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. As a Payer Utilization Management Consulting Leader, your primary responsibilities may include: Client Engagement & Strategy Development: Serve as a trusted advisor to clients, understanding their utilization management challenges and designing tailored strategies to enhance efficiency, compliance, and member experience. Project Leadership & Delivery: Oversee multiple, complex projects simultaneously, managing cross-functional teams to deliver on time and within budget. Operational Improvement & Technology Enablement: Analyze existing utilization management operations, identify areas for improvement, and recommend data-driven solutions. Regulatory Compliance and Risk Management: Ensure clients’ enterprise functions comply with healthcare regulations and industry standards, advising on regulatory updates and best practices. Business Development: Identify and pursue new business opportunities, contribute to proposal development, and lead sales presentations. Team Leadership and Development: Lead and mentor a team of managers, consultants, and analysts, fostering a collaborative and high-performance environment. Thought Leadership and Industry Engagement: Stay current with healthcare industry trends, regulatory changes, and emerging technologies related to payer utilization functions. Here’s what you need: Bachelor's degree in Business Administration, Healthcare Management, Health Policy, or a related field. Minimum of 5 years of experience in payer utilization management, health administration, healthcare consulting, or payer operations with a focus on utilization management. Minimum of 5 years of experience in healthcare regulations and accreditation requirements. Bonus points if you have: Master's degree preferred. Experience working with or leading global teams. Exceptional problem-solving and analytical skills. Excellent communication and presentation abilities. Compensation at Accenture varies depending on a wide array of factors, including location, role, skill set, and level of experience. Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation. #J-18808-Ljbffr Accenture
We are currently seeking host home providers in: Grand Junction, Delta, and Montrose Are you looking for a meaningful work opportunity in your home? Become a Host Home / Shared Living provider with Mosaic at Home! Average annual income of $46,530 (federally tax-free...
Volt is hiring for Customer Service Specialist in Santa Ana, CA for a well-known aerospace company.Job Title: Customer Service SpecialistESSENTIAL... ...purchase.Customer can directly inquire with the Customer Success Specialist and work with them to resolve pressing issues...
...machines. Catalog, shelve and sort high volumes of mail in a timely and accurate manner. Prepare large amounts of dated mail for... ...these and other programs, including benefits for full time and part-time employees, visit pncbenefits.com New to PNC. ~ For more...
...and oil and gas. Combining economic success with environmental and social responsibility, their operations span major chemical manufacturing sites, R&D, sales, marketing, supply chain, business development, HR, procurement, and environmental health and safety. Serving...
...valued as citizens of the communities in which they choose to live, learn, work and play. We are currently seeking Assistant Group Home Managers who will be responsible for assisting the manager with the the day to day operation of a community residence that supports...