program accuracy, improve member experience, and reduce administrative burden.
• Define and manage key performance indicators (KPIs) and develop dashboards to monitor program performance, identify trends, and track areas for improvement.
• Lead large-scale transformation initiatives in government health payer operations, focusing on streamlining processes and enhancing service delivery.
• Monitor changes in federal and state regulations to ensure all programs adhere to compliance standards, including audits, reporting, and quality benchmarks.
• Serve as the primary point of contact for client stakeholders, building and maintaining strong relationships and providing strategic guidance on government program operations.
• Lead and mentor a team of analysts and consultants, fostering a high-performance and collaborative work environment.

Requirements

• Bachelor's degree in Business Administration, Healthcare Management, Public Health, or a related field.
• Minimum of 5 years of experience in health payer operations, program management, or consulting, with a focus on government-funded health programs.
• Demonstrated experience with Medicare/Medicaid and ACA regulations and compliance requirements.
• Exceptional problem-solving and analytical skills.
• Excellent communication and presentation abilities.
• Leadership experience, including team management and project oversight.

Nice-to-haves

• Master's degree preferred.
• Experience working with or leading global teams.
• Thrive in a diverse, fast-paced environment.

Benefits

• Continuous learning and professional development opportunities.
• Access to a diverse and vibrant global community.
• Participation in meaningful and innovative projects.
• Support for growing tech stack, sales skills, and certifications.