Health Provider Revenue Cycle Manager
Accenture
Health Provider Revenue Cycle 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 servicescreating 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.
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As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment through implementation, and you hold yourself accountable for results.
You build relationships with CROs, Revenue Cycle VPs, and operational leaders, and you know how to communicate findings in a way that leads to action. You're comfortable managing up and managing across, keeping clients aligned, teams moving, and workstreams on track. You understand that good transformation work isn't just about recommendations; it's about bringing people along with you.
You keep up with what's changing in the industry, from AI and automation to prior authorization reform, value-based reimbursement, and shifting payer dynamics, and you can help clients think through what those changes mean for their operations. You also know how to develop people, and you take that part of the job seriously.
The Work:
- Lead end-to-end Revenue Cycle engagements for complex, large-scale health care providers, with deep expertise across Patient Access (scheduling, registration, eligibility, prior authorization), Mid-Cycle/Revenue Integrity (CDM, charge capture, CDI, coding), and Back-End Operations (billing, collections, denials management, underpayment recovery).
- Reimagine and redesign revenue cycle operating models. Lead workflow redesign, policy and procedure development, organizational and workforce realignment, and the design of KPIs and performance governance frameworks tied to net revenue improvement, denial rate reduction, and cash acceleration.
- Identify and prioritize client value creation opportunities based on rigorous analysis, developing business cases and value propositions, benchmarking, and a clear-eyed view of performance gaps, and strategic priorities.
- Develop implementation plans and lead cross-functional teams to deliver project outcomes on schedule, within budget, and against defined performance targets. Direct business pilots and client deployment activities and ensure planned outcomes are achieved and sustained after go-live.
- Embed AI, automation, and advanced analytics into revenue cycle operations to drive measurable improvement, applying tools such as Tableau, Power BI, and Python to surface revenue leakage, model financial scenarios, and target use cases including denials prediction, propensity-to-pay analytics, underpayment detection, prior authorization, and coding support.
- Advise clients on payer contracting strategy, managed care optimization, and reimbursement model performance to address margin pressure and support the transition from fee-for-service to value-based care.
- Help clients navigate a complex and evolving regulatory environment, including HIPAA compliance, CMS billing and coding requirements, No Surprises Act obligations, price transparency mandates, and prior authorization reform.
- Stand up or transition clients to managed services and extended business office (EBOS) models, including SLA/OLA design, staffing governance, playbook development, and vendor performance management.
- Support technology enablement across provider IT, EHR (e.g., Epic, Oracle, Athena), and revenue cycle systems, advising on system optimization, interoperability, and workflow configuration aligned to revenue cycle objectives.
- Design and execute the engagement's overall communication and change management approach, tailored to the client's organizational culture and readiness.
- Manage engagement risk, project economics, deliverable quality, and client satisfaction throughout the engagement lifecycle.
Client Relationship Development and Management
- Build and maintain strong relationships with key client stakeholders, including Revenue Cycle VPs, CROs, and operational leaders, across all stages of the engagement.
- Facilitate complex meetings, executive presentations, and cross-functional workshops that build client commitment, resolve competing priorities, and move transformation forward.
- Cultivate follow-on opportunities and develop business cases and proposals that connect Accenture's capabilities to client priorities, while managing engagement economics including budgets, revenue forecasting, and margin performance.
Practice Building
- Contribute to practice-building activities including conference participation, thought leadership development, market offering design, and recruiting.
- Develop and share recognized expertise in specific RCM domains, contributing to internal methodology, toolkits, and knowledge assets that strengthen Accenture's market position.
- Coach and mentor consultants and analysts, setting high standards for analytical rigor and client communication while actively supporting their professional development and career growth.
- Stay current on the regulations, reimbursement trends, and technology shaping revenue cycle across hospitals, health systems, medical groups, and ambulatory settings.
- Travel as needed, up to 80%.
Qualifications
Here's What You Need
- Minimum of 5 years of finance and management consulting experience
- Minimum of 5 years of healthcare provider Revenue Cycle experience, with demonstrated knowledge across patient access, mid-cycle, and back-end operations
- Minimum of 2 years leading revenue cycle transformation engagements with measurable impact on net revenue, denial rates, cash acceleration, or operational efficiency
- Minimum of 2 years of direct people management experience, including leading, coaching, and developing consultant or analyst teams in a project delivery environment
- Familiarity with the RCM regulatory environment, including HIPAA, CMS billing and coding requirements, price transparency rules, and prior authorization mandates
- Strong financial acumen, including the ability to build business cases, model revenue scenarios, forecast engagement economics, and develop early warning indicators
- Prior experience in a consulting firm environment with a track record of business development, client expansion, and proposal development
- Bachelor's degree
Bonus points if:
- Experience advising on or deploying AI, automation, and RPA in revenue cycle contexts, such as analytics for denials prediction, coding, prior authorization, or patient financial engagement
- Hands-on experience with payer contracting strategy, managed care optimization, or underpayment recovery
- Prior experience with managed services or EBOS governance, including SLA/OLA design and vendor performance management
- Proficiency in data visualization and analytics tools such as Tableau, Power BI, and Python, applied to revenue cycle performance improvement
- Experience implementing or optimizing major EHR and revenue cycle platforms in a consulting or delivery capacity
- MBA, MHA, or equivalent advanced degree
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