Health 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.
As a Risk Adjustment Operations Leader, your primary responsibilities may include:
Product Roadmap Development and Maintenance
Lead the development and continuous refinement of the firm’s risk adjustment product roadmap.
Ensure the product offering leverages cutting-edge technology, including AI-driven chart reviews and advanced analytics.
Performance Management
Establish and oversee performance management processes, ensuring operational excellence and superior client outcomes.
Develop and maintain reporting frameworks to monitor performance metrics, identifying areas for improvement.
Client Management
Serve as the subject matter advisor and primary point of contact for health clients for risk adjustment services.
Proactively identify and communicate risks, issues, and improvement opportunities to clients.
Set and manage client expectations, ensuring satisfaction and alignment with service objectives.
Regulatory Compliance
Monitor regulatory changes, including CMS and HHS guidelines, and ensure risk adjustment services remain compliant.
Oversee enhancements to processes and tools in response to evolving regulatory requirements.
Operational Excellence
Oversee the performance of automated processes, including AI-based chart reviews and risk adjustment analytics.
Identify opportunities to improve speed, breadth, and accuracy of risk adjustment operations.
Business Development
Support sales initiatives, contributing to proposals and presentations to secure new clients.
Leverage industry insights to identify growth opportunities and expand the firm’s risk adjustment client base.
Team Leadership
Build, mentor, and provide strategic direction to a team of junior resources.
Foster a culture of continuous improvement, ensuring the team delivers high-quality, efficient services.
Travel
As needed, 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.