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

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.

Pay

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.

Schedule

Full time

Benefits

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

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