Health - Network​/Utilization Manager

Role Summary

Advise clients on network strategy, utilization performance, and provider market challenges across Medicaid, rural, and financially pressured environments. The successful candidate will combine deep domain expertise with strong consulting judgment and will be expected to manage teams, advise senior clients, and deliver complex engagements in network strategy, utilization, and provider performance. This individual will build trusted client relationships and help clients improve network performance, access, and provider sustainability in line with their strategic priorities.

• Advise clients on network strategy, provider capacity, utilization trends, access challenges, and market performance.
• Advise 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:
  Up to 80% as required.

• 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 for 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).

• Compensation ranges by location:
  • 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
  • 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
  • Washington: $100,500 to $270,300
• 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.

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.

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.