Payer Back Office Strategy / Technology / Operations Consultant, Senior Manager

PricewaterhouseCoopers LLP

Miami, FL

JOB DETAILS
SKILLS
Analysis Skills, Artificial Intelligence (AI), Automation, Business Administration, Business Operations, Coaching, Communication Skills, Consulting, Continuous Improvement, Customer/Client Research, Needs Assessment, Operational Improvement, Operational Support, Problem Solving Skills, Project/Program Management, Resolve Customer Issues, Technical Operations, Technical Strategy, Value Chain Model, Willing to Travel
LOCATION
Miami, FL
POSTED
30+ days ago

Industry/Sector

Specialism

Management Level

Job Description & Summary

Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.

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

• 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 Firms code of conduct, and independence requirements.

The 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

What You Must Have

  • Bachelors Degree
  • At least 7 years of experience

What Sets You Apart

  • Masters 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

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