Payer Quality Consultant, Director

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.

The Opportunity

As part of the Operations Consulting team you lead the strategic direction and execution of impactful initiatives within the payer sector. As a Director, you drive business growth by overseeing multiple projects, cultivating executive-level client relations, and mentoring the future leaders. This role offers a unique chance to shape client engagements while fostering an environment where innovation and integrity thrive.

Responsibilities

• Drive business development efforts to enhance client engagement and satisfaction.
• Oversee project execution, maintaining alignment with organizational goals.
• Mentor and develop team members to foster their professional growth.
• Analyze market trends to identify opportunities for service enhancement.
• Promote collaboration across teams to leverage diverse skills.
• Uphold adherence to professional standards and ethical guidelines.
• Cultivate a culture of innovation and continuous improvement.

What You Must Have

• Bachelor's Degree
• At least 10 years of experience

What Sets You Apart

• Master's Degree in Health Administration, Business Administration/Management preferred
• Demonstrating Government Programs Experience with Medicare Advantage and Medicaid program requirements
• Leading teams to generate a vision and trust
• Building collaborative relationships and seeking feedback
• Managing planning, organizing, and delivery of operations tasks
• Overseeing independent analyzes and client deliverables quality
• Communicating cogently in organized written and verbal formats
• Leveraging quantitative analyzes for meaningful insights