Job Description

As a Director, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:

Support team to disrupt, improve and evolve ways of working when necessary.
Arrange and sponsor appropriate assignments and experiences to help people realise their potential and support their long-term aspirations.
Identify gaps in the market and spot opportunities to create value propositions.
Look for opportunities to scale efficiencies and new ways of working across multiple projects and environments.
Create an environment where people and technology thrive together to accomplish more than they could apart.
I promote and encourage others to value difference when working in diverse teams.
Drive and take ownership for developing connections that help deliver what is best for our people and stakeholders.
Influence and facilitate the creation of long-term relationships which add value to the firm.
Uphold the firm's code of ethics and business conduct.

Minimum Degree Required: Bachelor Degree

Minimum Years of Experience: 7 year(s)

Preferred Qualifications: Degree Preferred, Masters Degree

Preferred Knowledge/Skills:

Demonstrates intimate knowledge of, and/or success in operations roles within a professional services firm or corporate environment, helping companies to identify, clarify and resolve complex issues critical to their strategic and operating success.

Demonstrates intimate knowledge of, and proven success in:

Payer operations strategy - Sales, Marketing, Benefits/Products, Clinical Management, and Core Operations (Enrollment, Claims, Billing, and Customer Service)
Domain expertise - Data & Analytics, Automation, Artificial Intelligence, Health Advocacy, Medical Trend Analysis, and Cost Benchmarking.
Government Programs Experience with Medicare Advantage and Medicaid program requirements such as:
Program implementation, product/market expansion and Growth
Program compliance, risk and regulatory compliance
Experience with Risk Adjustment programs and methodologies, experience with quality programs and provider network design.
Business Development - growing existing clients and developing new clients within the Payor sector
Payer industry market trends and industry-leading practices in order to develop insights and provide recommendations.

Valid through: 4/20/2021

About PWC

PricewaterhouseCoopers is a multinational professional services network of firms, 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 2019, 26% of the workforce worked in the Americas, 26% in Asia, 32% in Western Europe and 5% in Middle East and Africa. The company's global revenues were $42.4 billion in FY 2019, of which $17.4 billion was generated by its Assurance practice, $10.7 billion by its Tax and Legal practice and $14.4 billion by its Advisory practice. The firm in its present form was created in 1998 by a merger between two accounting firms; Coopers & Lybrand, and Price Waterhouse. Both firms had histories dating back to the 19th century. The trading name was shortened to PwC in September 2010 as part of a rebranding effort. PricewaterhouseCoopers International Limited, based in London, England, is a co-ordinating entity for the global network of firms. It manages the global brand, and develops policies and initiatives, to create a common and coordinated approach in areas such as risk, quality, and strategy. It does not provide services to clients.

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