Strategy& Health Services - Payor/Provider, Manager

Specialty/Competency: Corporate and Business Strategy
Industry/Sector: Health Services
Time Type: Full time
Travel Requirements: Up to 60%

A career within Corporate and Business Strategy services, will provide you with the opportunity to help our clients solve their toughest problems and seize essential advantages by defining and evaluating strategies of all types. We analyse business and market trends to explore new approaches that help our clients make tough choices and surpass the competition. At both the business unit and corporate level, we help organisations with organic enterprise growth, pricing and profitability, shareholder value, and sustainable corporate strategies.

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.

Job Requirements and Preferences :

Basic Qualifications :

Minimum Degree Required :
Bachelor Degree

Minimum Years of Experience :
5 year(s) experience

Preferred Qualifications :

Degree Preferred :
Master of Business Administration

Preferred Knowledge/Skills :

Demonstrates extensive knowledge of and/or success in professional services or corporate roles, helping companies define and evaluate corporate and business unit strategies and investment portfolios, reflecting market, competitive and other external drivers.

Demonstrates extensive leadership, strategic and creative thinking, problem solving, individual initiative, and the following abilities:

• Building productive and collaborative relationships with team members and proactively providing and seeking guidance, clarification and feedback;

• Managing a team to a successful project conclusion through problem solving global, enterprise-wide strategy issues;

• Building, maintaining, and utilizing networks of client relationships;

• Communicating cogently in an organized and knowledgeable manner in written and verbal formats; and,

• Conducting and managing market research and quantitative and qualitative analyses, including the timely synthesis of complex data into meaningful insights and the ability to readily grasp analytical frameworks and employ them effectively to either qualitative or quantitative evidence.

Demonstrates extensive-level abilities as a team leader, emphasizing the following areas:

• Possessing working experience in Payor operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.) to help payors and providers manage their medical costs, quality, and experience;

• Possessing working experience in Clinical Analytics, Medical Economics, and/or Population Health Analytics or working in collaboration with related functions;

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

• Possessing working knowledge and experience in software development, implementation, and optimization to accurately translate clinical and business requirements into engineering design documents and instructions;

• Possessing experience in project management and product development life cycle management specifically in healthcare product design and development to support care management and delivery workflows;

• Possessing understanding of global trends for health organizations utilizing pragmatic approaches to achieve sustainable financial functions, consumer experience, and operating models;

• Possessing experience managing and advising healthcare executive leadership or has direct experience from former position; and,

• Understanding Medicare Stars performance across different markets and helping to develop strategies and programs to match those needs.

Learn more about 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:

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. 

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:

The salary range for this position is: $99,000 - $232,000. 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: