Health Provider Network Consultant/Manager

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 Manager / Consultant within our Healthcare Administration Consulting Practice, you will play a critical role in expanding our provider network practice, ensuring high-quality healthcare services. You will ensure that our clients—health plans, government agencies, and healthcare systems—can offer the highest quality of care delivery through an effective and sustainable provider network. The ideal candidate will have a strong background in health administration strategy, provider operations, provider contracting, provider data management, and credentialing.

Your primary responsibilities may include :

• Provider Data Management : Demonstrate knowledge of the vendors and solutions in the market to help make efficient and accurate provider data for health plans. Analyze provider data systems to ensure they support organizational goals for compliance, access, and reporting. Work with clients to streamline data management processes, reducing errors and improving timeliness.
• Provider Contracting : Be familiar with the contract lifecycle management process, including negotiations and contract management with healthcare providers, ensuring that terms align with organizational goals, compliance standards, and financial objectives. Provide insights on reimbursement models and advise on contract optimization strategies.
• Provider Credentialing : Understand the Provider Credentialing and Re-Credentialing process including onboarding, Primary Source Verification (PSV), and Credentialing Committee. Advise on best practices for maintaining accurate credentialing records and meeting regulatory standards. Evaluate and improve onboarding workflows, ensuring timely and compliant provider activation.
• Provider Education & Onboarding : Develop onboarding processes and training materials related to onboarding new providers to a Health Plan, ensuring they understand organizational goals, policies, and clinical guidelines.
• Project Management : Lead or participate in provider network management projects aimed at improving system processes, provider experience and coordination, and overall network stability. Manage timelines, deliverables, and stakeholder communications to ensure successful project outcomes. Provide regular updates and performance reports to clients, highlighting progress and areas for improvement.
• Team Leadership and Development : Mentor junior consultants and analysts, fostering a collaborative and growth-oriented environment. Provide feedback and coaching to team members, supporting their professional development and project contributions.
• Thought Leadership and Industry Engagement : Stay informed about provider network trends, regulatory changes, and technology advancements. Contribute to internal knowledge sharing through case studies or presentations, enhancing the firm’s expertise and reputation.
• Travel : As needed, up to 80%.

Here’s what you need :

Bonus points if you have :

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