Health Consulting | Payer Government Programs Operations Consultant/Manager

 

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
Health Payer Government Programs Operations Manager
, your primary responsibilities
may include:
 
 
 

Consulting Project Delivery 

 

Manage day-to-day operations of government health payer programs, ensuring alignment with regulatory standards, client expectations, and industry best practices.
 

Conduct comprehensive assessments of clients'
government health payer
operations to
identify
areas for optimization and growth. 
 

Develop and implement operational processes to improve program efficiency, accuracy, and cost-effectiveness.
 

Collaborate with cross-functional teams to enhance program accuracy, improve member experience, and reduce administrative burden.
 

Define and manage key performance indicators (KPIs) and develop dashboards to
monitor
program performance,
identify
trends, and track areas for improvement.
 

Leading Transformational Change 

 

Lead large-scale transformation initiatives in
government
health
payer operations, focusing on streamlining processes, enhancing service delivery, and achieving operational excellence.
 

Drive transformational change and lead change initiatives that require a deep understanding of functional processes, combined with the ability to navigate across business domains and align with emerging technologies.
 

Compliance and Regulatory Oversight

 

Monitor changes in federal and state regulations to ensure all programs adhere to compliance standards, including audits, reporting, and quality benchmarks.
 

Advise clients on regulatory updates, helping them adjust operations and processes to
remain
compliant with evolving healthcare laws and regulations.
 

Client Relationship Management

 

Serve as the primary point of contact for client stakeholders, building and
maintaining
strong relationships and
providing
strategic guidance on government program operations.
 

Conduct regular progress updates, address client needs, and offer insights and solutions to improve program performance and achieve desired outcomes.
 

Team Leadership and Development

 

Lead and mentor a team of analysts and consultants, fostering a high-performance and collaborative work environment.
 

Provide training and development opportunities to support team members’ professional growth and align their skills with project needs.
 

 

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.