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PwC Strategy& Health Industries Risk & Reg Payer Operations - Manager in Washington, District Of Columbia

Specialty/Competency: Operations Strategy

Industry/Sector: HI X-Sector

Time Type: Full time

Government Clearance Required: No

Available for Work Sponsorship: No

Travel Requirements: Up to 80%

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 Manager, 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:

  • Develop new skills outside of comfort zone.

  • Act to resolve issues which prevent the team working effectively.

  • Coach others, recognise their strengths, and encourage them to take ownership of their personal development.

  • Analyse complex ideas or proposals and build a range of meaningful recommendations.

  • Use multiple sources of information including broader stakeholder views to develop solutions and recommendations.

  • Address sub-standard work or work that does not meet firm's/client's expectations.

  • Use data and insights to inform conclusions and support decision-making.

  • Develop a point of view on key global trends, and how they impact clients.

  • Manage a variety of viewpoints to build consensus and create positive outcomes for all parties.

  • Simplify complex messages, highlighting and summarising key points.

  • Uphold the firm's code of ethics and business conduct.

Minimum Degree Required: Bachelor Degree

Minimum Years of Experience: 5 year(s)

Preferred Qualifications: Degree Preferred, Masters Degree

Preferred Knowledge/Skills:

Demonstrates considerable knowledge of, and/or success in operations roles within a professional services firm or corporate environment, helping companies to identify, clarify and resolve complex issues critical to their strategic and operating success.

Demonstrates intimate knowledge of:

  • Payer operations strategy - Sales, Marketing, Benefits/Products, Clinical Management, and Core Operations (Enrollment, Claims, Billing, and Customer Service)

  • Domain expertise - Data & Analytics, Automation, Artificial Intelligence, Health Advocacy, Medical Trend Analysis, Cost Benchmarking.

  • Payer industry market trends and industry-leading practices in order to develop insights and provide recommendations.

Demonstrates proven thorough ability levels of leadership, strategic and creative thinking, problem solving, individual initiative, emphasizing the following areas: - Teaming with others, including building solid and collaborative relationships with team members and proactively seeking guidance, clarification and feedback; - Planning, organizing and delivering on operations tasks and projects, conducting independent analyses and establishing the quality of client deliverables; - Developing conclusions and recommendations, writing reports, assisting in client presentations and providing implementation assistance, as required; - Contributing to the development and improvement of various frameworks and methodologies within operations; - Communicating effectively in an organized and knowledgeable manner in written and verbal formats; - Demonstrating strong aptitude for conducting quantitative analyses, including experience with Excel and/or Access especially constructing analytical frameworks and synthesizing complex data into meaningful insights.

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.

For positions in Colorado, visit the following link for information related to Colorado's Equal Pay for Equal Work Act: https://pwc.to/coloradoadvisorymanager .

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