Industry/Sector
Health Services
Specialism
Operations
Management Level
Director
Job Description & Summary
The Opportunity
As a Payer Healthcare Data Scientist you will apply advanced data science methods to complex health payer challenges, using statistical modeling, data visualization, and exploratory analysis to translate large, varied data sources into insights that support strategic decisions within our Advisory practice. As a Director you will set direction for client work, shape solution ideas, and guide teams while maintaining executive client relationships, business growth focus, and a culture grounded in quality, integrity, inclusion, and commercial awareness.
In this role at PwC, you will contribute to payer modernization efforts across the health services sector, helping teams design data-driven approaches that improve operational performance and support decision-making. You will also collaborate across the PwC Network and across one or more workstreams, bringing a balanced view of business needs, technical approach, and future growth opportunities while mentoring others and advancing the firm’s presence in data and analytics engineering.
Responsibilities
- Leading payer-focused data science engagements that translate complex health services data into actionable findings for client decision making
- Shaping analytical strategy for healthcare claims, member, provider, and utilization data across modernization and operating model initiatives
- Developing statistical models, machine learning workflows, and predictive approaches to address payer business questions and operational challenges
- Directing exploratory analysis, pattern detection, and data visualization to communicate trends, risks, and opportunities for improvement
- Overseeing data preparation, feature engineering, and model validation across large-scale healthcare data sources and interoperable formats
- Applying knowledge of payer regulations, HIPAA requirements, Medicare and Medicaid programs, and claims processing workflows in solution design
- Guiding teams through data quality review, model troubleshooting, and technical problem solving across analytics deliverables
- Building executive client relationships, identifying new service opportunities, and advancing growth across payer modernization programs
- Coaching emerging leaders and contributing thought leadership on artificial intelligence, advanced analytics, and payer transformation
What You Must Have
- At least a Bachelor's degree
- At least 9 years of experience
What Sets You Apart
- Preference for at least one of the following fields of study: Accounting, Analytics/Data Science, Artificial Intelligence/Robotics, Business Administration/Management, Computer Science/Information Systems, Cybersecurity, Engineering, Mathematics/Statistics, Operations/Supply Chain, Project/Technology Management, Risk Management/Insurance
- Applying advanced analytics, statistical modeling, and data visualization in payer settings
- Translating healthcare data into insights for payer modernization decisions
- Developing machine learning, predictive modeling, or NLP solutions for client needs
- Leading executive-level client conversations across multiple healthcare data efforts
- Mentoring teams while shaping strategy, innovation, and growth for engagements
Travel Requirements
Up to 80%
Job Posting End Date
The salary range for this position is: $155,000 - $410,000. 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
