Government Health Claims Adjudication Lead

Are you a highly skilled and detail-oriented professional with a passion for improving government healthcare processes? Accenture is seeking a Government Health Claims Adjudication Lead to join our dynamic team. As a leader in our Government Health practice, you will play a pivotal role in ensuring accurate and efficient processing of healthcare claims for our clients. If you have a strong understanding of government healthcare policies and regulations, exceptional analytical skills, and a drive for delivering results, we invite you to apply for this exciting opportunity.

1. Oversee and lead the government health claims adjudication process for Accenture's clients.
2. Ensure accuracy and efficiency in the processing of healthcare claims, adhering to government policies and regulations.
3. Use strong analytical skills to identify and resolve any issues or discrepancies in claims.
4. Develop and maintain a deep understanding of government healthcare policies and regulations to guide and inform the adjudication process.
5. Collaborate with cross-functional teams to implement process improvements and optimize the claims adjudication process.
6. Train and mentor team members to ensure consistency and quality in claims processing.
7. Monitor and track performance metrics to identify areas for improvement and ensure timely processing of claims.
8. Communicate and present findings and recommendations to clients and internal stakeholders.
9. Stay up-to-date on industry trends and changes in government healthcare policies and regulations.
10. Demonstrate a strong commitment to delivering results and meeting client expectations.
11. Ensure compliance with all relevant laws, regulations, and company policies.
12. Represent Accenture as a subject matter expert in government healthcare claims adjudication.
13. Participate in business development activities, including client meetings and proposals.
14. Foster a positive and collaborative work environment within the team and across departments.
15. Maintain confidentiality and handle sensitive information with integrity.

According to JobzMall, the average salary range for a Government Health Claims Adjudication Lead in Sacramento, CA, USA is between $66,000 to $98,000 per year. This range can vary depending on the specific job responsibilities, level of experience, and education of the individual. Some factors that may affect salary include the size and type of organization, the complexity of the claims being processed, and the overall demand for this type of role in the job market. Additionally, individuals with advanced degrees or specialized certifications may command higher salaries.

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