Health Provider Network Consultant/Manager

Created at: March 10, 2025 00:11

Company: Accenture

Location: Houston, TX, 77000

Job Description:

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 services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately
750,000 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. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song. These capabilities, 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. Visit us at

www.accenture.com

.
 

 

Strategy & 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 Manager/Consultant within our Healthcare
Administration
Consulting Practice,
you
will play a critical role
in expanding our provider network practice, ensuring high-quality healthcare services
.
Yo
u will ensure that our clients—health plans, government agencies, and healthcare systems—
can offer
the highest quality of care delivery through an effective and sustainable provider network.

The ideal candidate will have
a strong

background
in health administration strategy, provider operations, provider contracting, provider data management, and credentialing.

Your
primary
responsibilities may include

 

Provider Data Management

 

Demonstrate knowledge of the vendors and solutions in the market to help make efficient and
accurate
provider data for health plans.
 

Analyze provider data systems to ensure they support organizational goals for compliance, access, and reporting.
 

Work with clients to streamline data management processes, reducing errors and improving timeliness.
 

Provider Contracting

 

Be familiar with the contract lifecycle management process, including negotiations and contract management with healthcare providers, ensuring that terms align with organizational goals, compliance standards, and financial
objectives
.
 

Provide insights on reimbursement models and advise on contract optimization strategies.
 

Provider Credentialing

 

Understand the Provider Credentialing and Re-Credentialing process including onboarding, Primary Source Verification (PSV), and Credentialing Committee.
 

Advise on best practices for
maintaining

accurate
credentialing records and meeting regulatory standards.
 

Evaluate and improve onboarding workflows, ensuring
timely
and compliant provider activation.
 

Provider Education & Onboarding

 

Develop onboarding processes and training materials related to onboarding new providers to a Health Plan, ensuring they understand organizational goals, policies, and clinical guidelines.
 

Project Management

 

Lead or
participate
in provider network management projects aimed at improving system processes, provider experience and coordination, and overall network stability. 
 

Manage timelines, deliverables, and stakeholder communications to ensure successful project outcomes.
 

Provide regular updates and performance reports to clients, highlighting progress and areas for improvement.
 

Team Leadership an

d Development

 

Mentor junior consultants and analysts, fostering a collaborative and growth-oriented environment.
 

Provide feedback and coaching to team members, supporting their professional development and project contributions.
 

Thought Leadership and Industry Engagement

 

Stay informed about
provider network
trends, regulatory changes, and technology advancements.
 

Contribute to internal knowledge sharing through case studies or presentations, enhancing the firm’s
expertise
and reputation.

 

 

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.


 
 


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