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HealthRules Payer Configuration Lead

Company: Accenture
Location: Des Moines
Posted on: July 8, 2024

Job Description:

We Are:

We are a global collective of innovators applying the New every day to improve the way the world works and lives. New doesn't mean being ahead of the curve; new is pushing forward the curve, riding the edge where the impossible meets the transformational and making it reality where it matters. Help us show the world what's possible as you partner with clients to unlock hidden value and deliver innovative solutions. Empowered with innovative tools, continuous learning and a global community of diverse talent and perspectives, we drive success in a new business architecture that disrupts conventional practices. Our expertise spans 40+ industries across 120+ countries and impacts millions of lives every day. We turn ideas into reality.

You Are:

As a member of Accenture's healthcare team, you'll be part of a team of health advisory professionals. From rapid deployments to entire transformations, you'll deliver leading edge Medicare and Commercial strategy and operations capabilities to our clients.

The Work:

As a HealthRules Payer Configuration Leader, your primary responsibilities may include:

  • Lead the overall Configuration design and development of the HealthRules Payer product solution across client, business, technology and compliance perspectives.

  • Oversee day-to-day Configuration activities.

  • Understand changes in healthcare regulations proactively with our compliance partners and maintain configuration as required to maintain compliance.

  • Provide leadership, guidance, and mentorship to team members, fostering a culture of excellence and continuous improvement.

  • Build and maintain strong client relationships, serving as the primary point of contact for Configuration functions.

  • Ensure client satisfaction by delivering high-quality services and meeting or exceeding service level agreements.



    Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements

    Here's what you need:

    • Minimum of 3 years of experience in HealthRules Payer configuration, with a strong background in Medicare Advantage plans and Claims Administration.

    • Minimum of 3 years of experience working with health insurance processes, including claims processing, enrollment, benefits and provider management.

    • Minimum of 3 years of experience leading configuration efforts for large-scale system implementations or upgrades.

    • Exceptional communication, interpersonal, and negotiation skills.

    • Ability to lead and inspire cross-functional, global teams.

    • Bachelor's Degree or equivalent (12 years) work experience (If an, Associate's Degree with 6 years of work experience)



      Bonus points if:

      • Proficiency in managing multiple complex customizations client arrangements

      • Strong financial acumen and experience managing budgets and resource plans.

      • Experienced a leadership role in a diverse, fast paced, highly matrixed environment

      • Experience in Market Prominence, Availity, Zipari or PaySpan/Zelis.

      • Experience migrating a plan to a new technology platform.



        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 in California, Colorado, District of Columbia, Maryland, New York or Washington as set forth below.

        We accept applications on an on-going basis and there is no fixed deadline to apply.

        Information on benefits is here.

        Role Location Annual Salary Range

        California $93,400 to $224,600

        Colorado $93,400 to $194,100

        District of Columbia $99,500 to $206,700

        New York $86,500 to $224,600

        Maryland $86,500 to $179,700

        Washington $99,500 to $206,700

        What We Believe

        We 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 here

        Equal Employment Opportunity Statement



        Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation.

        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.

        Accenture is committed to providing veteran employment opportunities to our service men and women.

        For details, view a copy of the Accenture Equal Employment Opportunity and Affirmative Action Policy Statement .

        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 for a disability or religious observance, please call us toll free at 1 (877) 889-9009, send us an email or speak with your recruiter.

        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.

        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.

Keywords: Accenture, Des Moines , HealthRules Payer Configuration Lead, Other , Des Moines, Iowa

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