Health Payment Reimbursement Manager

About the role

Advise clients on reimbursement strategy, payment model options, and provider finance issues across Medicaid, rural, and safety-net settings. The successful candidate will combine deep domain expertise with strong consulting judgment and will be expected to manage teams, advise senior clients, and deliver complex engagements in reimbursement and payment strategy. This individual will build trusted client relationships and help clients design sustainable reimbursement approaches aligned to their strategic goals.

Responsibilities

• Advises clients on reimbursement strategy, payment model options, and provider finance issues across Medicaid, rural, and safety-net settings.
• Assesses current reimbursement approaches and identifies opportunities to improve reimbursement adequacy, strengthen incentives, and support provider sustainability.
• Develops recommendations on payment model design, reimbursement redesign, provider stabilization, and implementation approaches.
• Translates complex reimbursement issues into clear decision materials, executive presentations, and practical roadmaps.
• Manages day-to-day engagement delivery, including work planning, team coordination, quality review, and client communications.
• Works across finance, policy, analytics, and operations teams to develop integrated recommendations.
• Builds relationships with senior client stakeholders, facilitates working sessions, and helps identify follow-on opportunities in reimbursement and payment transformation.

Requirements

• 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.

Qualifications

• Bachelor's Degree
• Bonus points if you have:
• 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.

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: $94,400 to $293,800
• 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

• Annual salary range: $94,400 to $293,800

Schedule

• Travel: As required, 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.
• Learn and grow continuously. Harness unmatched training and professional development to help you build and advance your health, consultative and delivery skills.

What you need

• 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.