Health Provider Network Consultant/Manager

$63,800 - $293,800/Yr

Accenture - Nashville, TN

Full-time - Mid Level

Nashville, TN

10,001+ employees

Professional, Scientific, and Technical Services

About the position

As a Health Provider Network Consultant/Manager at Accenture, you will play a pivotal role in enhancing the provider network practice within the Healthcare Administration Consulting Practice. Your focus will be on ensuring high-quality healthcare services for clients, including health plans, government agencies, and healthcare systems. This position requires a strong background in health administration strategy, provider operations, and credentialing, with responsibilities spanning provider data management, contracting, education, and project management.

Responsibilities

• Demonstrate knowledge of vendors and solutions for efficient provider data management.
• Analyze provider data systems for compliance and reporting.
• Streamline data management processes to reduce errors and improve timeliness.
• Manage the contract lifecycle, including negotiations and compliance with healthcare providers.
• Provide insights on reimbursement models and contract optimization strategies.
• Advise on best practices for provider credentialing and re-credentialing processes.
• Develop onboarding processes and training materials for new providers.
• Lead provider network management projects to improve system processes and provider experience.
• Mentor junior consultants and analysts, fostering a collaborative environment.
• Stay informed about provider network trends and contribute to internal knowledge sharing.

Requirements

• Bachelor's degree in Healthcare Administration, Business, or a related field.
• Minimum of 3 years of experience in provider network management or related roles.
• Strong understanding of healthcare delivery systems and payer-provider relationships.
• Proficiency in Microsoft Office Suite and provider data management software.
• Exceptional problem-solving and analytical skills.
• Strong negotiation and conflict resolution skills.
• Excellent communication and interpersonal skills.

Nice-to-haves

• Master's degree in a related field.
• Leadership experience in healthcare settings.
• Experience with healthcare contracting and operations.

Benefits

• Continuous learning and professional development opportunities.
• Access to a diverse and vibrant global community.
• Involvement in meaningful and innovative projects.
• Support for growing tech stack and certifications.