Risk Adjustment Senior Manager

Risk Adjustment Operations Leader

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 servicescreating 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.

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?

Here's what you need :

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 as set forth below.