Health Payer Operations Manager (claims Operations)

Accenture Australia

California, United States
Base: $87,400 to $293,800 depending on location; b...
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3 years healthcare consulting experience
3 years health payer operations experience
Claims processing efficiency improvement
** Accenture Australia is seeking a Health Payer Operations Manager to lead initiatives aimed at improving claims processing efficiency and accuracy while ensuring compliance with regulatory requirements. The ideal candidate should have a strong background in healthcare consulting, particularly within payer operations, and possess exceptional analytical and leadership skills. **

Job Summary

  • The role involves leading initiatives to improve claims processing efficiency and accuracy while reducing operational costs.
  • Candidates will partner with technology teams to shape claims platform configuration and ensure compliance with regulatory requirements.
  • Accenture offers a market competitive salary range, comprehensive benefits including medical and dental, and opportunities for continuous learning.

Matching Summary

Match Score: 75

** Accenture Australia is seeking a Health Payer Operations Manager to lead initiatives aimed at improving claims processing efficiency and accuracy while ensuring compliance with regulatory requirements. The ideal candidate should have a strong background in healthcare consulting, particularly within payer operations, and possess exceptional analytical and leadership skills. **

Salary

Base: $87,400 to $293,800 depending on location; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, life, disability, 401(k), paid holidays, PTO

Skills & Requirements

Must-have

  • 3 years healthcare consulting experience
  • 3 years health payer operations experience
  • Claims processing efficiency improvement
  • Regulatory compliance knowledge
  • Process automation identification

Nice-to-have

  • Master's degree preferred
  • Global team leadership experience
  • Agentic AI solutions for claims
  • Advanced degree in specialization
  • Thought leadership development

Key Requirements

  • Bachelor's degree in Healthcare Administration or Business
  • Minimum 3 years in healthcare consulting or enterprise operations
  • Minimum 3 years in health payer operations
  • US work authorization without future sponsorship requirement

Work Rights

Must have US work authorization

Tailored Resume

Cover Letter