Health - Network Performance / Utilization Manager

Accenture

California, United States
Base: $87,400 to $293,800 depending on location; b...
5 years network strategy experience
2 years medicaid environment assessment
Claims and encounter data analysis
The role involves advising clients on network strategy, utilization trends, and provider sustainability in Medicaid and financially pressured environments

Job Summary

  • The role involves advising clients on network strategy, utilization trends, and provider sustainability in Medicaid and financially pressured environments.
  • Candidates will translate complex claims and market data into strategic options and executive decision materials to improve network access and performance.
  • Accenture offers extensive professional development, including interactive courses and real-life client simulations to advance health and consulting skills.

Matching Summary

The role involves advising clients on network strategy, utilization trends, and provider sustainability in Medicaid and financially pressured environments.

Salary

Base: $87,400 to $293,800 depending on location; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, life, disability, 401(k), paid holidays, PTO

Skills & Requirements

Must-have

  • 5 years network strategy experience
  • 2 years Medicaid environment assessment
  • Claims and encounter data analysis
  • Provider capacity and leakage evaluation
  • Strategic recommendation development

Nice-to-have

  • Provider directory data management
  • Service line strategy expertise
  • Site-of-care optimization knowledge
  • Provider performance scorecard building
  • Value-based care outcomes understanding

Key Requirements

  • Minimum 5 years in network strategy or utilization analytics
  • Minimum 2 years assessing rural providers and FQHCs
  • Bachelor's Degree required
  • US work authorization without future sponsorship needed

Work Rights

Must have US work authorization

Tailored Resume

Cover Letter