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Reimbursement Manager Jobs in Raleigh, NC (NOW HIRING)

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support, appeals coordination, and financial assistance program enrollment while providing high-touch support to ...

McKesson

Reimbursement Case Manager

Cary, NC · Hybrid

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support, appeals coordination, and financial assistance program enrollment while providing high-touch support to ...

McKesson Corporation

Reimbursement Case Manager

Cary, NC · On-site

$25 - $26/hr

The Reimbursement Case Manager conducts benefit investigations, prior authorization support, appeals coordination, and financial assistance program enrollment while providing high-touch support to ...

Inizio Engage

Hybrid Access Manager

Raleigh, NC · On-site

$91K - $169K/yr

The Hybrid Virtual Access and Reimbursement Manager (ARM) partners with healthcare providers and their staff to support patient access to MIPLYFFA ® . This role provides education on benefit ...

TEKsystems

Revenue Integrity Manager

Raleigh, NC · Remote

$86K - $142K/yr

Ensures accurate, complete, and timely charge capture and reconciliation, optimizes reimbursement ... Manage EHR Revenue Cycle systems and other billing platforms to ensure accurate and timely charge ...

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Reimbursement Manager information

See Raleigh, NC salary details

$44.2K

$91.3K

$120K

How much do reimbursement manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for reimbursement manager in Raleigh, NC is $91,330.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,800.00 and $105,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by reimbursement managers, and how can they effectively address them?

Reimbursement Managers frequently encounter challenges such as navigating complex payer requirements, adapting to changing healthcare regulations, and ensuring accurate and timely claims processing. To address these issues, it's important to stay updated on policy changes, foster strong relationships with insurance providers, and implement robust internal processes for compliance and claims management. Collaborating closely with billing teams, clinical staff, and external payers can also help mitigate denials and improve reimbursement outcomes.

What are the key skills and qualifications needed to thrive as a reimbursement manager, and why are they important?

To thrive as a Reimbursement Manager, you need expertise in healthcare reimbursement processes, knowledge of payer regulations, and a degree in healthcare administration, finance, or a related field. Familiarity with billing software, claims management systems, and regulatory compliance tools is typically required, along with any relevant certifications such as Certified Professional Coder (CPC). Strong analytical skills, attention to detail, and effective communication help you navigate complex reimbursement cases and collaborate with diverse teams. These skills ensure accurate claims processing, maximize revenue, and maintain regulatory compliance for healthcare organizations.

What is the difference between Reimbursement Manager vs Claims Analyst?

AspectReimbursement ManagerClaims Analyst
CredentialsTypically requires a bachelor’s degree in healthcare administration, business, or related field; certifications like Certified Professional Coder (CPC) or Certified Reimbursement Specialist (CRS) are common.Usually holds a bachelor’s degree in healthcare, finance, or related area; certifications such as CPC or Certified Claims Professional (CCP) may be preferred.
Work EnvironmentManages reimbursement processes in healthcare organizations, insurance companies, or billing firms.Reviews and processes insurance claims within healthcare or insurance settings.
Industry UsageCommonly employed in healthcare, insurance, and billing companies.Found in healthcare providers, insurance companies, and third-party administrators.

The main difference is that Reimbursement Managers oversee the entire reimbursement process, ensuring compliance and efficiency, while Claims Analysts focus on reviewing and processing individual insurance claims. Both roles require similar credentials and work in related environments, but their responsibilities differ in scope and focus.

What does a reimbursement manager do?

A reimbursement manager works for a medical provider. Your duties in this position focus on getting third-party payment for services related to health care. Your responsibilities may involve using medical records information and medical coding knowledge to facilitate payments from a health insurer, Medicare provider, or government-run healthcare program. This job may include using codes and data to create a cost report and correcting any mistakes to ensure accuracy before submission to the insurer or agency. In a larger facility, you may oversee a staff of reimbursement specialists.

What does a reimbursement manager do?

A Reimbursement Manager oversees the processes related to insurance claims, billing, and payments for healthcare services. They ensure that their organization receives proper payment from insurance companies and government programs by managing claims submissions, resolving denied claims, and staying updated on payer policies. Reimbursement Managers also analyze reimbursement trends, train staff on best practices, and work to maximize revenue while ensuring compliance with regulations.
More about Reimbursement Manager jobs
What are the most commonly searched types of Reimbursement jobs in Raleigh, NC? The most popular types of Reimbursement jobs in Raleigh, NC are:
What are popular job titles related to Reimbursement Manager jobs in Raleigh, NC? For Reimbursement Manager jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Reimbursement Manager jobs in Raleigh, NC look for? The top searched job categories for Reimbursement Manager jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Reimbursement Manager jobs? Cities near Raleigh, NC with the most Reimbursement Manager job openings:
Reimbursement Manager jobs near you
Infographic showing various Reimbursement Manager job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $91,330 per year, or $43.9 per hour.

Health Payment Reimbursement Manager

Accenture

Raleigh, NC • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Accenture Federal Services rating

8.7

Company rating: 8.7 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

44th of 485 rated business services

Job description

Accenture is a leading global professional services company that helps the world's leading businesses, governments and other organizations build their digital core,optimizetheir operations, accelerate revenuegrowthand enhance citizen services-creating tangible value at speed and scale. We are a talent- andinnovation-led company with approximately750,000 peopleserving 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, functionalexpertiseand 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,partnersand communities. Visit us atwww.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 functionalexpertiseissupported 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.

Role Summary
Advise clients on reimbursement strategy, payment reform, and provider financial sustainability across Medicaid, rural health, and broader healthcare markets. The successful candidate will combine deep domainexpertisewith strong consulting judgment and will be expected to manage teams, advise senior clients, and deliver complex engagements in reimbursement and payment strategy. This individual will build trusted client relationships and help clients design sustainable reimbursement approaches aligned to their strategic goals.

As a Payment Reimbursement Manager, your primary responsibilitiesmay include:

  • Advise clients on reimbursement strategy, payment model options, and provider finance issues across Medicaid, rural, and safety-net settings.

  • Advise clients on assessing current reimbursement approaches andidentifyingopportunities to improve reimbursement adequacy, strengthen incentives, and support provider sustainability.

  • Develop recommendations on payment model design, reimbursement redesign, provider stabilization, and implementation approaches.

  • Translate complex reimbursement issues into clear decision materials, executive presentations, and practical roadmaps.

  • Manage day-to-day engagement delivery, including work planning, team coordination, quality review, and client communications.

  • Work across finance, policy, analytics, and operations teams to develop integrated recommendations.

  • Build relationships with senior client stakeholders,facilitateworking sessions, and helpidentifyfollow-on opportunities in reimbursement and payment transformation.

  • Travel: As required, 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 healthcaretransformationto 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 clientsimulationsand ongoing mentoring available when you need it,you'llexpand your thinking beyond the core Workday implementation.

Here'swhat you need:

  • Minimum of 5 years of experience with Medicaid payment strategy, provider reimbursement, payment reform, or provider finance.

  • Minimum of 2 years of experience assessing reimbursement adequacy, provider incentives, and financial sustainability across hospitals, rural providers, FQHCs, behavioral health providers, or other safety-net settings.

  • Minimum of 2 years of experience translating state or federal priorities intoviablereimbursement structures or implementation approaches.

  • Bachelor's Degree

Bonus points if you have:

  • Medicaid managed care & contracting experience: Exposure to MCO/PIHP/PAHP structures; familiarity with rate setting concepts, actuarial soundness, valuebased purchasing, and network/provider contracting approaches.

  • Payment reform implementation leadership: Experience designing and implementing valuebased purchasing, quality incentives, withholds, episode/bundle models, and performance measurement that align incentives without destabilizing providers.

  • Regulatory and waiver familiarity: Working knowledge of Medicaid policy mechanisms such as State Plan Amendments (SPAs), 1115/1915 waivers, directed payments, supplemental payment programs, and quality strategies.

  • Strong command of fee-for-service, capitation, bundled payment, and shared savings or risk models.

  • Ability to benchmark and compare payment approaches across states, markets, and provider types producing decision-ready recommendations for executives.

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 07/26/2026.

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 $293,800

Cleveland $87,400 to $235,000

Colorado $94,400 to $253,800

District of Columbia $100,500 to $270,300

Illinois $87,400 to $253,800

Maine $80,400 to $216,200

Maryland $94,400 to $253,800

Massachusetts $94,400 to $270,300

Minnesota $94,400 to $253,800

New York $87,400 to $293,800

New Jersey $100,500 to $293,800

Virginia $87,400 to $270,300

Washington $100,500 to $270,300

About Accenture

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 791,000 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. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, 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 atwww.accenture.com

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

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 anemailor 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, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable 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, pleaseclick herefor additional important information.

Please read Accenture'sRecruiting and Hiring Statementfor more information on how we process your data during the Recruiting and Hiring process.

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