Health Industry – Payer Utilization Management Consulting Manager

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 

• Travel - as needed, varies by client needs and could be up to 80%

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 Degree

Bonus 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