Health Provider Network Consultant/Manager

$63,800 - $293,800/Yr

Accenture - Houston, TX

Full-time - Mid Level

Houston, TX

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 that include managing provider data, contracting, and education, as well as leading projects to improve network stability and performance.

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.
• A minimum of 3 years of experience in provider network management, healthcare contracting, 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 managing multiple priorities in a fast-paced environment.

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 sales skills.