Payer Back Office Strategy / Technology / Operations Consultant, Director

PricewaterhouseCoopers LLP

Melville, NY

JOB DETAILS
SKILLS
Artificial Intelligence (AI), Automation, Business Case, Business Growth, Business Process Management, Consulting, Cross-Functional, Customer Satisfaction, Leadership, Market Development, Mentoring, Problem Solving Skills, Process Improvement, Safety/Work Safety, Technical Operations, Technical Strategy, Thought Leadership, Use Cases, Value Chain Model, Willing to Travel
LOCATION
Melville, NY
POSTED
30+ days ago

Industry/Sector

Specialism

Management Level

Job Description & Summary

Translating the vision, you set the tone, and inspire others to follow. 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 PwCs reputation, understanding that quality, integrity, inclusion and a commercial mindset are all foundational to our success. You create a healthy working environment while maximising client satisfaction. You cultivate the potential in others and actively team across the PwC Network, understanding tradeoffs, and leveraging our collective strength.

Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:

• Lead in line with our values and brand. • Develop new ideas, solutions, and structures; drive thought leadership. • Solve problems by exploring multiple angles and using creativity, encouraging others to do the same. • Balance long-term, short-term, detail-oriented, and big picture thinking. • Make strategic choices and drive change by addressing system-level enablers. • Promote technological advances, creating an environment where people and technology thrive together. • Identify gaps in the market and convert opportunities to success for the Firm. • Adhere to and enforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance) the Firms code of conduct, and independence requirements.

The Opportunity

As part of the Payer Operations team you will set the vision and strategic roadmap for technology and AI-enabled payer operations across core value chain functions. As a Director you will drive business growth by leading large, complex consulting engagements, delivering excellence, and acting as a trusted advisor to payer executives on operational transformation and AI adoption.

Responsibilities

  • Drive initiatives for business growth through innovative solutions
  • Work with cross-functional teams to refine core values chain functions
  • Mentor and develop team members to enhance their skills
  • Promote the adoption of AI technologies within operational frameworks
  • Identify market opportunities and align strategies for success

What You Must Have

  • Bachelors Degree
  • At least 10 years of experience

What Sets You Apart

  • Masters Degree preferred
  • Demonstrating strategic leadership in technology and AI
  • Advising executive stakeholders with business cases
  • Designing technology-enabled transformation programs
  • Developing impactful use cases with advanced analytics
  • Leading complex consulting engagements with delivery excellence
  • Mentoring and developing teams across geographies
  • Understanding payer operations and key platforms
  • Navigating ambiguity in fast-evolving environments
  • Experience with key platforms and vendors that enable payer operations (e.g., BPM/automation platforms, claims platforms, provider data solutions)

Travel Requirements

Job Posting End Date

About the Company

P

PricewaterhouseCoopers LLP

PwC’s accounting practice originated in London well over a century ago. As times changed and PwC expanded worldwide, our commitment to clients—like you—never wavered. With us, you’re always supported by a global network of more than 223,000 people in 157 countries with one goal: to help your business thrive.

PwC’s professional services include audit and assurance, tax and consulting that cover such areas as cybersecurity and privacy, human resources, deals and forensics. We help resolve complex issues and identify opportunities across these industries.

Let’s combine your ​aspirations with our world-class capabilities to achieve your goals.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Accounting and Auditing Services
WEBSITE
http://www.pwc.com/us/en.html