Payer Back Office Strategy / Technology / Operations Consultant, Manager

About the role

A career within Operations Consulting services will provide you with the opportunity to help our clients optimize all elements of their operations to move beyond the role of a cost effective business enabler and become a source of competitive advantages. We focus on product innovation and development, supply chain, procurement and sourcing, manufacturing operations, service operations and capital asset programs to drive both growth and profitability.

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

Qualifications

• 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

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

• Health Care: Comprehensive medical coverage, vision care, dental and health savings accounts.
• Retirement: PwC offers a 401(k) Savings Plan and a Wealth Builder retirement plan completely funded by PwC.
• Maternity / Paternity Leave: Eligible new parents receive, within the first year from birth or adoption/foster placement, 12 weeks of paid parental leave. Parents have the option to work 60% of hours, at full-time pay, for an additional four weeks immediately following paid parental leave.
• Paid Time Off: The Firm recognizes 13 paid holidays and provides extended Firm holidays around the July 4 holiday and Christmas and New Year holiday. You accrue vacation time of between three weeks (15 work days) and one month (22 work days) per year, based upon staff classification and length of service with PwC.
• Committing to growth: You’ll receive AI training and human skills you need to become a leader in today's workplace.
• Bring your best, every day: We empower our people and strive to provide a people experience grounded in care for you and your well-being.

Pay

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.

Schedule

Full time