PWC

Payer Back Office Strategy / Technology / Operations Consultant, Senior Manager

PWC$124K — $280K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree required; Master's in Business Administration preferred.
  • 7+ years of experience in consulting or payer settings.
  • Proven track record of leading workstreams effectively.
  • In-depth understanding of payer operations and value chain.
  • Experience with AI, automation tools, and advanced analytics solutions.

Responsibilities

  • Lead the development of AI-enabled operating models and transformation strategies.
  • Engage with senior stakeholders to craft innovative solutions.
  • Drive measurable outcomes through effective project management.
  • Utilize analytical skills to assess and address client needs.
  • Promote continuous improvement initiatives within operational practices.

Benefits

  • Medical, dental, and vision coverage.
  • 401k plan with employer match.
  • Public holiday and vacation pay.
  • Personal and family sick leave.
  • Eligibility for an annual discretionary bonus.
Full Job Description
Industry/Sector
Health Services

Specialism
Operations

Management Level
Senior Manager

Job Description & Summary
As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements.

Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.

Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:

  • Craft and convey clear, impactful and engaging messages that tell a holistic story.
  • Apply systems thinking to identify underlying problems and/or opportunities.
  • Validate outcomes with clients, share alternative perspectives, and act on client feedback.
  • Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations.
  • Deepen and evolve your expertise with a focus on staying relevant.
  • Initiate open and honest coaching conversations at all levels.
  • Make difficult decisions and take action to resolve issues hindering team effectiveness.
  • Model and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.


The Opportunity

As part of the Operations Consulting team you will lead the development of AI-enabled operating models and transformation roadmaps across core payer functions. As a Senior Manager, you will serve as a strategic advisor, leveraging your knowledge to drive operational transformation and deliver measurable outcomes for clients. This role offers the chance to engage with senior stakeholders, shape innovative solutions, and contribute to a high performing team culture that values inclusivity and excellence.

Responsibilities

- Lead the creation of AI-driven operating models and transformation strategies

- Engage with senior stakeholders to develop innovative solutions

- Drive measurable outcomes through impactful project management

- Utilize analytical skills to identify and address client needs

- Promote continuous improvement initiatives in operational practices

What You Must Have

- Bachelor's Degree

- At least 7 years of experience

What Sets You Apart

- Master's Degree in Business Administration preferred

- Proven success leading workstreams in consulting or payer settings

- Understanding payer operations, payer value chain, and technology platforms

- Driving automation and advanced analytics solutions

- Structuring complex analyzes and synthesizing insights

- Coaching and mentoring junior staff for team culture

- Working with senior stakeholders for actionable plans

- Facilitating workshops and communicating recommendations

- Experience with technology platforms, automation tools, analytics solutions, or AI/ML capabilities supporting payer operations

Travel Requirements
Up to 80%

Job Posting End Date

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

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

About PWC

PwC is a multinational professional services network of firms headquartered in London, United Kingdom, operating as partnerships under the PwC brand. PwC ranks as the second-largest professional services network in the world and is considered one of the Big Four accounting firms, along with Deloitte, EY and KPMG. PwC firms operate in 157 countries, 742 locations, with 276,000 people. As of 2020, 26% of the workforce worked in the Americas, 26% in Asia, 32% in Western Europe, 5% in Middle East and Africa and 11% in Central and Eastern Europe and Central Asia.
Learn more about PWC
Size
284,000 employees
Industry
Founded
1998

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