Health - Network Performance / Utilization Manager

Accenture

Kirkland, WA

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JOB DETAILS

SALARY

$94,400–$293,800 Per Year

SKILLS

Artificial Intelligence (AI), Capacity Strategy, Capacity Utilization, Capacity and Performance Management, Change Management, Cloud Computing, Community Providers, Consulting, Cost Control, Customer Relations, Customer Support/Service, Data Analysis, Data Management, Data Quality, Device Drivers, Distribution Services, Ecosystems, Employee Benefits, Equal Employment Opportunity (EEO), Government Organizations, Health Economics, Healthcare, Hospital, International Health, Leadership, Legal, Market Analysis, Market Trend Analysis, Marketing Strategy, Medicaid, Mentoring, Network Administration/Management, Network Design, Network Performance/Analysis, Online Courses, Operational Improvement, Performance Management, Process Improvement, Professional Services, Reimbursement, Revenue Growth, Scorecarding, Strategic Analysis, Strategic Planning, Sustainability, Talent Management, Team Lead/Manager, Technical Delivery, Technical Operations, Telehealth, Utilization Management, Willing to Travel

LOCATION

Kirkland, WA

POSTED

20 days ago

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 750,000 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. 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, partners and communities. Visit us at www.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 functional expertise is supported 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 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. As a Network Performance/Utilization Manager , your primary responsibilities may include: + 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: 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 healthcare transformation to 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 client simulations and ongoing mentoring available when you need it, you'll expand your thinking beyond the core Workday implementation. ? ? Qualification Here's what you need: ? ? + 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 if you have: ? + 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 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 05/16/2026.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 (https://www.accenture.com/us-en/careers/local/benefits) Role Location Annual Salary RangeCalifornia $94,400 to $293,800Cleveland $87,400 to $235,000Colorado $94,400 to $253,800District of Columbia $100,500 to $270,300Illinois $87,400 to $253,800Maryland $94,400 to $253,800Massachusetts $94,400 to $270,300Minnesota $94,400 to $253,800New York $87,400 to $293,800New Jersey $100,500 to $293,800Washington $100,500 to $270,300 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 1 (877) 889-9009 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 (https://www.accenture.com/content/dam/accenture/final/accenture-com/document-4/Accenture-Equal-Opportunity-Statement.pdf#zoom=50) 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, please click here for additional important information. Please read Accenture's Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.

About the Company

Accenture

Accenture is a global professional services company with leading capabilities in digital, cloud and security. Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Interactive, Technology and Operations services—all powered by the world’s largest network of Advanced Technology and Intelligent Operations centers. Our 500,000+ people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities. Visit us at www.accenture.com.

COMPANY SIZE

10,000 employees or more

INDUSTRY

Other/Not Classified

FOUNDED

1989

WEBSITE

http://www.accenture.com

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