What Jobs are available for Healthcare Professionals in Bellevue?

**JOB DESCRIPTION**
**Job Summary**
The Molina Healthcare Internship Program shares an objective to create a steppingstone for students and alumni who aim to be professionals and future leaders in the healthcare business profession. We aim to develop talent by providing students and alumni with experiential learning, formal training, and opportunities to interact with healthcare business professionals who will act as intern managers along the way.
**KNOWLEDGE/SKILLS/ABILITIES**
· Assist in gathering and organizing operational data from various sources, including internal systems and reports.
· Conduct quantitative and qualitative analysis to identify trends, inefficiencies, and opportunities for improvement.
· Support the creation of dashboards, visualizations, and regular performance reports for leadership and operational teams.
· Collaborate with leadership and cross-functional teams to understand business processes and contribute to process optimization projects.
· Participate in meetings and present findings to team members and stakeholders.
· Help document processes, methodologies, and recommendations for future reference.
**Qualifications**
· Strong analytical and problem-solving skills, with attention to detail.
· Proficiency in Microsoft Excel; familiarity with data visualization tools (e.g., Power BI) is a plus.
· Excellent written and verbal communication skills.
· Ability to work independently and as part of a team in a fast-paced environment.
· Interest in business operations, process improvement, and data-driven decision making.
** REQUIRED EDUCATION:**
Must be currently enrolled in an undergraduate or graduate program
Should be a freshman sophomore or junior
Minimum GPA of 3.0 or higher
Pursuing a degree in Business/Information Systems, Actuarial Sciences, Industrial Engineering or a related field
Must have unrestricted authorization to work in the United States
Able to commit to the full-time, 10-week internship program from June 1 - August 7, 2026
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $21.66 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Job Summary**
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
+ Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
+ Leadership experience.
+ Medicaid/Medicare population experience.
+ Six sigma certification
+ Experience with Agile Methodology
+ Experience with Epic
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**
**Job Summary**
This position will be focused on Clinical Program Design.
Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care.
**Essential Job Duties**
+ Collaboratively plans and executes internal healthcare services projects and programs involving department or cross-functional teams of subject matter experts - delivering products from the design process to completion.
+ Provides ongoing communication related to program goals, evaluation and support to ensure compliance with standardized protocols and processes.
+ May engage and oversee the work of external vendors.
+ Focuses on process improvement, organizational change management, program management and other processes relative to business needs.
+ Serves as a subject matter expert and leads healthcare services programs to meet critical needs.
+ Communicates and collaborates with customers to analyze and transform needs and goals into functional requirements.
+ Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality initiatives within the department as appropriate.
+ Creates business requirements documents (BRDs), test plans, requirements traceability matrix (RTMs), user training materials and other related business documents.
**Required Qualifications**
+ At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
+ Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
+ Strong analytical and problem-solving skills.
+ Strong organizational and time-management skills.
+ Ability to work in a cross-functional, professional environment.
+ Experience working within applicable state, federal, and third-party regulations.
+ Strong verbal and written communication skills.
+ Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.
**Preferred Qualifications**
- Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
- Leadership experience.
- Medicaid/Medicare population experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**
**Job Summary**
Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, and deploying reports to provider networks and other end users for operational and strategic analysis.
**KNOWLEDGE/SKILLS/ABILITIES**
Manages and provides direct oversight of Healthcare Analytics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Resource to HCS staff for mentoring, coaching, and analysis questions. Responsible for staff time keeping, performance coaching, development, and career paths.
+ Daily management of Healthcare Analytics team.
+ Allocate new report/project requests (workload distribution).
+ Coordinates with Health Plan departments to meet data analysis and database development needs.
+ Reviews, evaluates, and improved Company business logic and data sources.
+ Resource to Health Plan staff for mentoring, coaching, and analysis questions.
+ Reviews Health Plan analyst work products to ensure accuracy and clarity.
+ Reviews regulatory reporting requirements and Health Plan project documentation.
+ Maintains reporting service level benchmarks for Healthcare Analytics team.
+ Represents Healthcare Analytics department in cross-departmental and operational meetings.
+ Serves as liaison between Corporate IT and Health Plan regarding reporting needs.
+ Creates reporting for strategic analysis, profitability, financial analysis, utilization patterns and medical management.
+ Interfaces and maintains positive interactions with Health Plan and Corporate personnel.
+ Management Health Plan Encounter workflow process.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field
**Required Experience**
+ 3 years management or team leadership experience
+ 10 years' work experience preferable in claims processing environment and/or healthcare environment
+ Strong knowledge of SQL 2005/2008 SSRS report development
+ Familiar with relational database concepts, and SDLC concepts
**Preferred Education**
Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field.
**Preferred Experience**
3 - 5 years supervisory experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $88,453 - $206,981 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Job Description**
**Work hours will be 7am-3:30pm PST M-F**
**Job Summary**
Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor. Confirm that documentation is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains to contracting (benefit and provider), network management, credentialing, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage amount and benefit interpretation within the audit process. Provide clear and concise results and comments to leaders about focal audits. Contributes to completion of audits as needed to ensure audits are conducted in a timely fashion and in accordance with audit standards.
**Job Duties**
- Reviews documentation regarding updates/changes to member enrollment, provider contract, provider demographic information, and/or claim processing guidelines. Evaluates the accuracy of these updates/changes as applied to the appropriate modules within the core processing system (QNXT).
- Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these updates/changes. Determines that all outcomes are aligned to the original documentation and allow appropriate processing.
- Conducts audits of vendor audits and verifies accuracy of their published outcomes are aligned to the documentation, various sources of truth and being assessed appropriately.
- Clearly documents the focal audit results and makes recommendations as necessary.
- Researches and tracks the status of unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance.
- Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ )
- Prepares, tracks and provides audit findings reports according to designated timelines
- Presents audit findings and makes recommendations to management for improvements based on audit results.
**Job Qualifications**
**REQUIRED EDUCATION:**
Associate's Degree or equivalent combination of education and experience
**REQUIRED EXPERIENCE, SKILLS & ABILIITIES:**
+ Minimum 2 years as an operational auditor for at least one core operations function
+ Previous examiner/processing experience in at least one core operations functional area
+ Strong attention to detail
+ Knowledge of using Microsoft applications to include; Excel, Word, Outlook, Powerpoint and Teams
+ Ability to effectively communicate written and verbal
+ Knowledge of verifying documentation related to updates/changes within claims processing system .
+ Experience using claims processing system (QNXT).
**PREFERRED EDUCATION:**
Bachelor's Degree or equivalent combination of education and experience
**PREFERRED EXPERIENCE:**
3+ years healthcare Medical claims auditing
**PHYSICAL DEMANDS:**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $42.2 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**JOB DESCRIPTION**
***Candidates must be located in California and work PST hours.***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Develops, implements, and uses software and systems to support the department's goals.
+ Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
+ Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
+ Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
+ Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
+ Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
+ Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Maintains SharePoint Sites as needed, including training materials and documentation archives.
+ Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
+ Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
+ Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
+ Experience with Medicaid contract analytics is highly preferred.
+ Experience working on Managed care analytics and healthcare reimbursement models is required.
+ Must be able to work in a cross functional team.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
+ Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
**Preferred Education**
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
+ Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
+ Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
+ Multiple data systems and models
+ BI tools (Power BI)
**Preferred License, Certification, Association**
QNXT or similar healthcare payer applications
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

**Overview**
SOSi is actively seeking qualified, professional, and experienced healthcare interpreters. Our job is to provide in person, over the phone, and video remote interpretation (VRI) interpretation services for scheduled and on-demand service requests within the state of Washington, and bordering zip codes. The government contractor requires interpretation services for injured workers and crime victims during medical and vocational appointments. All languages are encouraged to apply across the country.
**Essential Job Duties**
+ Provides scheduled and on-demand in-person, over-the-phone, and VRI consecutive interpretation between Multiple Languages and English and vice versa between medical/vocational providers and injured workers and crime victims with low English proficiency as required.
**Minimum Requirements**
+ High School Diploma.
+ Ability to obtain and provide a valid driver's license, U.S. passport, or other government issued photo ID.
+ Ability to obtain a background check through Washington Access To Criminal History (WATCH) website.
+ Highly proficient in both English and Target Language, ILR scale of 2+.
+ Ability to speak English and Target Language fluently, including high to low levels of language register, regional colloquialisms, and slang expressions, and do so with clear and intelligible pronunciation.
+ Ability to preserve the tone and emotional level of the speaker, as well as manage the delivery, speed, and length of the statement (projection, pace and pausing) of the speaker.
+ Ability to maintain appropriate speed and projection while rendering interpretation, and request and incorporate clarification of speaker's statements only when justified.
+ Ability to obtain one of the following certifications:
+ Washington State Department of Social and Health Services
+ Federal Court Interpreter Certification Examination
+ Washington State Administrative Office for the Courts
+ National Board of Certification for Medical Interpreter
+ Certification Commission for Healthcare Interpreters (CCHI)
+ US State Department Office of Language Services
+ Ability to obtain a National Provider Identifier (NPI) Number
+ Ability to obtain a Unified Business Identifier (UBI) with the Washington State Department of Revenue.
**Work Environment**
+ In-person appointments throughout the state of Washington and surrounding zip codes.
+ Remote work available for telephonic and video remote appointments.
**Working at SOSi**
All interested individuals will receive consideration and will not be discriminated against for any reason.
SOSi is an equal employment opportunity employer and affirmative action employer. All interested individuals will receive consideration and will not be discriminated against on the basis of race, color, religion, sex, national origin, disability, age, sexual orientation, gender identity, genetic information, or protected veteran status. SOSi takes affirmative action in support of its policy to advance diversity and inclusion of individuals who are minorities, women, protected veterans, and individuals with disabilities.

**Job Description**
As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the world. UW employees offer their boundless energy, creative problem-solving skills, and dedication to build stronger minds and a healthier world.
UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits, and natural beauty.
The senior healthcare auditor is responsible for the completion of internal audits within the clinical integrated parts of the University of Washington/UW Medicine which include the School of Medicine, two medical centers (3 locations), a physician practice group, community based primary care clinics, and an air medical transport. Senior healthcare auditors are also expected to be familiar or work with affiliated healthcare organizations in the Pacific Northwest in which the University has an ownership or membership interest. Senior auditors plan and conduct financial, operational, compliance and system audits. They are expected to have internal audit experience and to demonstrate proficiency in performing internal audit work which conforms to IIA professional standards.
Audit work includes planning, developing audit programs for audit testing and evaluation, and reporting of audit results. Work assigned to senior auditors is expected to be carried out with limited supervision. The complexity and size of audit assignments varies.
Internal Audit is a primary tool of the Board of Regents to ensure financial, operational and compliance integrity. Other auditors examine specific functions, activities, or areas of risk, but the scope of Internal Audit encompasses all of these areas. Current levels of frequent, significant and costly compliance issues in healthcare and higher education emphasize the importance of the internal audit function. The success and reputation of Internal Audit rest with the work performed by the Principal, Senior and Staff Auditors.
**Duties & Responsibilities**
Audit Examinations -
· Independently prepares audit planning documentation for all assigned audits. This includes an in-depth project risk assessment to define the project's scope and objectives.
· Executes a wide variety of audit tests/procedures and accurately interprets results against defined criteria or best practice.
· Applies internal control concepts in a wide variety of University settings and appropriately assesses the exposures resulting from ineffective or missing control practices.
· Understands the financial, operational, and compliance risks which affect University activities; demonstrates the ability to identify and appropriately measure those risks; and formulates recommendations which are appropriate, practical and cost-effective.
· Prioritizes work so resources are devoted to areas of highest risk.
· Consistently documents relevant facts and information to support the work performed and conclusions drawn so other reviewers can follow the auditor's logic and methodology.
· Effectively evaluates audit results, weighing the relevancy, accuracy, and perspective of conclusions against the accumulated audit evidence.
· Effectively communicates audit results, both verbally and in writing, so they are persuasive, placed in the appropriate context, and understood by the recipient.
· Interprets and evaluates compliance with applicable federal and state laws and University/UW Medicine policies.
· Conducts audits in accordance with professional and departmental standards.
· Completes work with limited instructions yet knows when to seek guidance from supervising staff when circumstances warrant.
· Completes work assignments independently or as part of a team project.
· Interacts effectively with a wide variety of people in a wide variety of settings.
· Demonstrates effective time management skills by completing assignments within time budgets.
Other -
· Conducts investigations and management-requested reviews approved by the Executive Director.
· Participates in UW wide risk assessments.
· Provides department training on internal controls and fraud prevention and common audit issues.
· Provides advisory services to departments and/or serves on University committees as requested.
· Keeps current on technical accounting, auditing and government pronouncements.
· Participates in Internal Audit's quality and process improvement program
**Minimum Requirements**
· Bachelor's degree
· Four years of audit experience, to include two years of medical operations audit experience or technical equivalent experience.
Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration.
**Additional Requirements**
· Familiarity with electronic health records
· Professional certification such as CPA, CIA, CFE, or CISA, or commitment to complete within two years.
· Ability to independently perform assurance, advisory, and investigative audits.
· Strong understanding of internal control.
· Outstanding analytical, interpersonal and written communication skills.
· Ability to communicate effectively with individuals at all organizational level
**Desired Qualifications**
· Master's Degree in business, accounting or related discipline
· Medical coding knowledge or experience
· RN or equivalent provider experience
· Higher Education/Academic Medical Center audit experience
· Data mining experience
**Working Environmental Conditions**
Flexible in working additional hours to complete project deadlines or to accommodate senior management schedules as well as unanticipated requests and deadlines. Need to be able to quickly respond to inquiries and requests from senior management. Ability to adjust to continual change in work demands and environment.
Work environment is an office setting, however, position is expected to travel to client locations including UW Medicine Medical Centers and other healthcare facilities.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$98,400.00 annual
**Pay Range Maximum:**
$117,600.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
Not Applicable
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 ( .
To request disability accommodation in the application process, contact the Disability Services Office at or .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law ( .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.

About Us: Accenture Song accelerates growth and value for our clients through sustained customer relevance. Our capabilities span ideation to execution: growth, product and experience design; technology and experience platforms; creative, media and marketing strategy; and campaign, content and channel orchestration. With strong client relationships and deep industry expertise, we help our clients operate at the speed of life through the unlimited potential of imagination, technology and intelligence. Visit us at: are a leading management consulting group specializing in driving transformational change for health payers and providers. Our focus is on improving service and experience across human and digital modalities. We partner with clients to design and implement strategies that achieve operational excellence, enhance customer satisfaction, and leverage cutting-edge technologies.
Role Overview: We are seeking highly motivated and experienced Consultants to join our growing Health Payer/Provider Service practice. As a Consultant, you will play a pivotal role in delivering strategic projects, working closely with clients to tackle complex challenges in their service operations. This position requires deep healthcare industry expertise, exceptional consulting skills, and the ability to thrive in high-ambiguity environments.
Key Responsibilities:
+ Client Engagement: Work collaboratively with clients to understand their business objectives, diagnose problems, and design tailored solutions.
+ Project Delivery: Lead and contribute to workstreams in projects focused on contact center service strategy, CRM implementation and optimization, digital transformation, and operational improvement.
+ Data Analysis: Use data-driven approaches to identify insights, track performance metrics, and build business cases for change initiatives.
+ Technology Enablement: Provide thought leadership on leveraging CCaaS platforms, CRM systems, AI, and digital tools to enhance customer service capabilities.
+ Digital Service Improvement: Develop strategies to improve service delivery in digital modalities such as chat, mobile applications, customer portals, and self-service platforms.
+ Experience Enhancement: Focus on elevating member experience, provider experience, and employee experience through innovative and customer-centric approaches.
+ Stakeholder Management: Build strong relationships with client teams, including senior leaders, and facilitate workshops, meetings, and presentations.
+ Team Collaboration: Collaborate with internal teams to ensure seamless delivery and alignment with broader project goals.
+ Change Leadership: Support clients in driving organizational change and adoption of new processes, tools, and behaviors.
+ Thought Leadership: Contribute to the development of intellectual capital within the practice by identifying trends, challenges, and innovative solutions in the healthcare industry.
Travel Requirement: Travel for this role is expected and required, the amount of travel is variable depending upon the client and project.
Required Qualifications:
+ Minimum of 5 years of professional experience, with at least 2 years in a management consulting role OR equivalent experience as a manager in the healthcare industry.
+ Minimum of 2 years of experience working with health payers or providers.
Preferred Qualifications:
+ Advanced degree preferred (MBA, MPH, MHA, etc.).
+ Demonstrated ability to navigate and deliver in ambiguous, fast-paced environments.
+ Strong analytical and problem-solving skills, with proficiency in tools such as Excel, PowerPoint, and data visualization platforms.
+ Excellent written and verbal communication skills, with experience presenting to senior executives.
+ Knowledge of CCaaS platforms (e.g., Genesys, Amazon Connect, NICE, etc.), CRM systems, and AI solutions for customer service.
+ Expertise in workforce optimization, quality assurance, or customer experience improvement within contact centers.
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 accept applications on an on-going basis and there is no fixed deadline to apply.
Information on benefits is here. ( Location Annual Salary Range
California $63,800 to $96,000
Cleveland 59,100 to 156,800
Colorado 63,800 to 169,300
District of Columbia 68,000 to 180,300
Illinois 59,100 to 169,300
Maryland 63,800 to 169,300
Massachusetts 63,800 to 180,300
Minnesota 63,800 to 169,300
New York/New Jersey 59,100 to 196,000
Washington 68,000 to 180,300
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 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 ( 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.
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