Health - Network Performance / Utilization Manager

Role Summary

Advise clients on network strategy, provider capacity, utilization trends, access challenges, and market performance.

Advises clients on evaluating leakage, referral patterns, service distribution, network adequacy, and provider sustainability.

Develop strategic recommendations to improve network design, access, utilization management, provider alignment, and value-based outcomes.

Translate claims, encounter, provider, and market data into clear insights, strategic options, and executive decision materials.

Manage day-to-day engagement delivery, including workplans, team coordination, deliverable quality, and client communications.

Work across reimbursement, analytics, policy, and provider strategy teams to solve complex market and performance challenges.

Build trusted relationships with client stakeholders and help grow the practice’s network performance and utilization work.

Travel: As required, up to 80%

Qualifications

• Minimum of 5 years of experience in network strategy, utilization analytics, provider economics, or healthcare market analysis.
• Minimum of 2 years of experience assessing hospitals, rural providers, FQHCs, specialty providers, and community-based providers in Medicaid-heavy or financially distressed environments.
• Minimum of 2 years of experience turning claims, encounter, provider, and market data into strategic recommendations.
• Bachelor's Degree

Bonus Points

• Familiarity with provider directory and network data management, data quality, and encounter completeness.
• Strong understanding of provider capacity, leakage, referral patterns, utilization drivers, access, and network adequacy.
• Ability to connect utilization performance to reimbursement, provider sustainability, and VBC outcomes.
• Experience building provider performance scorecards (utilization, quality, access, equity, financial impact).
• Understanding of service line strategy and site-of-care optimization (ASC vs HOPD, home-based care, telehealth).

Pay

Annual Salary Range: $94,400 to $293,800

Benefits

We offer 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.

Requesting an Accommodation

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.

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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.