Health Provider Revenue Cycle Manager

Accenture Plc

Denver, CO

JOB DETAILS
SKILLS
Access Authorization, Analysis Skills, Artificial Intelligence (AI), Automation, Benchmarking, Billing, Budget Management, Budgeting, Business Case, Business Strategy, Business Transformation, Career Development, Change Management, Charge Capture, Cloud Computing, Coaching, Communication Skills, Consulting, Content Management Systems (CMS), Contract Research Organization (CRO), Credit and Collections, Cross-Functional, Customer Relations, Customer Relationship Management (CRM), Customer Satisfaction, Customer Support/Service, Denials Management, Economics, Ecosystems, Enterprise Application Integration (EAI), Epic Systems, Establish Priorities, Financial Modeling, Financial Trend Analysis, Government Organizations, HIPAA (Health Insurance Portability and Accountability Act), Healthcare Providers, Healthcare Reimbursement, Hospital Systems, Interoperability, Leadership, Managed Care, Management Consulting, Medical Record System, Mentoring, Operational Measurement, Oracle, Organizational Culture, Patient Care Authorizations, Performance Metrics, Performance Modeling, Policy Development, Power BI, Problem Solving Skills, Procedure Development, Process Improvement, Professional Services, Project Schedule, Proposal Development, Python Programming/Scripting Language, Regulations, Reimbursement, Revenue Forecasting, Revenue Growth, Revenue Management, Risk Management, Sales Management, Service Level Agreement (SLA), System Integration (SI), Tableau, Team Lead/Manager, Technical Operations, Technical Support, Technical/Engineering Design, Thought Leadership, Time Management, Use Cases, Vendor/Supplier Quality Management, Willing to Travel
LOCATION
Denver, CO
POSTED
2 days ago

Job Description

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 791,000 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. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, 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 accenture.com.

Consulting professionals at Accenture belong to one of three workgroups: Management Consulting, Systems Integration Consulting or Technology Consulting. These workgroups enable us to deliver the increasingly specialized skills that clients demand while providing our people with varied career opportunities.

Our management consultants have the opportunity to work and collaborate with colleagues from across the full spectrum of consulting activity: identifying and creatively solving complex problems, designing and re-engineering critical processes, and fundamentally transforming the way a company operates. Our management consultants are more than just theorists - they turn theory into action. Acting as trusted advisors to our clients, they work directly with FORTUNE Global 500 companies across many different industry sectors. They concentrate on getting a holistic view of a client's business and industry environment and use their expertise and critical thinking skills to design and deliver realistic, achievable business strategies and solutions that address key client priorities.

Much of the work we do is at the cutting edge of innovation and thinking. We involve our consultants in publishing and sharing this knowledge as thought leadership to benefit clients, industry and fellow colleagues.

You are:

As a Health Provider Revenue Cycle Manager, you lead and support revenue cycle transformations for complex provider organizations such as AMCs, IDNs, and large medical groups. You have working knowledge across the full revenue cycle: patient access, prior authorization, mid-cycle revenue integrity, and back-end operations. You know how to take an engagement from assessment through implementation, and you hold yourself accountable for results.

You build relationships with CROs, Revenue Cycle VPs, and operational leaders, and you know how to communicate findings in a way that leads to action. You're comfortable managing up and managing across, keeping clients aligned, teams moving, and workstreams on track. You understand that good transformation work isn't just about recommendations; it's about bringing people along with you.

You keep up with what's changing in the industry, from AI and automation to prior authorization reform, value-based reimbursement, and shifting payer dynamics, and you can help clients think through what those changes mean for their operations. You also know how to develop people, and you take that part of the job seriously.

The Work:

Shape and Deliver Business Transformation Projects

  • Lead end-to-end Revenue Cycle engagements for complex, large-scale health care providers, with deep expertise across Patient Access (scheduling, registration, eligibility, prior authorization), Mid-Cycle/Revenue Integrity (CDM, charge capture, CDI, coding), and Back-End Operations (billing, collections, denials management, underpayment recovery).
  • Reimagine and redesign revenue cycle operating models. Lead workflow redesign, policy and procedure development, organizational and workforce realignment, and the design of KPIs and performance governance frameworks tied to net revenue improvement, denial rate reduction, and cash acceleration.
  • Identify and prioritize client value creation opportunities based on rigorous analysis, developing business cases and value propositions, benchmarking, and a clear-eyed view of performance gaps, and strategic priorities.
  • Develop implementation plans and lead cross-functional teams to deliver project outcomes on schedule, within budget, and against defined performance targets. Direct business pilots and client deployment activities and ensure planned outcomes are achieved and sustained after go-live.
  • Embed AI, automation, and advanced analytics into revenue cycle operations to drive measurable improvement, applying tools such as Tableau, Power BI, and Python to surface revenue leakage, model financial scenarios, and target use cases including denials prediction, propensity-to-pay analytics, underpayment detection, prior authorization, and coding support.
  • Advise clients on payer contracting strategy, managed care optimization, and reimbursement model performance to address margin pressure and support the transition from fee-for-service to value-based care.
  • Help clients navigate a complex and evolving regulatory environment, including HIPAA compliance, CMS billing and coding requirements, No Surprises Act obligations, price transparency mandates, and prior authorization reform.
  • Stand up or transition clients to managed services and extended business office (EBOS) models, including SLA/OLA design, staffing governance, playbook development, and vendor performance management.
  • Support technology enablement across provider IT, EHR (e.g., Epic, Oracle, Athena), and revenue cycle systems, advising on system optimization, interoperability, and workflow configuration aligned to revenue cycle objectives.
  • Design and execute the engagement's overall communication and change management approach, tailored to the client's organizational culture and readiness.
  • Manage engagement risk, project economics, deliverable quality, and client satisfaction throughout the engagement lifecycle.

Client Relationship Development and Management

  • Build and maintain strong relationships with key client stakeholders, including Revenue Cycle VPs, CROs, and operational leaders, across all stages of the engagement.
  • Facilitate complex meetings, executive presentations, and cross-functional workshops that build client commitment, resolve competing priorities, and move transformation forward.
  • Cultivate follow-on opportunities and develop business cases and proposals that connect Accenture's capabilities to client priorities, while managing engagement economics including budgets, revenue forecasting, and margin performance.

Practice Building

  • Contribute to practice-building activities including conference participation, thought leadership development, market offering design, and recruiting.
  • Develop and share recognized expertise in specific RCM domains, contributing to internal methodology, toolkits, and knowledge assets that strengthen Accenture's market position.
  • Coach and mentor consultants and analysts, setting high standards for analytical rigor and client communication while actively supporting their professional development and career growth.
  • Stay current on the regulations, reimbursement trends, and technology shaping revenue cycle across hospitals, health systems, medical groups, and ambulatory settings.
  • Travel as needed, up to 80%.

About the Company

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Accenture Plc