PwC
Payer Back Office Strategy / Technology / Operations Consultant, Senior Manager
Be an Early Applicant
Leads payer back-office strategy, technology, and operations consulting engagements for health services clients. Responsibilities include modernizing payer operations, optimizing processes, analyzing business data, managing change, improving service delivery models, coaching teams, engaging stakeholders, and validating quality and compliance outcomes. The role leads large projects and develops strategic recommendations for operational excellence.
The Opportunity
As a Payer Back Office Strategy / Technology / Operations Consultant, Senior Manager, you will play a pivotal role in transforming health services operations within our Business & Supply Chain Operations network. You will engage directly with clients, offering strategic guidance and innovative solutions to modernize payer systems. Your work will focus on optimizing processes and driving operational improvements, leveraging your skills to deliver impactful results.
As a Senior Manager, you will lead large projects, applying sound judgment and strategic advising to navigate complex challenges. You will motivate and coach teams, fostering a diverse and inclusive environment that contributes to the firm's success. Your role involves crafting clear, impactful messages and validating outcomes with clients, confirming that their feedback is integrated into project strategies. You will deepen your professional skills, staying relevant in the ever-evolving landscape of health services operations.
In this role at PwC, you will be part of our Operations practice, where you will drive results and maintain operational excellence. Your ability to develop high-performing teams and your commitment to excellence will be crucial in delivering quality outcomes for our clients.
Responsibilities
- Leading strategic initiatives in payer back office operations to drive modernization and efficiency
- Guiding teams in the development and implementation of operations strategies tailored to health services clients
- Utilizing analytical thinking and business data analytics to optimize operational processes and performance metrics
- Building relationships with stakeholders to facilitate effective communication and engagement
- Developing and executing change management plans to support business transformation efforts
- Promoting operational excellence through process improvement and optimization techniques
- Conducting market research and operating effectiveness reviews to identify opportunities for service delivery model enhancements
- Coaching teams in logistics management and operations support to achieve service excellence
- Applying strategic questioning and storytelling to convey impactful messages and drive decision-making
- Validating quality standards implementation to maintain compliance and operational integrity
What You Must Have
- At least a Bachelor's degree
- At least 8 years of experience
What Sets You Apart
- Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance
- Demonstrating advanced skills in operations strategy and management consulting
- Utilizing business data analytics to drive operational excellence
- Leading change management initiatives in health services sector
- Innovating process improvement and optimization strategies
- Engaging stakeholders through strategic questioning and storytelling
- Applying logistics management to enhance service delivery models
The salary range for this position is: $124,000 - $280,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance
As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
Learn more about how we work: https://pwc.to/how-we-work
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.
Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines
As a Payer Back Office Strategy / Technology / Operations Consultant, Senior Manager, you will play a pivotal role in transforming health services operations within our Business & Supply Chain Operations network. You will engage directly with clients, offering strategic guidance and innovative solutions to modernize payer systems. Your work will focus on optimizing processes and driving operational improvements, leveraging your skills to deliver impactful results.
As a Senior Manager, you will lead large projects, applying sound judgment and strategic advising to navigate complex challenges. You will motivate and coach teams, fostering a diverse and inclusive environment that contributes to the firm's success. Your role involves crafting clear, impactful messages and validating outcomes with clients, confirming that their feedback is integrated into project strategies. You will deepen your professional skills, staying relevant in the ever-evolving landscape of health services operations.
In this role at PwC, you will be part of our Operations practice, where you will drive results and maintain operational excellence. Your ability to develop high-performing teams and your commitment to excellence will be crucial in delivering quality outcomes for our clients.
Responsibilities
- Leading strategic initiatives in payer back office operations to drive modernization and efficiency
- Guiding teams in the development and implementation of operations strategies tailored to health services clients
- Utilizing analytical thinking and business data analytics to optimize operational processes and performance metrics
- Building relationships with stakeholders to facilitate effective communication and engagement
- Developing and executing change management plans to support business transformation efforts
- Promoting operational excellence through process improvement and optimization techniques
- Conducting market research and operating effectiveness reviews to identify opportunities for service delivery model enhancements
- Coaching teams in logistics management and operations support to achieve service excellence
- Applying strategic questioning and storytelling to convey impactful messages and drive decision-making
- Validating quality standards implementation to maintain compliance and operational integrity
What You Must Have
- At least a Bachelor's degree
- At least 8 years of experience
What Sets You Apart
- Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance
- Demonstrating advanced skills in operations strategy and management consulting
- Utilizing business data analytics to drive operational excellence
- Leading change management initiatives in health services sector
- Innovating process improvement and optimization strategies
- Engaging stakeholders through strategic questioning and storytelling
- Applying logistics management to enhance service delivery models
The salary range for this position is: $124,000 - $280,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance
As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
Learn more about how we work: https://pwc.to/how-we-work
For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.
Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines
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