Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Health - Network Performance / Utilization Manager

Accenture

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 .

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 (

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 View phone number on click.appcast.io 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 (

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.

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Health - Network Performance / Utilization Manager in Culver City, CA vacancy
  •  ...Medical Director, Provider Performance, sits at the center of...  ...its entire Commercial network. The incumbent...  ...Performance, Network Management/Contracting, and internal...  ...some of the most complex health systems while shaping...  ...that improve quality, utilization, affordability, access... 
    Network
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield Of California

    Los Angeles, CA
    2 days ago
  •  ...Senior Director, Quality Ratings & Network Performance About the Company Established organization assisting migrants with health insurance Industry Insurance Type...  ...Finance Specialties health insurance managed care services medical management... 
    Network

    Confidential

    Los Angeles, CA
    21 hours ago
  •  ...POSITION SUMMARY The RN Utilization Management (RN UM) functions as a...  ...relating to the process of health care utilization from the point...  ...patients daily; performs concurrent MCG/electronic review...  ...team and outside provider networks (health plans, IPAs, and FQHCs... 
    Network
    Full time

    Martin Luther King, Jr. Community Hospital

    Los Angeles, CA
    21 hours ago
  • $88.85k

     ...Utilization Management Nurse Specialist RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid...  ...admissions in any inpatient setting. Performs telephonic and/or onsite admission and...  ...areas of improvement within the provider network. Identify and initiate referrals for... 
    Network

    IntelyCare

    Los Angeles, CA
    4 days ago
  • $275k - $325k

     ...Medical Director - Utilization Management As Medical Director - Utilization (UM) at Astrana Health, you will provide clinical oversight...  ...volumes) to identify performance gaps and track progress....  ...experience, best-in-class delivery network, and technological expertise... 
    Network
    Work at office

    Astrana Health

    Los Angeles, CA
    4 days ago
  •  ...Director Of Industrial Performance Quality without compromise is...  ...multi-site food-manufacturing network. This role oversees the...  ...manufacturing systems, labor utilization, line efficiencies, and capacity...  ...Engineering, Operations Management, or related field. ~10+ years... 
    Network
    Local area

    See's Candy

    Los Angeles, CA
    21 hours ago
  • $91.54k

     ...Established in 1997, L.A. Care Health Plan is an independent...  ...Cisco Universal Call Manager and UCCE / PCCE with...  ...event of an outage. Perform research, evaluation,...  ...and work with network administration to resolve...  ...complex network problems utilizing advanced capabilities... 
    Network
    Full time
    Contract work

    L.A. Care Health Plan

    Los Angeles, CA
    4 days ago
  • $174k - $215k

     ...sports fans; a global partner network with approximately 900 sports...  ...Summary As the Director of Performance Analytics, you will serve as...  ...teams to ensure the integrity, utility, and evolution of our performance...  ...techniques. Design and manage incrementality testing, geo-experiments... 
    Network
    Temporary work

    Dormont Manufacturing Co

    Los Angeles, CA
    21 hours ago
  • $180.5k - $236.91k

     ...multiple Staff Product Managers to join our Product...  ...Oscar is the first health insurance company built...  ...Insurance Platform and Network pillars. By applying to...  ...provider data health, utilization patterns, and conflict...  ...equity grants and annual performance bonuses.... 
    Network
    Full time
    Work at office
    Flexible hours
    Shift work

    Oscar Health

    Los Angeles, CA
    1 day ago
  •  ...environments and are confident managing critically ill patients...  ...patients in the ICU Perform continuous patient...  ...critical care teams, utilize advanced technology,...  ...innovative company in Health Care Staffing, one of the...  ...access to the largest network of nursing, allied health... 
    Network
    Daily paid
    Shift work
    Night shift
    Day shift

    Nursefinders

    Los Angeles, CA
    more than 2 months ago
  •  ...that further the careers of our employees and strengthen the businesses of our clients. We are driven to use the power of our global network to connect businesses with the right people, and people with the right businesses without bias. We provide Global Workforce... 
    Network

    Lancesoft INC

    Los Angeles, CA
    more than 2 months ago
  • $142.44k - $247.73k

    Responsibilities Population Health Strategy & Quality Measurement...  ...and payer partnerships. Leads performance improvement across all HEDIS...  ..., COL, CCS), chronic disease management (CDC, CBP, SPC, SPD), and medication...  ...-level, clinic-level, and network-level performance scorecards... 
    Network
    Contract work

    Torrance Memorial Medical Center

    Torrance, CA
    3 days ago
  •  ...Specialty Care Icc Lead VISN 22 Desert Pacific Pacific Health Care Network is seeking a Physician - Specialty Care ICC Lead with strong...  ...VISN 22 and is responsible for the quality of care and the utilization of health care resources. The Specialty Care ICC Lead will... 
    Network

    US Government Jobs

    Los Angeles, CA
    1 day ago
  • $134 per hour

     ...makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced...  ...you can count on. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure... 
    Network
    Bi-weekly pay
    Private practice

    Headway

    Los Angeles, CA
    21 hours ago
  • $117.73 per hour

     ...makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced...  ...you can count on. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure... 
    Network
    Bi-weekly pay
    Private practice

    Headway

    Los Angeles, CA
    21 hours ago
  • $117.73 per hour

     ...makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced...  ...you can count on. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure... 
    Network
    Bi-weekly pay
    Private practice

    Headway

    Los Angeles, CA
    21 hours ago
  • $117.73 per hour

     ...makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced...  ...you can count on. - Built-in EHR features : Manage your practice in one place with real-time scheduling, secure... 
    Network
    Bi-weekly pay
    Private practice

    Headway

    Los Angeles, CA
    21 hours ago
  • $170k - $180k

     ...Job ID: 15995 The Account Manager plays a critical role in owning...  ...healthcare delivery networks, including health systems (HSs), Integrated...  ...drive appropriate product utilization within approved indications...  ...by strong account launch performance, consistent achievement of... 
    Network
    Temporary work
    Local area
    Flexible hours
    Night shift

    Syneos Health

    Los Angeles, CA
    12 hours ago
  • $190k - $220k

     ...organizations.  We are seeking a Manager to join our consulting team....  ..., including hospitals, health systems, and academic medical...  ...centers, integrated delivery networks, and physician groups/practices...  ...reflects Huron’s pay for performance philosophy. Inclusive of annual... 
    Network
    Local area
    Immediate start
    Remote work
    Home office
    Flexible hours
    Shift work

    Huron Consulting Group

    Los Angeles, CA
    4 days ago
  •  ...to promote housing and health equity by providing...  ...Housing/Intensive Case Management Services, Shared Housing...  ...hospitals, contracted network and/or legal entity...  ...QUALIFICATIONS To perform this job successfully,...  ...License or the ability to utilize an alternative method... 
    Network
    Permanent employment
    Contract work
    Work experience placement
    Work at office

    AFFORDABLE LIVING FOR THE AGING

    Los Angeles, CA
    17 days ago
  • $2,572 per week

     ...OUTPATIENT SURGERY-BSN REQUCLA Health Ambulatory Surgery Center - 2...  ...Modified 12:00:00 AM Account Manager: Kyle Shook Account Manager...  ...and candidates. Prime Staffing utilizes a unique matchmaking approach...  ...placements. Our extensive network of qualified candidates includes... 
    Network
    Hourly pay
    Permanent employment
    Full time
    Contract work
    Temporary work
    Local area
    Shift work
    Night shift
    Weekend work

    TravelNurseSource

    Los Angeles, CA
    9 days ago
  • Oscar Health is hiring a Staff Product Manager to lead the strategy and roadmap for their Core Insurance Platform and Network pillars in Los Angeles. This role requires strong product management skills and experience with tech systems. You will work in a hybrid schedule... 
    Network

    Oscar Health

    Los Angeles, CA
    1 day ago
  •  ...with top insurance plans through our nationwide network. Predictable bi-weekly payments: Receive...  ...your practice, including setting your hours and managing your caseload. At this time, Headway can’t support mental health professionals that aren’t fully licensed. If... 
    Network
    Bi-weekly pay
    For contractors
    Private practice

    Headway

    Los Angeles, CA
    21 hours ago
  • An established healthcare network is seeking a dedicated Registered Nurse to join their...  ...exceptional patient care. This role involves utilizing the nursing process to deliver...  ...the community, this opportunity is perfect for you. #J-18808-Ljbffr PIH Health Hospital
    Network
    Night shift

    PIH Health Hospital

    Los Angeles, CA
    21 hours ago
  • $140k - $215k

     ...Development Executive to drive growth and develop strategies within the utility industry. This hybrid position is based in Los Angeles and...  ...establishing connections with C-level executives and expanding networks. A competitive compensation package with a base salary between... 
    Network

    Logic20/20, Inc.

    Los Angeles, CA
    4 days ago
  •  ...continuum of care. Monitors clinical resource needs and manages equipment, supplies, and medications. Maintains clinical...  ...Creates developmental opportunities and coaches staff for performance improvement. Translates business plans into tactical actions... 

    Macpower Digital Assets Edge

    Los Angeles, CA
    3 days ago
  •  ...establishing a leading nationwide network of mental health professionals. If you are...  ...Psychologist seeking to utilize telehealth technology to...  ...including: Clinical Assessment: Perform detailed evaluations and...  ...Interventions: Create and manage individual treatment plans... 
    Network
    Remote work

    Seasoned Recruitment

    Los Angeles, CA
    3 days ago
  • $235k - $250k

     ...providing comprehensive, high-quality health care to people in need. The...  ...the South Bay. We have a network of clinics, Early Head Start centers...  ...setting, required. Able to manage a wide range of chronic...  ...Willingness to learn and fully utilize our Electronic Health Record to... 
    Network
    Afternoon shift

    University of California

    Venice, CA
    1 day ago
  • $53.08 - $79.85 per hour

    A regional healthcare network is seeking an experienced Registered Nurse to provide individualized...  .... Responsibilities include utilizing the nursing process and ensuring compliance...  ...53.08-$79.85 per hour, with night shifts available. #J-18808-Ljbffr PIH Health Hospital
    Network
    Hourly pay
    Night shift

    PIH Health Hospital

    Los Angeles, CA
    2 days ago
  •  ...The Cedars-Sinai Medical Network is committed to helping primary...  ...are partners in quality health care from a medical center...  ...independently and safely manage routine patient assignment...  .../or oral medications Utilizes the nursing process to perform, coordinate and supervise... 
    Network

    IntelyCare

    Beverly Hills, CA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Health - Network Performance / Utilization Manager. Be the first to apply!