Health Payment Reimbursement Manager

Payment Reimbursement Manager

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.

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.

Primary 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%

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 Degree

Bonus 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.

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
• 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
• 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.