Health Payer Operations Associate Director

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 Health Payer Operations Associate Director, your primary responsibilities may include:  

• Leading Transformational Change  

• Lead process improvement initiatives across benefits, membership, claims and provider operations, implementing data-driven solutions to enhance efficiency and effectiveness. 

• Utilize analytics and operational performance metrics to monitor progress, identify trends, and drive data-informed decision-making for continuous improvement. 

• Spearhead large-scale transformation projects focused on streamlining operational processes, improving service delivery, and achieving operational excellence. 

• Lead organizational change initiatives, leveraging a deep understanding of functional processes, technology integration, and cross-functional alignment to enhance operational performance. 

• Promote a culture of continuous improvement by fostering innovation and embracing new technologies in claims management. 

• Claims Operations Improvement 

• Lead and manage projects to improve claims processing efficiency and accuracy, ensuring timely and accurate processing while maintaining a focus on cost efficiency. 

• Analyze and optimize claims workflows, identifying bottlenecks and areas for automation. 

• Ensure compliance with all relevant state and federal health payer regulations, payer policies, and contractual agreements across claims operations.