Health Payment Reimbursement Manager

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. 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 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 and Benefits 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. 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. Location & Salary Range California $94,400 to $293,800 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 Equal Employment Opportunity 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. Accenture is an EEO and affirmative action employer of veterans and individuals with disabilities. Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. #J-18808-Ljbffr Accenture