Health Payment Reimbursement Manager
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: 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% 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 Workday implementation. Here’s what you need: 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 DegreeBonus points if you have: 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:U.S. Employee Benefits | AccentureRole Location Annual Salary RangeCalifornia $94,400 to $293,800Cleveland $87,400 to $235,000Colorado $94,400 to $253,800District of Columbia $100,500 to $270,300Illinois $87,400 to $253,800Maine $80,400 to $216,200Maryland $94,400 to $253,800Massachusetts $94,400 to $270,300Minnesota $94,400 to $253,800New York $87,400 to $293,800New Jersey $100,500 to $293,800Virginia $87,400 to $270,300Washington $100,500 to $270,300About AccentureAccenture 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 791,000 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. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, 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 What We BelieveWe have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment.Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more hereRequesting An AccommodationAccenture 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 StatementWe 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, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable 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 StatementAccenture 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 StatementsApplicants 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.SummaryLocation: Chicago, Accenture Tower, Corp; Milwaukee, 790 N Milwaukee St, Corp; Dallas, 5205 N OConnor Las Colinas, Corp; Columbus, 400 W. Nationwide Blvd, Corp; Kirkland, 416 6th Street South, Corp; Cincinnati, 4th Street, Corp; New York, One Manhattan West, Corp; Cleveland, 1400 W 10th Street, Corp; Oklahoma City, 525 NW 11th St, Corp; Austin, 323 Congress Avenue, Corp; Albany, 69 State St, Corp; St. Pete, 140 Fountain Pkwy, Tampa Corp; Hartford, 280 Trumbull, Corp; Pittsburgh, 1001 Liberty Ave, Corp; St. Louis, 4220 Duncan Avenue, Corp; Miami, 777 Brickell Ave, Corp; Sacramento, 1610 R Street, Corp; Raleigh, 555 Fayetteville, Corp; Minneapolis, 333 S 7th, Corp; Mountain View, 650 Castro, Corp; Scottsdale, 15279 N Scottsdale Rd, Corp; San Francisco, 415 Mission Street, Corp; Morristown, 1 Speedwell Ave, Corp; Denver, 999 18th St, Corp; Boston, 888 Boylston, Corp; Philadelphia, 2001 Market St, Corp; Des Moines, 909 Locust, Corp; Overland Park, 7300 W 110th Street, Corp; Los Angeles, 6181 W Centinela Ave, Corp; Charlotte, 1120 S Tryon St., Corp; Walnut Creek, 1255 Treat Blvd, Corp; Carmel, 11939 N Meridian St., Corp; Seattle, 1191 2nd Avenue, Corp; Houston, 1301 Fannin, Corp; Arlington, 1201 Wilson, Corp; Atlanta, 75 Fifth, Corp; Redmond, 8383 158th Avenue NE, Corp; Bentonville, 805 S Walton Blvd., Corp; Beaverton, 15220 NW Greenbrier, Corp; Nashville, 4101 Charlotte Ave., Corp; Detroit, 1240 Woodward, Corp; San Diego, 12680 High Bluff Dr, CorpType: Full time
- ...Registered Nurse – Case Management- Case Manager Travel Exclusive Compact State Registered... ...achievable. * Estimate of weekly payments is intended for informational purposes and includes hourly wages, as well as reimbursements for meal & incidental expenses and housing...ReimbursementHourly payWeekly payExtra incomeTemporary workLocal area
$100.6k - $132.04k
We're hiring a Manager to join our Network Contracting Team.Oscar is the first health insurance company built around a full stack technology platform and a relentless... ...provider performance and negotiating reimbursement rates, often involving complex contract terms...ReimbursementFull timeContract workWork experience placementLocal areaRemote workWork from homeHome office- ...Field Nurse Case Manager Paradigm is an accountable specialty care management... ..., specialty networks, home health, shared decision support, and payment integrity programs. We're proud... ...files, cell phone and internet reimbursement, mileage reimbursement (federal rate...ReimbursementFull timeContract workPart timeFor contractorsLive inLocal areaFlexible hours
$17 - $22 per hour
...the care infrastructure they need to manage their own health and the health and well-being of their... ...to join us. As our Part Time Payment Specialist , you will be responsible... ...our payment paths: member-submitted reimbursement claims and direct payments to vendors...ReimbursementContract workPart timeRemote work$105.82k - $138.89k
...we're Oscar. We're hiring a Product Marketing Manager to join our Product Marketing Team.Oscar is the first health insurance company built around a full stack technology... ...insurance, and paid wellness time and reimbursements.Artificial Intelligence (AI): Our AI Guidelines...ReimbursementFull timeWork experience placementWork at officeRemote work- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation... ...-based role reporting to a District Manager. As the OSS you will:Fulfill sales... ...etc.).Optimally and compliantly discuss reimbursement options with customers to improve sales...ReimbursementFull timeLocal areaRelocationNight shift
- ...RN - Case Manager Pulse Healthcare is currently seeking travel nurses for multiple positions in locations throughout... ...Direct Payroll Deposit ~ Travel and License Reimbursements ~401K Plus Match ~ Group Health insurance benefits ~ Medical Plan ~ Dental Plan...ReimbursementWeekly payDaily paidTemporary workShift work
- ...firm? We’re seeking a passionate marketing manager to join our team and drive the creation... ...both long‑ and short‑term disability, health savings account with certain medical plan... ...membership dues and relevant exam fee reimbursement among other benefits. Physical Demands and...ReimbursementTemporary workWork at officeLocal areaFlexible hours
- ...difference. About the Role: The RN Case Manager Hospice plays a critical role in delivering... ...care coordination within a hospice or home health setting. Familiarity with Medicare hospice regulations and reimbursement processes. Demonstrated skills in patient...Reimbursement
$70.6 - $86.02 per hour
...what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness... ...responsible for designing, implementing, and managing HR service delivery strategies and...ReimbursementHourly pay$55.32 - $65.76 per hour
...what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness... ...Department for Emory Hospitals. Develops and manages clinical nutrition and dietetic internship...ReimbursementHourly payInternshipLocal area- ...journey. We're seeking dedicated RN Case Managers who are passionate about walking beside... ...Return (Perks & Benefits): ~ Tuition Reimbursement - We invest in your continued growth... ...well-being matters ~ Comprehensive Health Benefits - Medical, Dental, Vision, Life...ReimbursementFlexible hours
- ...to reach new heights in your careerand be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development...ReimbursementHourly payFull timeLocal areaAll shifts
- ...REGISTERED NURSE CASE MANAGER (RN) Join the PruittHealth Hospice family, where the health and safety of our workforce is our top priority! We're not only committed... ...and hands-on training ~ Competitive mileage reimbursement rates ~ Comprehensive health plans ~401(k)...ReimbursementFlexible hours
$3,000 per month
...Profession RN Specialty Case Manager Job ID 37690254 Job Title RN -... ...Weekly Direct Payroll Deposit; ~ Travel and License Reimbursements; ~401K Plus Match; ~ Group Health insurance benefits: ; ~ Medical Plan ; ~ Dental...ReimbursementWeekly payDaily paidTemporary workWork at officeShift work- ...Job Details POSITION SUMMARY RN Case Manager Unit: Population Management -Diabetes POSITION DUTIES Responsibilities... ...workforce management team ~ Licensure and certification reimbursement About Company At AMN Healthcare, we strive to be...ReimbursementTemporary workShift work
$85k - $93k
Hospice / Registered Nurse / Case Manager We have recently engaged with a very progressive... ...Annual Salary: $85,000-$93,000 Health Insurance—Employer Pays up to 72% of Premium... .... Dental And Vision Insurance Mileage Reimbursement—$0.50 Per Mile PTO—80 Hours in Your First...ReimbursementTemporary workMonday to Friday- ...Telephonic Nurse Case Manager II Location: This is a virtual position. Ideal candidates... ...reside within 50 miles of an Elevance Health Pulse Point location. Hours: Monday -... ...treatment plans. # Negotiates rates of reimbursement, as applicable. # Assists in problem...ReimbursementWork at officeMonday to FridayAfternoon shift
- ...Benefits Health Insurance Stipend 401(k) 401(k) matching Paid time off Location & Schedule... .... As a leader in interventional pain management, we pride ourselves on compassionate... ...salary Paid time off & holidays Healthcare reimbursement stipend Uniform provided (scrubs)...ReimbursementWork at office
- ...encompasses staff supervision, patient flow management, crisis intervention, and collaboration... ...efficiency Utilize electronic health records and incident reporting systems... ...Program ~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why Choose...ReimbursementTemporary workShift work
- ...is simple, yet powerful: to enhance the health and well-being of every person we serve.... ...people's lives. Job Summary The RN Case Manager is responsible for providing and supervising... ...of home health operations, reimbursement, law and regulatory processes. OASIS knowledge...ReimbursementWeekend work
$120k - $180k
...’re seeking Document Control Managers to support large, heavy-civil... ...holidays Paid parental leave Health, dental, and vision insurance... ...phone or cell phone plan reimbursement Free personalized meal planning... ...not consider or agree to payment of any kind. Any unsolicited...ReimbursementFull timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hours$162.2k - $223.05k
Company DescriptionGuardant Health is a leading precision oncology company focused on guarding... ...and the internal pathology operations manager on timely execution of... ...agreements, where needed, and agreements for reimbursement of slide processing / cutting in place with...ReimbursementFull timeWork at officeRemote workWork from home$113.3k - $226.7k
...qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan... ...with a high employer contributionTuition reimbursement, the Freedom 2 Save student debt program... ...developing solutions to diagnose, monitor and manage heart failure, allowing people to...ReimbursementLocal areaWorldwideShift work$147.55k - $193.66k
...Product Marketing Team.Oscar is the first health insurance company built around a full... ...for Oscar's Individual Coverage Health Reimbursement Arrangement (ICHRA) business. Operating... ...daily operations across Product Management, Sales Strategy, Creative, and Legal teams...ReimbursementFull timeWork at officeRemote work- ...records, charts and pertinent information. Manage prescreening checklist maintenance.... ...Here Our Amazing Benefits: Comprehensive Health Coverage: Medical, dental, and vision... ...Account: Access a company-funded account to reimburse expenses that boost your physical,...ReimbursementExtra incomeFull timeWork at officeRelocation packageMonday to Friday
- ...want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits... ...coordination of care by scheduling appointments, managing patient information, and facilitating communication...ReimbursementCasual workShift work
- ...Experience in care coordination, case management, discharge planning and/or utilization... ...financial aspects of third-party payors and reimbursement Must be able to successfully pass the... ...workload. Communicates with home health agencies, third-party payors, and other...ReimbursementMonday to FridayShift work
- ...RN Field Case Manager This Field Case Manager will cover our Atlanta, GA and must live... ...career making an impact on the health and lives of others, and a remote work environment... ...value for both the client and the reimbursement source EDUCATION AND LICENSING RN...ReimbursementLive inWork at officeRemote workWork from home
$2,020 per week
...benefits, you will receive: License reimbursement - financial support to maintain your... ...fellow healthcare professionals Health insurance - comprehensive medical coverage... ...Weekly pay - prompt and reliable payments every week Key Responsibilities of...ReimbursementWeekly payFull timeImmediate startMonday to FridayFlexible hoursShift work
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