PWC

Payer Utilization Management & Business Integration, Manager

PWC$99K — $232K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree required
  • Minimum of 5 years of experience in operations consulting
  • Master's Degree in Health Administration, Public Health, or Business Administration/Management preferred
  • Experience leading workstreams or managing initiatives
  • Proven success in stakeholder management and problem-solving
  • Familiarity with KPIs definition and BI reporting
  • Strong communication skills for preparing executive-ready updates

Responsibilities

  • Oversee the implementation of technology solutions and systems integration projects
  • Mentor junior staff to enhance their skills and professional growth
  • Ensure disciplined project delivery aligned with business objectives
  • Facilitate impactful communication between business, IT, and vendor teams
  • Lead teams in identifying and resolving project-related challenges
  • Establish clear project goals and performance metrics
  • Promote a collaborative environment to achieve successful outcomes

Benefits

  • Medical, dental, and vision insurance
  • 401k plan with company match
  • Holiday pay and vacation leave
  • Personal and family sick leave
  • Annual discretionary bonus opportunity
  • Access to professional development resources
Full Job Description
Industry/Sector
Health Services

Specialism
Operations

Management Level
Manager

Job Description & Summary
At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance.

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.

Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member's unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.

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

  • Analyse and identify the linkages and interactions between the component parts of an entire system.
  • Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion.
  • Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables.
  • Develop skills outside your comfort zone, and encourage others to do the same.
  • Effectively mentor others.
  • Use the review of work as an opportunity to deepen the expertise of team members.
  • Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate.
  • Uphold 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 manage the delivery of technology implementations and systems integration initiatives that align with business objectives. As a Manager, you will lead teams, mentor junior staff, and secure disciplined delivery while fostering clear communication across business, IT, and vendor teams.

Responsibilities

- Oversee the implementation of technology solutions and systems integration projects

- Mentor junior staff to enhance their skills and professional growth

- Confirm disciplined project delivery aligned with business objectives

- Facilitate impactful communication between business, IT, and vendor teams

- Lead teams in identifying and resolving project-related issues

- Establish clear project goals and performance metrics

- Promote a collaborative environment to drive successful outcomes

- Evaluate project performance and implement enhancements as needed

What You Must Have

- Bachelor's Degree

- At least 5 years of experience

What Sets You Apart

- Master's Degree in Health Administration, Public Health, Business Administration/Management preferred

- Demonstrated experience leading workstreams or managing initiatives

- Managing day-to-day delivery of technology implementation

- Coordinating across business, IT, and vendor teams

- Developing KPI definitions and reporting requirements

- Translating business needs into clear BI specifications

- Excelling in stakeholder management and problem-solving

- Preparing executive-ready updates and recommendations

- Demonstrated ownership of workstream delivery and team outcomes

Travel Requirements
Up to 80%

Job Posting End Date

The salary range for this position is: $99,000 - $232,000. 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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