Enrollment & Billing Director jobs in Nassau, NY

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 Industry Enrollment and Billing Functional Expert, your primary responsibilities may include:

• Functional Expertise

• Serve as the subject matter expert (SME) for payer enrollment, billing, and financial processes, including fully insured, ASO, individual (both on and off exchange), Medicare, and Medicaid

• Have deep understanding of operational integration with the upstream and downstream departments dependent on enrollment and billing, including but not limited to sales, marketing, broker operations, claims, fulfillment, remittance, payment processing, health plan finance and accounting, and risk adjustment.

• Analyze and map workflows within enrollment, billing and associated teams to identify inefficiencies and recommend improvements.

• Maintain a working knowledge of industry tools and technology that support enrollment and premium billing operations

• Client Engagement

• Collaborate with clients to gather business requirements and translate them into functional specifications.

• Facilitate workshops and stakeholder meetings to define enrollment and billing system capabilities and future-state processes.

• Provide strategic recommendations to enhance billing accuracy and payment reconciliation with groups, members, third party payers, states, and CMS

• Project Leadership

• Drive high quality deliverables by coordinating cross-functional teams, managing timelines, and reporting progress to client leadership.

• Work closely with operational leaders and technical teams to ensure accurate configuration and customization of enrollment and billing platforms.

• Client Relationship Management

• Serve as the primary point of contact for senior client stakeholders, building and maintaining strong relationships and providing strategic guidance on billing, enrollment and finance operations.

• Conduct regular progress updates, issue resolution, and performance evaluations with clients to ensure engagement success and client satisfaction.

• Team Leadership and Development

• Lead and mentor a team of project managers, consultants, and analysts, fostering a collaborative and high-performance environment.

• Provide professional development opportunities, coaching, and feedback to build a skilled and motivated team aligned with organizational goals.

• Thought Leadership and Industry Engagement

• Stay current with healthcare industry trends, regulatory changes, and emerging technologies related to billing and enrollment.

• Contribute to the firm’s thought leadership through whitepapers, webinars, and industry presentations, positioning the firm as a leader in billing and enrollment processes to our healthcare clients.

• Travel - as needed, up to 80%

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.