Payer Strategy& - Middle Office Health Value Management, Senior Associate

Payer Strategy& - Middle Office Health Value Management, Senior Associate

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Job Category Operations Strategy Level Senior Associate Specialty/Competency Operations Strategy Time Type Full time Travel Requirements Up to 60% Job ID 575050WD Location(s) CT-Stamford, GA-Atlanta, FL-Jacksonville, IL-Chicago, TX-Austin, DC-Washington, OH-Cleveland, MO-Kansas City, TX-Dallas, FL-Miami, CA-Los Angeles, VA-Richmond, MD-Baltimore, MN-Minneapolis, CO-Denver, TN-Nashville, MA-Boston, NJ-Florham Park, NY-New York, CA-San Diego, CA-San Francisco, PA-Philadelphia, WA-Seattle, PA-Pittsburgh

A career within Operations Strategy services, will provide you with the opportunity to help organisations reimagine their operations through a strategic lens to turn complexity into a competitive advantage. Our focus is to help our clients create differentiating capabilities that drive competitive advantages by developing plans to navigate their challenges, seeing what’s possible, and turning that into a reality. We assist our clients in transforming operations from the way they engage their customers to executing strategic programmes to achieve enterprise wide operational excellence.

To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.

As a Senior Associate, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:

  • Use feedback and reflection to develop self awareness, personal strengths and address development areas.
  • Delegate to others to provide stretch opportunities, coaching them to deliver results.
  • Demonstrate critical thinking and the ability to bring order to unstructured problems.
  • Use a broad range of tools and techniques to extract insights from current industry or sector trends.
  • Review your work and that of others for quality, accuracy and relevance.
  • Know how and when to use tools available for a given situation and can explain the reasons for this choice.
  • Seek and embrace opportunities which give exposure to different situations, environments and perspectives.
  • Use straightforward communication, in a structured way, when influencing and connecting with others.
  • Able to read situations and modify behavior to build quality relationships.
  • Uphold the firm's code of ethics and business conduct.



Minimum Degree Required

Bachelor's Degree

Additional Educational Requirements

In lieu of a bachelor’s degree, may be considered if they have demonstrated three years of specialized training and/or progressively responsible work experience in industry for each missing year of college in addition to the 7 years of experience required.

Minimum Year(s) of Experience

5 year(s)

Degree Preferred

Master of Business Administration

Preferred Fields of Study

Business Administration/Management,Health Administration,Organizational Management

Additional Educational Preferences

Master of Health Care Admin/Master of Public Health

Preferred Knowledge/Skills

Demonstrates thorough level abilities and/or a proven record of success managing efforts in supporting large teams through the design and implementation of changes to Middle Office Operations, including people, process, and technology by the following: 

  • Having prior strategy consulting or management consulting and transformation project-based experience; 

  • Possessing proven strategy and management consulting tool kit including hypothesis driven problem solving and analysis skill, ability to synthesis complex outcome into simple written and oral communications, and project structuring and management;

  • Ability to manage, coach, and develop high performing strategy consulting resources in alignment with firm and market needs;

  • Identifying, addressing, and managing client needs related to building, maintaining, and utilizing networks of client relationships and community involvement;

  • Possessing functional depth in Network, Medical Economics, Value Based Care, Medical Value Analytics, Population Health, Care Management Behavior Change and Measurement Science, Rx and Specialty Drug Management, Digital Health Platforms, Next Generation Condition Management Strategies, Public Health and Finance, CMS Regulation and Operational Response;

  • Experience with next generation sourcing, operating model design, workforce management, and process engineering in alignment with business and technology transformation;

  • Communicating value propositions, utilizing PC applications such as Microsoft Word, Excel, PowerPoint and project to write and deliver proposals to prospective clients; 

  • Managing resource requirements, project workflows, budgets, billing and collections; 

  • Preparing and/or coordinating complex written and verbal materials; 

  • Supervising teams to create an atmosphere of trust and seeking diverse views to encourage improvement and innovation; and, answering questions and providing direction to less experienced staff; 

  • Working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools); 

  • Working experience with Provider Network contracting domains including: value-based / risk contracting; specialty and behavioral health contracting; provider performance incentive management; alternative model contracting strategies, such as with community-based organizations and social needs providers; and, 

  • Understanding of global trends for health organizations utilizing pragmatic approaches to achieve sustainable financial functions and operating models. 


Learn more about how we work: https://pwc.to/how-we-work

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.

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.

For positions based in San Francisco, consideration of qualified candidates with arrest and conviction records will be in a manner consistent with the San Francisco Fair Chance Ordinance.

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

The salary range for this position is: $84,000 - $202,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance

Payer Strategy& - Middle Office Health Value Management, Senior Associate

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    PwC Recruiting: H-1B Lottery Policy

    PwC currently is not hiring 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 here.

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