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Director - Reimbursement and Contract Analytics

$94.4k - $293.8k

Accenture

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 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. As a Payment Reimbursement Manager, your primary responsibilities may include: 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. Travel: As required, up to 80% Qualifications 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. Bonus Points 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. Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We anticipate this job posting will be posted until 07/26/2026. 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: Role Location Annual Salary Range California $94,400 to $293,800 Cleveland $87,400 to $235,000 Colorado $94,400 to $253,800 District of Columbia $100,500 to $270,300 Illinois $87,400 to $253,800 Maine $80,400 to $216,200 Maryland $94,400 to $253,800 Massachusetts $94,400 to $270,300 Minnesota $94,400 to $253,800 New York $87,400 to $293,800 New Jersey $100,500 to $293,800 Virginia $87,400 to $270,300 Washington $100,500 to $270,300 Requesting an Accommodation Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired. If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at View phone number on click.appcast.io or send us an email or speak with your recruiter. Equal Employment Opportunity Statement We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities. For details, view a copy of the Accenture Equal Opportunity Statement ( Accenture is an EEO and affirmative action employer of veterans/individuals with disabilities. Accenture is committed to providing veteran employment opportunities to our service men and women. Other Employment Statements Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States. Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration. Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment. The company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information. California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information. Please read Accenture’s Recruiting and Hiring Statement for more information on how we process your data during the recruiting and hiring process. #J-18808-Ljbffr Accenture

Vacancy posted 1 day ago
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