Health Payment Reimbursement Manager

Accenture • Chicago, IL

4d

About The Position

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 at www.accenture.com . 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. Role Summary Advise clients on reimbursement strategy, payment reform, and provider financial sustainability across Medicaid, rural health, and broader healthcare markets. The successful candidate will combine deep domain expertise with strong consulting judgment and will be expected to manage teams, advise senior clients, and deliver complex engagements in reimbursement and payment strategy. This individual will build trusted client relationships and help clients design sustainable reimbursement approaches aligned to their strategic goals.

Requirements

• Minimum of 5 years of experience with Medicaid payment strategy, provider reimbursement, payment reform, or provider finance .
• Minimum of 2 years of experience assessing reimbursement adequacy, provider incentives, and financial sustainability across hospitals, rural providers, FQHCs, behavioral health providers, or other safety-net settings .
• Minimum of 2 years of experience translating state or federal priorities into viable reimbursement structures or implementation approaches .
• Bachelor's Degree

Nice To Haves

• Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, value‑based purchasing, and network/provider contracting approaches.
• Payment reform implementation leadership: Experience designing and implementing value‑based purchasing, quality incentives, withholds, episode/bundle models, and performance measurement that align incentives without destabilizing providers.
• Regulatory and waiver familiarity: Working knowledge of Medicaid policy mechanisms such as State Plan Amendments (SPAs), 1115/1915 waivers, directed payments, supplemental payment programs, and quality strategies.
• Strong command of fee-for-service, capitation, bundled payment, and shared savings or risk models .
• Ability to benchmark and compare payment approaches across states, markets, and provider types producing decision-ready recommendations for executives.

Responsibilities

• Advise clients on reimbursement strategy, payment model options, and provider finance issues across Medicaid, rural, and safety-net settings.
• Advise clients on assessing current reimbursement approaches and identifying opportunities to improve reimbursement adequacy, strengthen incentives, and support provider sustainability.
• Develop recommendations on payment model design, reimbursement redesign, provider stabilization, and implementation approaches.
• Translate complex reimbursement issues into clear decision materials, executive presentations, and practical roadmaps.
• Manage day-to-day engagement delivery, including work planning, team coordination, quality review, and client communications.
• Work across finance, policy, analytics, and operations teams to develop integrated recommendations.
• Build relationships with senior client stakeholders, facilitate working sessions, and help identify follow-on opportunities in reimbursement and payment transformation.

Benefits

• Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off.
• See more information on our benefits here: U.S. Employee Benefits | Accenture

What This Job Offers

• Job Type: Full-time
• Career Level: Manager