Payer Back Office Strategy / Technology / Operations Consultant, Senior Manager
Opportunity
As part of the Operations Consulting team you will lead the development of AI-enabled operating models and transformation roadmaps across core payer functions. As a Senior Manager, you will serve as a strategic advisor, leveraging your knowledge to drive operational transformation and deliver measurable outcomes for clients. This role offers the chance to engage with senior stakeholders, shape innovative solutions, and contribute to a high performing team culture that values inclusivity and excellence.
Responsibilities
- Lead the creation of AI-driven operating models and transformation strategies
- Engage with senior stakeholders to develop innovative solutions
- Drive measurable outcomes through impactful project management
- Utilize analytical skills to identify and address client needs
- Promote continuous improvement initiatives in operational practices
Requirements
- Bachelor's Degree
- At least 7 years of experience
- Master's Degree in Business Administration preferred
- Proven success leading workstreams in consulting or payer settings
- Understanding payer operations, payer value chain, and technology platforms
- Driving automation and advanced analytics solutions
- Structuring complex analyzes and synthesizing insights
- Coaching and mentoring junior staff for team culture
- Working with senior stakeholders for actionable plans
- Facilitating workshops and communicating recommendations
- Experience with technology platforms, automation tools, analytics solutions, or AI/ML capabilities supporting payer operations
Qualifications
- Master's Degree in Business Administration preferred
Skills
- Craft and convey clear, impactful and engaging messages that tell a holistic story
- Apply systems thinking to identify underlying problems and/or opportunities
- Validate outcomes with clients, share alternative perspectives, and act on client feedback
- Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations
- Deepen and evolve your expertise with a focus on staying relevant
- Initiate open and honest coaching conversations at all levels
- Make difficult decisions and take action to resolve issues hindering team effectiveness
- Model 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
The salary range for this position is: $124,000 - $280,000. 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. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance
Equal Opportunity Employer
PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Learn more about how we work: https://pwc.to/how-we-work
Application Instructions
To apply, please visit the following link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines