Health - Network Performance/Utilization Manager

Responsibilities

• Advise clients on network strategy, provider capacity, utilization trends, and market performance.
• Evaluate leakage, referral patterns, service distribution, network adequacy, and provider sustainability.
• Develop strategic recommendations to improve network design, access, and value-based outcomes.
• Translate claims, encounter, provider, and market data into actionable insights and executive decision materials.
• Manage day-to-day engagement delivery, including workplans, team coordination, and client communications.
• Collaborate across reimbursement, analytics, policy, and provider strategy teams to solve complex challenges.

Requirements

• 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, or specialty providers in Medicaid-heavy or financially distressed environments.
• Minimum of 2 years of experience translating claims, encounter, provider, and market data into strategic recommendations.
• Bachelor's Degree.
• Ability to travel up to 80% as required.

Preferred Qualifications

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

Benefits

• Medical, dental, and vision coverage.
• Life and long-term disability coverage.
• 401(k) plan and bonus opportunities.
• Paid holidays and paid time off.

About the Company

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, and accelerate revenue growth. With approximately 750,000 people serving clients in more than 120 countries, we combine technology leadership in cloud, data, and AI with unmatched industry experience to deliver tangible outcomes.