Description

Job Description

We Are:

Accenture is a global professional services company with leading capabilities in digital, cloud, and security. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Interactive, Technology, and Operations services-powered by the world's largest network of Advanced Technology and Intelligent Operations centers. Our people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries.

You Are:

A senior delivery leader with deep expertise in Medicare provider networks, Blue Cross Blue Shield (BCBS) implementations, and HealthEdge HealthRules Payor. You bring hands-on experience designing and implementing provider networks that support BlueCard® participation, inter-plan arrangements, and complex Medicare contracting models.

As a Senior Manager, you will own provider network strategy and execution across large-scale BCBS and Medicare implementations, serving as a trusted advisor to clients while leading high-impact delivery teams within Accenture Health & Public Service Technology.

Key Responsibilities:

• Provide end-to-end leadership for Medicare provider and supplier network implementation within HealthRules Payor, including BCBS-affiliated plans
• Lead design efforts supporting BlueCard® provider networks, ensuring accurate cross-plan participation and claims readiness
• Own provider network strategy and setup, including:
• Suppliers (TINs), practitioners, practitioner roles, and supplier locations
• Provider networks aligned to BCBS and BlueCard participation rules
• Medicare provider contracts, reimbursement structures, and fee schedules
• Translate BCBS, BlueCard, and Medicare regulatory requirements into scalable HealthRules configuration solutions
• Ensure HealthRules business rules integrate seamlessly with enterprise claims, billing, and downstream operational systems
• Advise configuration, testing strategy, and documentation for HealthRules Payor and Designer components
• Partner with Functional, Integration, Data, and Testing leads to ensure cohesive, end-to-end delivery across complex workstreams
• Serve as a primary client adviser for BCBS provider network and BlueCard-related topics, guiding decision-making and issue resolution
• Proactively identify and mitigate risks related to provider network setup, BlueCard compliance, and Medicare claims impacts
• Contribute to practice growth, delivery assets, and capability development within Accenture's Medicare and payer technology practice.

Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements.

Qualification

Here's What You Need:

• Minimum of 5 years of functional business experience in the health payer industry, with deep expertise in - Medicare, Provider, or BCBS operating Models.
• Minimum of 3 years of experience implementing provider networks for Blue Cross Blue Shield plans, including support for BlueCard® participation
• Minimum of 3 years of hands-on experience implementing or supporting HealthEdge HealthRules Payor, including HealthRules Designer
• Experience leading full life-cycle implementations aligned to the Software Development Life Cycle (SDLC)
• Bachelor's degree or equivalent (minimum 12 years' work experience). If Associate's Degree, must have equivalent minimum 6-year work experience

Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below.
We anticipate this job posting will be posted until 06/05/2026.

Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. See more information on our benefits here:

U.S. Employee Benefits | Accenture

Role Location Annual Salary Range

California $94,400 to $266,300

Cleveland $87,400 to $213,000

Colorado $94,400 to $230,000

District of Columbia $100,500 to $245,000

Illinois $87,400 to $230,000

Maryland $94,400 to $230,000

Massachusetts $94,400 to $245,000

Minnesota $94,400 to $230,000

New York $87,400 to $266,300

New Jersey $100,500 to $266,300

Washington $100,500 to $245,000

Locations

Chicago, IL

Arlington, VA

Atlanta, GA

Austin, TX

Boston, MA

Charlotte, NC

Cincinnati, OH

Cleveland, OH

Columbus, OH

Culver City, CA

Denver, CO

Detroit, MI

Hartford, CT

Houston, TX

Irving, TX

Kirkland, WA

Miami, FL

Milwaukee, WI

Minneapolis, MN

Morristown, NJ

Mountain View, CA

Nashville, TN

New York City, NY

Overland Park, KS

Philadelphia, PA

Pittsburgh, PA

Raleigh, NC

Sacramento, CA

San Diego, CA

San Francisco, CA

Scottsdale, AZ

Seattle, WA

St. Louis, MO

St. Petersburg, FL

Walnut Creek, CA

Additional Information

Requesting an Accommodation

Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.

If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at 1 (877) 889-9009 or send us an email or speak with your recruiter.

Equal Employment Opportunity Statement

We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.

For details, view a copy of the Accenture Equal Opportunity Statement

Accenture is an EEO and Affirmative Action Employer of Veterans/Individuals with Disabilities.

Accenture is committed to providing veteran employment opportunities to our service men and women.

Other Employment Statements

Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.

Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.

Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.

The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.

California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.

Please read Accenture's Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.

About Accenture

We work with one shared purpose: to deliver on the promise of technology and human ingenuity. Every day, more than 775,000 of us help our stakeholders continuously reinvent. Together, we drive positive change and deliver value to our clients, partners, shareholders, communities, and each other.

We believe that delivering value requires innovation, and innovation thrives in an inclusive and diverse environment. We actively foster a workplace free from bias, where everyone feels a sense of belonging and is respected and empowered to do their best work.

At Accenture, we see well-being holistically, supporting our people's physical, mental, and financial health. We also provide opportunities to keep skills relevant through certifications, learning, and diverse work experiences. We're proud to be consistently recognized as one of the World's Best Workplaces™.

Join Accenture to work at the heart of change. Visit us at www.accenture.com .


Requisition #: R00324676

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