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Risk Adjustment Senior Manager
Risk Adjustment Senior ManagerOhio Staffing • Cleveland, OH, US
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Risk Adjustment Senior Manager

Risk Adjustment Senior Manager

Ohio Staffing • Cleveland, OH, US
1 day ago
Job type
  • Full-time
Job description

Accenture Health Team Opportunity

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?

  • 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.
  • Here's what you need :

  • Bachelor's degree in Business Administration, Health Administration, Information Technology, or related field preferred.
  • A minimum of 5 years of experience in healthcare consulting, or risk management operations with a health plan or risk adjustment service provider.
  • A minimum of 5 years of experience planning, securing funding for, and executing a roadmap for continual improvement of risk adjustment capabilities.
  • Bonus points if you have :
  • Master's degree preferred.
  • Experience working with or leading global teams.
  • Thrive in a diverse, fast-paced environment.
  • Exceptional problem-solving and analytical skills.
  • Excellent communication and presentation abilities.
  • Leadership experience, including team management and project oversight.
  • Experience leveraging automation for medical chart capture and AI for supporting medical chart reviews.
  • Experience presenting operational and financial impacts of risk adjustment services to health plan leadership.
  • Participated in CMS compliance audits.
  • Certified medical coder.
  • 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.

    Role Location Annual Salary Range

  • California $132,500 to $302,400
  • Cleveland $122,700 to $241,900
  • Colorado $132,500 to $261,300
  • District of Columbia $141,100 to $278,200
  • Illinois $122,700 to $261,300
  • Maryland $132,500 to $261,300
  • Massachusetts $132,500 to $278,200
  • Minnesota $132,500 to $261,300
  • New York / New Jersey $122,700 to $302,400
  • Washington $141,100 to $278,200
  • 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 such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter.

    Equal Employment Opportunity Statement We believe that no one should be discriminated against because of their differences. 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. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities. For details, view a copy of the Accenture Equal Opportunity Statement.

    Accenture is an EEO and Affirmative Action Employer of Veterans / Individuals with Disabilities. Accenture is committed to providing veteran employment opportunities to our service men and women. Other Employment Statements Applicants for employment in the US must have work authorization that does not now or in any 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. Further, at Accenture a criminal conviction history is not an absolute bar to employment. 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

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