Payer Back Office Strategy / Technology / Operations Consultant, Manager

About the role

PwC's operations consulting specialists focus on optimising operational efficiency and effectiveness. They analyze client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance.

Responsibilities

• Supervise, develop, and coach teams to achieve client goals
• Manage client service accounts and engagement workstreams
• Create and implement impactful operational strategies
• Solve complex problems to develop exceptional deliverables
• Utilize autonomous decision-making and professional skepticism
• Cultivate meaningful client relationships
• Inspire teams and navigate ambiguity
• Facilitate meaningful dialogue between different perspectives

Requirements

• Bachelor's Degree
• 5 years of experience
• Master's Degree preferred
• Proven record of success as a team leader
• Experience in payer back office operations
• Specialization in claims, enrollment, billing, and membership
• Familiarity with technology solutions enabling these functions
• Experience with transaction lifecycles and Healthcare/Payer Services
• Knowledge of COTS platforms including TriZetto Facets/QNXT
• Experience with Operations and administration of Healthcare/Payer
• Proficiency in data and systems interactions

Qualifications

• Bachelor's Degree
• Master's Degree preferred
• 5 years of experience

Skills

• 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

Benefits

• Medical
• Dental
• Vision
• 401(k)
• Holiday pay
• Vacation
• Personal and family sick leave

Pay

• $99,000 - $232,000

Schedule

• Full time

Benefits

• 401(k)
• Holiday pay
• Vacation
• Personal and family sick leave

Application Instructions

• Applications will be accepted until the position is filled or the posting is removed