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. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional
expertise
and global delivery capability. We are uniquely able to deliver tangible outcomes because of our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song. These capabilities, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders,
partners
and communities. Visit us at

www.accenture.com

.
 

 

Strategy & Consulting:

We work with C-suite executives, leaders and boards of the world’s leading organizations, helping them reinvent every part of their enterprise to drive greater growth, enhance competitiveness, implement operational improvements, reduce cost, deliver sustainable 360° stakeholder value, and set a new performance frontier for themselves and the industry in which they operate. Our deep industry and functional
expertise

is
supported by proprietary assets and solutions that help organizations transform faster and become more resilient. Underpinned by technology, data, analytics, AI, change management, talent and sustainability capabilities, our Strategy & Consulting services help architect and accelerate all aspects of an organization’s total enterprise reinvention.
 

 

As a Risk Adjustment Operations Leader, your primary responsibilities
may include: 
 

Product Roadmap Development and Maintenance

 

Lead the development and continuous refinement of the firm’s
r
isk
a
djustment product roadmap.
 

Ensure the product offering leverages
cutting-edge
technology, including AI-driven chart reviews and advanced analytics.
 

Performance Management

 

Establish and
oversee
performance management processes, ensuring operational excellence and superior client outcomes.
 

Develop and
maintain
reporting frameworks to
monitor
performance metrics,
identifying
areas for improvement.
 

Client Management

 

Serve as the
subject matter advisor and
primary point of contact for
health
clients
for risk adjustment services
.
 

Proactively
identify
and communicate risks, issues, and improvement opportunities to clients.
 

Set and manage client expectations, ensuring satisfaction and alignment with service
objectives
.
 

Regulatory Compliance

 

Monitor regulatory changes, including CMS and HHS guidelines, and ensure risk adjustment services
remain
compliant.
 

Oversee
enhancements to processes and tools in response to evolving regulatory requirements.
 

Operational Excellence

 

Oversee the performance of automated processes, including AI-based chart reviews and risk adjustment analytics.
 

Identify
opportunities to improve speed, breadth, and accuracy of risk adjustment operations.
 

Business Development

 

Support sales initiatives, contributing to proposals and presentations to secure new clients.
 

Leverage industry insights to
identify
growth opportunities and expand the firm’s risk adjustment client base.
 

Team Leadership

 

Build, mentor, and provide strategic direction to a team of junior resources.
 

Foster a culture of continuous improvement, ensuring the team delivers high-quality, efficient services.
 

 

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. Accenture has worked with more than 200 clients to deliver healthcare transformation to meet the diverse needs of patients and members.    
 

Learn and grow continuously.

Harness unmatched training and professional development to help you build and advance your health, consultative and delivery skills. With learning resources, interactive classroom courses, real-life client simulations and ongoing mentoring available when you need it,
you’ll
expand your thinking beyond the core Workday implementation.