Health Payment Reimbursement Manager

About the role

The successful candidate will advise clients on reimbursement strategy, payment model options, and provider finance issues across Medicaid, rural, and safety-net settings. They will also assess current reimbursement approaches, identify opportunities to improve adequacy, strengthen incentives, and support provider sustainability. The role involves developing recommendations on payment model design, reimbursement redesign, provider stabilization, and implementation approaches. Responsibilities include translating complex reimbursement issues into clear decision materials, executive presentations, and practical roadmaps. The Payment Reimbursement Manager will manage day-to-day engagement delivery, including work planning, team coordination, quality review, and client communications. They will work across finance, policy, analytics, and operations teams to develop integrated recommendations and build relationships with senior client stakeholders.

Responsibilities

• Advising clients on reimbursement strategy, payment model options, and provider finance issues across Medicaid, rural, and safety-net settings.
• Assessing current reimbursement approaches and identifying opportunities to improve adequacy, strengthen incentives, and support provider sustainability.
• Developing recommendations on payment model design, reimbursement redesign, provider stabilization, and implementation approaches.
• Translating complex reimbursement issues into clear decision materials, executive presentations, and practical roadmaps.
• Managing day-to-day engagement delivery, including work planning, team coordination, quality review, and client communications.
• Working across finance, policy, analytics, and operations teams to develop integrated recommendations.
• Building relationships with senior client stakeholders, facilitating working sessions, and helping identify follow-on opportunities in reimbursement and payment transformation.
• Travel: As required, up to 80%

Requirements

• A minimum of 5 years of experience with Medicaid payment strategy, provider reimbursement, payment reform, or provider finance.
• A minimum of 2 years of experience assessing reimbursement adequacy, provider incentives, and financial sustainability across hospitals, rural providers, FQHCs, behavioral health providers, or other safety-net settings.
• A minimum of 2 years of experience translating state or federal priorities into viable reimbursement structures or implementation approaches.
• A Bachelor's Degree.

Bonus Points

• Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, value-based purchasing, and network/provider contracting approaches.
• Payment reform implementation leadership: Experience designing and implementing value-based purchasing, quality incentives, withholds, episode/bundle models, and performance measurement that align incentives without destabilizing providers.
• Regulatory and waiver familiarity: Working knowledge of Medicaid policy mechanisms such as State Plan Amendments (SPAs), 1115/1915 waivers, directed payments, supplemental payment programs, and quality strategies.
• Strong command of fee-for-service, capitation, bundled payment, and shared savings or risk models.
• Ability to benchmark and compare payment approaches across states, markets, and provider types producing decision-ready recommendations for executives.

Qualifications

• Minimum of 5 years of experience with Medicaid payment strategy, provider reimbursement, payment reform, or provider finance.
• Minimum of 2 years of experience assessing reimbursement adequacy, provider incentives, and financial sustainability across hospitals, rural providers, FQHCs, behavioral health providers, or other safety-net settings.
• Minimum of 2 years of experience translating state or federal priorities into viable reimbursement structures or implementation approaches.
• Bachelor's Degree.

Skills

• Strong command of fee-for-service, capitation, bundled payment, and shared savings or risk models.
• Ability to benchmark and compare payment approaches across states, markets, and provider types producing decision-ready recommendations for executives.

Benefits

• Annual Salary Range: Varies based on location.
• Market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off.

Pay

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.

Schedule

Not specified.