Payer Quality Consultant, Director

Industry/Sector

Health Services

Specialism

Operations

Management Level

Director

Job Description & Summary

The Opportunity

As a Payer Quality Consultant, Director, you will lead strategic initiatives within our Operations Consulting practice, focusing on transforming payer operations in the health services sector. As a Director, you will set the strategic direction and lead business development efforts, making impactful decisions and overseeing multiple projects while maintaining executive-level client relations. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of our reputation, understanding that quality, integrity, inclusion, and a commercial mindset are foundational to our success.

In this role, you will collaborate with clients to modernize their payer operations, leveraging your skills to deliver innovative solutions that enhance operational efficiency and effectiveness. You will cultivate potential in others and actively team across our network, understanding tradeoffs and leveraging our collective strength. This position offers the opportunity to work within our Business & Supply Chain Operations network, providing a dynamic environment where you can make a significant impact on the health industries sector.

Responsibilities

- Leading strategic initiatives in payer modernization to drive operational excellence within health services
- Overseeing multiple projects and maintaining executive-level client relations to enhance business growth
- Utilizing analytical thinking and business data analytics to optimize operations processes and performance metrics
- Implementing change management strategies to support business transformation and improve service delivery models
- Developing and executing operations strategies that align with client needs and industry trends
- Promoting innovation and creativity in operations management to foster continuous improvement and systemic thinking
- Building and nurturing relationships with stakeholders to facilitate effective communication and engagement
- Conducting market research and operating effectiveness reviews to identify opportunities for process optimization and improvement
- Coaching and mentoring teams to cultivate potential and drive strategic questioning and planning operations

What You Must Have

- At least a Bachelor's degree
- At least 9 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 strategic leadership in operations consulting within health industries
- Driving business transformation through innovative payer modernization strategies
- Excelling in business data analytics to enhance operational effectiveness
- Leading change management initiatives to optimize service delivery models
- Cultivating executive-level client relations and stakeholder engagement
- Promoting operational excellence through process improvement and optimization

Travel Requirements

Up to 80%

Job Posting End Date

The salary range for this position is: $155,000 - $410,000. 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

As 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

For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws.  At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.

Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines