Payer Back Office Strategy / Technology / Operations Consultant, Senior Associate

About the Role

As a Payer Back Office Strategy / Technology / Operations Consultant, Senior Associate, you will support healthcare payer clients in modernizing back-office operations, core technology, and operating models across claims, reimbursement, government program support, digital experience, and customer-facing functions within our Advisory practice. You will analyze complex problems, manage workstreams, build client relationships, and guide junior team members, using critical thinking and professional judgment to deliver work aligned with project goals. This role involves contributing to strategy, technology, and operations efforts to improve platform execution, streamline processes, and adapt operating models across payer functions and systems such as Oracle OHI, Epic, Facets, and Nasco.

Responsibilities

• Analyzing payer operations, technology, and strategy workstreams to identify process gaps and improvement opportunities
• Supporting transformation initiatives across claims, customer operations, core platforms, and administrative functions
• Developing deliverables that synthesize business data, operational metrics, and client input into practical recommendations
• Applying process improvement, change management, and digital tooling to streamline payer workflows and service delivery models
• Interpreting operational performance trends to inform decisions on cost reduction, efficiency, and platform modernization
• Collaborating on client engagements by building trusted relationships and responding to evolving business needs
• Reviewing work from junior team members and providing feedback to refine analyses and deliverables
• Contributing to solution development for health services organizations using payer modernization, operations strategy, and technology insights

Qualifications

• At least a Bachelor's degree
• At least 4 years of experience

What Sets You Apart

• Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance
• Demonstrating payer modernization consulting experience in health services
• Leveraging operations strategy, process improvement, and service delivery models
• Analyzing business data and performance metrics for client recommendations
• Applying change management and stakeholder engagement across workstreams
• Using AI fluency, digital tooling, and learning agility in delivery

Pay

The salary range for this position is: $77,000 - $202,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications, and location, as well as applicable employment laws.

Benefits

PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. For more details, visit: https://pwc.to/benefits-at-a-glance.