Payer Back Office Strategy / Technology / Operations Consultant, Manager
Overview
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.
What does it take?
All our employees are recruited, developed and managed against the global PwC Professional framework that focuses on two dimensions: Trusted Leadership and Distinctive Outcomes. It guides us on “what to do” and “how to do it”, emphasizing impact and behaviors.
Benefits / Rewards
- 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.
Job details
- Job Title: Payer Back Office Strategy / Technology / Operations Consultant, Manager
- Job Category: Operations Consulting
- Level: Manager
- Specialty/Competency: Operations
- Industry/Sector: Health Services
- Job Type: Regular
- Time Type: Full time
- Travel Requirements: Up to 80%
- Start Year: 2026
- Job ID: 720421WD
- Location(s): IN-Indianapolis, NC-Raleigh, NC-Charlotte, IL-Chicago, FL-Jacksonville, OH-Cincinnati, OH-Cleveland, SC-Columbia, OH-Columbus, MO-Kansas City, TX-Dallas, NV-Las Vegas, CA-Los Angeles, MD-Baltimore, MA-Boston, MO-St. Louis, AL-Birmingham, UT-Salt Lake City, CA-San Diego, CA-San Francisco, CA-Silicon Valley, WA-Seattle, CT-Stamford, FL-Tampa, OH-Toledo, TX-Austin, DC-Washington, NY-Melville, FL-Miami, CO-Denver, IA-Des Moines, MI-Detroit, TN-Nashville, LA-New Orleans, NJ-Florham Park, NY-New York, OK-Oklahoma City, PA-Philadelphia, AZ-Phoenix, PA-Pittsburgh, TX-Houston
The Opportunity
As part of the Operations Consulting Generalist team you are expected to lead the creation and implementation of impactful operational strategies. As a Manager you are to supervise, develop, and coach teams, manage client service accounts, and drive client engagement workstreams by solving and analyzing complex problems to develop quality deliverables. You are to use autonomous decision-making and professional skepticism when reviewing, analyzing, and producing deliverables across multiple client needs, and play a visible role in cultivating meaningful client relationships, inspiring your teams, and navigating ambiguity.
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
What You Must Have
- Bachelor's Degree
- 5 years of experience
What Sets You Apart
- 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