Health - Network Performance / Utilization Manager

Accenture

California, United States
Base: $87,400 to $293,800 depending on location; b...
5 years experience in network strategy
2 years assessing rural medicaid providers
Turning claims data into strategic recommendations
The role involves advising clients on network strategy, utilization trends, and provider capacity across Medicaid and financially pressured environments

Job Summary

  • The role involves advising clients on network strategy, utilization trends, and provider capacity across Medicaid and financially pressured environments.
  • Candidates will translate complex claims and market data into clear insights and executive decision materials to improve network performance.
  • Accenture offers a competitive benefits suite including medical, dental, vision, life coverage, 401(k) plans, and bonus opportunities.

Matching Summary

The role involves advising clients on network strategy, utilization trends, and provider capacity across 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 experience in network strategy
  • 2 years assessing rural Medicaid providers
  • Turning claims data into strategic recommendations
  • Managing complex client engagements
  • Advising senior stakeholders on provider sustainability

Nice-to-have

  • Familiarity with provider directory data management
  • Experience building provider performance scorecards
  • Understanding of site-of-care optimization strategies
  • Ability to connect utilization to VBC outcomes
  • Strong knowledge of referral patterns and leakage

Key Requirements

  • Minimum 5 years in network strategy or utilization analytics
  • Minimum 2 years assessing hospitals and FQHCs in Medicaid-heavy environments
  • Bachelor's Degree required
  • US work authorization without future visa sponsorship required

Work Rights

Must have US work authorization

Tailored Resume

Cover Letter