Director, Payer Modernization & Innovation

About the role

KPMG Advisory is at the forefront of transformation, offering excellent opportunities for career advancement and expertise development. We foster a collaborative, team-driven culture where adaptability is key. Our professionals benefit from a wealth of learning and career development opportunities, world-class training, and leading market tools to support both professional and personal growth. This role is within our Healthcare Payer Solutions Organization.

Responsibilities

• Help develop, sell, and deliver technology-enabled healthcare payer strategy and transformation service offerings.
• Lead high-performing teams comprised of resources across service lines, including process, technology, and analytics talent.
• Demonstrate strong functional knowledge of payer operations and act as a subject matter professional across transformation projects.
• Support new business development through relationship building and project proposal efforts.
• Drive team performance and quality delivery via project management, budget oversight, and issue resolution.
• Participate in the continual development and publication of thought leadership and service offerings.

Qualifications

• A minimum of eight years of consulting experience in the health payer industry or executive-level experience within a health payer organization.
• Demonstrated understanding of healthcare reform and key industry trends (e.g., value-based care, medical management, operational efficiency, consumerism).
• Master’s degree from an accredited college or university.
• Direct experience leading large transformation projects, including managing complex budgets, timelines, stakeholder engagement, and regulatory issues.
• Ability to identify business opportunities, attract new business, and build lasting relationships with senior client executives.
• Strong project management skills with hands-on experience.
• Excellent foundational consulting skills, including analytical, written, and verbal communication, client presence, facilitation, and presentation.
• Willingness to travel up to 80-100%.
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.

Benefits

KPMG offers a comprehensive, competitive benefits package tailored to support employees and their families. Eligible employees may access:

• A variety of medical, dental, and vision plans.
• Disability and life insurance.
• 401(k) plans.
• A robust suite of personal well-being benefits to support mental health.
• Personal Time Off (PTO) per fiscal year, based on job classification, standard work hours, and years of service.
• Two annual breaks where PTO is not required: one at year-end and another around the July 4th holiday.

Additional details about benefits can be found on the KPMG US Careers site.

Pay

KPMG complies with all local and state regulations regarding salary transparency. Offered salary is determined based on factors such as skills, job responsibilities, prior relevant experience, degrees, certifications, and market considerations. For city-specific salary ranges outside of California, visit KPMG’s Pay Transparency page.