Health Industry - Payer Utilization Management Consulting Manager
Accenture
Accenture is a global leader in professional services, helping organizations worldwide transform their operations, enhance their growth, and deliver sustainable outcomes across industries. With a workforce of approximately 750,000 employees serving clients in over 120 countries, we are at the forefront of leveraging technology, data, AI, and innovation to drive meaningful change. Our blend of industry expertise, leadership in cloud, data, and AI, and a commitment to 360 value ensures that we help our clients deliver long-lasting impact. We collaborate with healthcare executives, leaders, and boards to help organizations innovate, transform, and enhance their operational effectiveness. Our work spans across strategy, operations, clinical optimization, regulatory compliance, and technological advancement. By combining industry knowledge with technology and data-driven insights, we empower healthcare providers to achieve both operational excellence and clinical outcomes. As a Health Industry – Payer Utilization Management Consulting Manager, your primary responsibilities may include: Lead the planning and successful delivery of client engagements, managing the work of Accenture and client working teams and participating directly in project delivery execution Ensure the successful implementation of solutions within promised time and budget, and to the client’s satisfaction Build and maintain trust-based client relationships based on successful delivery and a client-centered approach Serve as an example-driven leader to the project team, providing opportunities for people to develop and enhance key skills, giving honest and timely feedback, and establishing a followership of people who want to work with you Develop project plans and solutions that are tailored to client needs Support development of Accenture assets and tools used to drive and accelerate value to our clients, with particular emphasis on assets focused on utilization management TravelTravel - as needed, varies by client needs and could be up to 80% Why Join the Accenture Healthcare Team? Innovate Every Day: Work at the cutting edge of healthcare innovation, designing solutions that push boundaries and create transformative opportunities for healthcare organizations worldwide. Lead with the Best: Join an industry-recognized healthcare consulting leader with a global team of over 20,000 professionals, collaborating to drive large-scale healthcare transformation across the globe. Continuous Learning & Growth: Take advantage of unmatched professional development opportunities, including interactive courses, real-world client simulations, and ongoing mentoring, to expand your healthcare consulting expertise. Qualifications:Here's what you need:Minimum of 5 years of direct experience in Payer Utilization Management, including in an operational leadership role that was accountable for delivering on productivity, quality and compliance metrics Minimum of 3 years of Health Industry management consulting experience Bachelor's DegreeBonus Points if you have:Proven ability to plan, organize and deliver impactful results across multiple projects or initiatives Proven understanding of utilization management operating models, technology enablers, and regulatory requirements Experience applying data-driven insights, advanced automation, and creative sourcing solutions to transform payer clinical operations and outcomes Skilled at unlocking the value of AI to improve payer clinical operations performance 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 11/03/2026.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 | AccentureRole Location Annual Salary RangeCalifornia $94,400 to $293,800Colorado $94,400 to $253,800Connecticut $94,400 to $253,800District of Columbia $100,500 to $270,300Illinois $87,400 to $253,800Maine $80,400 to $216,200Maryland $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 $293,800Ohio $87,400 to $235,000Virginia $87,400 to $270,300Washington $100,500 to $270,300Requesting an AccommodationAccenture 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 StatementWe 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 and Affirmative Action Policy StatementAccenture is an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.Accenture is committed to providing veteran employment opportunities to our service men and women.Other Employment StatementsApplicants 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.
$65 - $75 per hour
...range is provided by Amerit Consulting. Your actual pay will be... ...mutual benefit corporation and health plan provider, seeks an accomplished Healthcare Payer Project / Program Manager . *** Candidate must be... ...and Project Management Industries Hospitals and Health Care,...SuggestedContract workTemporary workLocal areaRemote work- ...our capabilities across strategy, consulting, technology, operations, Song and Industry X with our deep industry... ...accenture.com. Within Accenture's Utilities Practice, we use our deep industry... ...technology, data, analytics, AI, change management, talent and sustainability...SuggestedWork experience placementLive inWork at officeLocal area
$70.35k - $205.8k
...our capabilities across strategy, consulting, technology, operations, Song and Industry X with our deep industry... ...accenture.com. Within Accenture's Utilities Practice , we use our deep industry... ...technology, data, analytics, AI, change management, talent and sustainability...SuggestedWork experience placementLive inWork at officeLocal area$12 per hour
...data and AI with unmatched industry experience, functional expertise... ...assets across Strategy & Consulting, Technology, Operations, Industry... ...new and existing clients by utilizing a differentiated approach... ...application development and management, and infrastructure services...SuggestedLive inWork at officeLocal area- ...our capabilities across strategy, consulting, technology, operations, Song and Industry X with our deep industry... ...You have both in spades, and as a manager you’re a natural at appreciating... ...working in or consulting with the Utilities industryMBA or equivalent graduate...SuggestedWork experience placementLive inWork at officeLocal area
- ...capabilities across strategy, consulting, technology, operations, Song and Industry X with our deep... ...com.Within Accenture's Utilities Practice, We use our deep... ...Enterprise Asset Management (EAM), Work Management,... ...maintenance planning, asset health, operational efficiency...Live inWork at officeLocal area
$82.48 - $115.46 per hour
...you are interested in joining Sutter Health! Organization SHSO-Sutter Health System... ...Overview This position facilitates utilization management (UM) processes to support that the right... ...). This position provides third-party payers clinical information to assure reimbursement...Full timeWork at officeMonday to FridayShift work$18 - $20 per hour
...provides prior authorization and utilization management services to our members.... ...in the healthcare industry, especially as a Medical Assistant... ..., and vision benefits, health savings accounts with qualified... ...initiated from Aditi Consulting, our agents, representatives...Hourly payFull timeWork at officeLocal areaFlexible hours- ...power of AI to create value at speed for organizations across industries. Our strategy is to be the reinvention partner of choice... ...approximately $70 billion in FY25 revenue. Visit us at .You Are:Management Consulting Manager professionals will be part of the leading Strategy...Live inWork at officeLocal areaWorldwide
- ...power of AI to create value at speed for organizations across industries. Our strategy is to be the reinvention partner of choice... ...opportunities that can drive your career in new and exciting ways.Management Consulting Senior Managers will be part of the Industry Consulting...Live inWork at officeLocal area
$3,194 per week
...Registered Nurse (RN) | Case Manager Location: Carmichael, CA Agency: Cynet Health Pay: $3,194 per week... ...Experience dealing with all payers, uninsured, and homeless... ...patients daily, performing consults as required. Utilization review is a necessary component...Full timeContract workShift workWeekend work- Sutter Health in California is seeking a Registered Nurse to facilitate utilization management, ensuring the right care at the right time. The role conducts concurrent reviews,... ...teams, and provides clinical information for payer reimbursement within an acute hospital...
- We Are:Accenture Song’s Utilities team, a group of management consultants helping leading organizations reinvent service as a driver of customer trust, operational... ....You are passionate about the Utilities industry and understand the critical moments that shape customer...Work experience placementLive inWork at officeLocal area
- We Are:Accenture Song’s Utilities team, a group of management consultants helping leading organizations reinvent service as a driver of customer trust, operational... ....You are passionate about the Utilities industry and understand the critical moments that shape customer...Work experience placementLive inWork at officeLocal area
- ...value at speed for organizations across industries. Our strategy is to be the reinvention... ...proven delivery leader who combines strong health payer industry knowledge, technology fluency,... ...executives.As an Accenture Senior Manager, you will also play an important role in...Work experience placementLive inWork at officeLocal area
$155k - $410k
Industry/SectorEUR X-SectorSpecialismOracleManagement LevelDirectorJob... ...in business application consulting specialise in consulting services... ...and tools designed to manage the entire customer journey,... ...efforts, and delivering Oracle Utilities Meter to Cash Billing Applications...Full timeTemporary workH1b- Home > Field Service Manager, Indsutrial Compressors... ...Field Service Manager, Industrial Compressors & Controls... ...Service Technician utilization. This includes balancing... ...the sales function to consult on service agreements;... ...Ensure environmental, health and safety compliance...Work at officeImmediate startNight shift
$750 per month
Overview Navitus Health Solutions is seeking a Sr.... ...partnering with hiring managers primarily in Information... ...value proposition Utilize a combination of social... ...acquisition strategy Consult with HR colleagues and... ...Navitus? Top of the industry benefits for Health, Dental...Contract workFor contractorsInternshipRemote workFlexible hours$70k - $85k
...of mind by providing health, pharmacy, long and short... ...: The Account Manager is responsible for day... ...service team, Benefits Consultants and/or Client Executives... ...concerns and changes in the industry Effectively and... ...Artificial Intelligence. We utilize advanced Artificial...Temporary workWork at officeLocal area- ...our capabilities across strategy, consulting, technology, operations, Song and Industry X with our deep industry... ...technology, data, analytics, AI, change management, talent and sustainability capabilities... ..., distributor and consumer health clients globally to redefine the...Live inWork at officeLocal area
$144.4k - $180.5k
Job Summary At Fuze Health, we put patients first and... ...the capabilities of industry leaders including LetsGetChecked... ...The Senior Manager, Pharmacy at FuzeRx is... ...pharmacy regulations, payer requirements, and internal... ...models, and space utilization in partnership with site...Full timeTemporary workWork experience placementWork visaLong distanceFlexible hours- ...cost of healthcare. The Sr. Manager, Medical Informatics - Utilization Management (UM) Analytics... ...within the healthcare industry Requires 4 years of prior... ...in the California health insurance industry Demonstrated... ...knowledge of healthcare payer operations, with direct analytical...Work at office2 days per week
- ...ProSidian is a Management and Operations Consulting Services firm that delivers value to clients through tailored solutions grounded in industry-leading practices. ProSidian provides enterprise services... ...- Geo Code Address: Defense Health Agency, 30th Medical Group, 30th...Full timeContract workWork at officeFlexible hours
- ...Who is Comagine Health? Comagine Health is a national, nonprofit, health care consulting firm. We work collaboratively with patients, providers, payers, and other stakeholders to reimagine, redesign... ...in quality improvement, care management, health information technology...Temporary work
- ...providers, and other health care team members to achieve... ...across the continuum; managing resource needs in... ...appropriate assignment and utilization; evaluating the use... ..., benchmarks, and industry trends; shares best practices... ...-wide goals; and consulting with senior and executive...Temporary workWork at officeLocal area
- ...pack for talent, HR and organizational consulting. We help clients with new skilling, talent... ..., employee experience, change management and beyond. Visit us here to find out more... ...transformationMinimum of 1 year of experience serving utilities clients (electric, gas, or water) or in...Live inWork at officeLocal areaShift work
- ...of AI.Role Overview:As an HR Reinvention Manager / Senior Manager, you will lead and... ...of HR staff time and effort; compare to industry benchmarks and leading practices. Recommend... ...transformation, digital HR, or HR technology consulting, with at least 2 years in a managerial...Live inWork at officeLocal area
$124k - $280k
Industry/SectorNot ApplicableSpecialismSAPManagement LevelSenior ManagerJob Description... ...OpportunityAs a SAP EWM Senior Manager, you will specialize in consulting services for SAP supply chain and... ...for seamless integration and utilization of SAP applications. This role is...Full timeH1b$125k - $140k
...comprehensive assurance, tax, and consulting services to clients globally... ...group is looking for a Manager-level professional for our... ...life sciences and technology industries strongly preferred.Strong foundation... ...of technology, tools, staff utilization, and project management...Full timeLocal areaImmediate startFlexible hours- ...Additionally, the Life Sciences Industry is going through... ...devices that improve health and wellness and much... ....You are a confident Manager who spots and stays... ...You know how to fully utilize the capabilities of various... ...in an Advisory and/or Consulting roleBachelor's degree...Work experience placementLive inWork at officeLocal area
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