Utility Enterprise Architect Manager

GN – Industry Strategy – Health – Consultant

Job Title - Health Strategy – AI Strategy – Consultant - S&C GN Management Level: 09 - Consultant Job Summary: The Health Strategy team at Accenture S&C GN is seeking an AI Strategy Consultant to help US healthcare providers and payers define, prioritize, and scale AI initiatives that deliver measurable impact. The role requires combining deep knowledge of the US healthcare value chain with strong understanding of AI fundamentals and real-world applications. Consultants will identify high-value AI opportunities, design operating models, build business cases, and support go-to-market strategies. The role also involves collaborating with client leadership to create strategic roadmaps, ensure Responsible AI adoption, and enable sustainable value realization across payer and provider organizations. Must have skills: • Strong understanding of US healthcare industry across payer and provider business models and value chain, including value-based care, care management, utilization management, and revenue cycle • AI strategy development in healthcare: Ability to define enterprise AI visions, strategic priorities, and transformation roadmaps for payers and providers • Understanding of AI basics and market use cases: Awareness of current AI applications in healthcare (e.g., clinical documentation, claims processing, fraud detection, member engagement, population health analytics), with exposure to delivering projects in these areas • Use case identification & process audits: Conducting discovery workshops, process audits, and value-stream mapping to identify and prioritize AI opportunities across payer and provider functions • Go-to-market and business case assessment: Experience developing market entry approaches, financial models, and ROI frameworks to evaluate AI opportunities • AI operating model design: Establishing governance, CoE structures, compliance policies, and data/ML lifecycle frameworks in line with HIPAA, CMS, and other regulations • AI portfolio management & value realization: Prioritizing initiatives, sequencing transformation efforts, and tracking measurable impact across clinical, operational, and financial levers • Consulting core skills: Hypothesis-driven problem solving, structured analysis, stakeholder engagement, and C-suite communication with US healthcare executives Good to have skills: • Familiarity with Generative AI applications in healthcare (e.g., summarization, conversational assistants, coding automation) • Knowledge of healthcare interoperability standards (FHIR, HL7, HIPAA compliance) • Exposure to payer and provider technology landscapes (EHR systems, care management platforms, claims adjudication tools) • Experience with digital health transformation initiatives and intelligent automation programs • Understanding of cloud-based AI ecosystems (Azure, AWS, GCP) in healthcare settings • Awareness of healthcare regulations and accreditation bodies (NCQA, CMS, state-level compliance)
Roles & Responsibilities: Healthcare AI Strategy & Operating Model • Define enterprise AI strategies aligned with payer and provider priorities. • Design AI operating models (CoEs, governance frameworks, compliance policies). • Develop build–buy–partner frameworks and vendor/partner ecosystem strategies. Use Case Discovery & Portfolio Management • Conduct process audits, discovery workshops, and value-stream mapping to identify/prioritize AI use cases across the healthcare value chain. • Develop portfolio roadmaps with sequencing, dependencies, and investment cases. • Build evaluation frameworks to assess feasibility, scalability, and ROI. Go-to-Market, Value Case & Business Outcomes • Support go-to-market strategies for AI offerings in healthcare. • Develop business cases quantifying clinical, operational, and financial impact. • Partner with clients on value realization planning (efficiency gains, cost containment, care outcomes). • Define KPIs and dashboards to track adoption and business performance. Delivery Oversight & Transformation Support • Provide strategic oversight for AI initiatives and pilot projects. • Ensure Responsible AI adoption with HIPAA/CMS alignment and compliance. • Support change management, workforce adoption, and process transformation in payer and provider settings. Client Advisory & Thought Leadership • Advise executives on emerging AI trends and market opportunities in healthcare. • Contribute to proposals, RFPs, and client presentations. • Develop thought leadership (frameworks, accelerators, case studies). • Mentor junior consultants on AI strategy frameworks and healthcare delivery. Professional and Technical Skills: Professional Skills: • Leadership • Strategic Thinking • Analytical Skills • Communication • Stakeholder Management • Project/Program Management (agile delivery literacy) • Business Case & Value Realization • Change Management & Training Enablement Technical Skills: • AI Strategy & Operating Model Design (governance, CoEs, compliance) • Use Case Identification & Process Audits (payer/provider workflows) • Portfolio Management (prioritization, sequencing, ROI) • Business Case Development (financial modeling, cost-benefit) • Healthcare Data & Ecosystem Strategy (interoperability, vendor evaluation, MLOps readiness) • Responsible AI & Compliance (HIPAA, CMS regulations) • Evaluation Frameworks (KPIs, adoption metrics, dashboards) About Our Company | Accenture Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions underpinned by the world’s largest delivery network. Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With 624,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com About Accenture Strategy & Consulting: Accenture Strategy shapes our clients’ future, combining deep business insight with the understanding of how technology will impact industry and business models. Our focus on issues such as digital disruption, redefining competitiveness, operating and business models as well as the workforce of the future helps our clients find future value and growth in a digital world. Today, digital is changing the way organizations engage with their employees, business partners, customers and communities. This is our unique differentiator. To bring this global perspective to our clients, Accenture Strategy's services include those provided by our Capability Network – a distributed management consulting organization that provides management consulting and strategy expertise across the client lifecycle. Our Capability Network teams complement our in-country teams to deliver cutting-edge expertise and measurable value to clients all around the world. For more information visit https://www.accenture.com/us-en/Careers/capability-network At the heart of every great change is a great human. If you have ideas, ingenuity and a passion for making a difference, come and be a part of our team