Job Description
We are...
We are a global collective of innovators applying the New every day to improve the way the world works and lives. New doesn't mean being ahead of the curve; new is pushing forward the curve, riding the edge where the impossible meets the transformational and making it reality where it matters. Help us show the world what's possible as you partner with clients to unlock hidden value and deliver innovative solutions. Empowered with innovative tools, continuous learning and a global community of diverse talent and perspectives, we drive success in a new business architecture that disrupts conventional practices. Our expertise spans 40+ industries across 120+ countries and impacts millions of lives every day. We turn ideas into reality.
You are...
As a member of Accenture's healthcare team, you'll be part of a team of health advisory professionals. From rapid deployments to entire transformations, you'll deliver leading edge Medicare strategy and operations capabilities to our clients.
As a Medicare Enrollment Leader , your primary responsibilities may include:
· Manage Enrollment Operations
§ Oversee the preparation, processing and maintenance of new members and renewal enrollment
§ Ensure timely resolution to research and resolve enrollment system rejections.
· Implement Process Improvement
§ Oversees the maintenance of policies and standard operating procedure
§ Identify opportunities to streamline and continuously improve enrollment processes to enhance efficiency and reduce errors, including automation
· Oversee the Team
§ Develop and manage a global staffing strategy to support all clients in alignment with budget
§ Manage the global team of enrollment staff for each client, include providing quarterly/yearly performance feedback, coaching, and training.
§ Oversees maintenance of policies and standard operating procedures
· Support Member Escalations:
§ Ensure a seamless enrollment experience for Medicare beneficiaries.
§ Address direct or indirect member enrollment inquiries and concerns promptly and professionally.
· Support Regulatory Compliance:
§ Stay informed about changes in Medicare regulations and ensure all enrollment practices are compliant.
§ Collaborate with compliance and legal teams to mitigate risks.
· Provide Subject Matter Expertise
§ Provide enrollment subject matter expertise for internal and external special projects, including but not limited to client or regulator audits, and new business
Why should I join the Accenture Health team?
· Innovate every day. Be at the forefront of designing and delivering Medicare and other 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.
Who will be successful at Accenture?
It's not just what you know or where you've been that propels success at Accenture: It's who you are, fundamentally, as a person. We prize diversity in backgrounds and perspectives. Whatever your unique qualities, a few key traits should apply: You're passionate about technology and motivated to apply the latest technology trends. You're proactive and collaborative; a leader with effective communication skills. You're driven by new challenges and are motivated to improve. You're a creative problem solver with the flexibility to navigate uncertainty. You're focused on the future with a desire to develop inclusive, responsible and sustainable solutions to complex challenges.
Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements.
Here's what you need:
- Bachelor's degree in healthcare administration, business, or a related field.
- Minimum of 5 years of experience in Medicare Advantage enrollment operations
- Minimum of 5 years with strong understanding of Medicare Advantage regulations and compliance requirements
Bonus points if:
- Experience in consulting or client services.
- Experience in Health Edge and/or MarketProminance technologies.
- Experience working with or leading global teams.
- Thrive in a diverse, fast paced environment.
- Participation in CMS compliance audits.
- Have an advanced degree in healthcare administration, business, or a related field.
- Experience with Medicare core admin platforms, member portals, member experience, CMS enrollment, broker commissions payments
- Excellent leadership and team management skills.
- Proficiency in data analysis and reporting.
- Effective communication and interpersonal abilities.
- Strong problem-solving and decision-making skills.
- Experience with CMS Annual Open Enrollment process.
What We Believe
We have an unwavering commitment to diversity with the aim that every one of our people has a full sense of belonging within our organization. As a business imperative, every person at Accenture has the responsibility to create and sustain an inclusive environment.
Inclusion and diversity are fundamental to our culture and core values. Our rich diversity makes us more innovative and more creative, which helps us better serve our clients and our communities. Read more here (https://www.accenture.com/us-en/about/inclusion-diversity/us-workforce)
Equal Employment Opportunity Statement
Accenture is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion or sexual orientation.
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.
Accenture is committed to providing veteran employment opportunities to our service men and women.
For details, view a copy of the Accenture Equal Employment Opportunity and Affirmative Action Policy Statement (https://www.accenture.com/content/dam/accenture/final/accenture-com/document/Annual-Policy-Statement-Regarding-EEO-2023-Applicant.pdf#zoom=50) .
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 for a disability or religious observance, please call us toll free at 1 (877) 889-9009, send us an email (https://www.accenture.com/us-en/about/contact-us) or speak with your recruiter.
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.
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