Payer Middle Office / Technology / Operations Consultant, Senior Manager
pwcMillbrae, CA
Payer Middle Office / Technology / Operations Consultant, Senior Manager
pwcMillbrae, CAManager L7
Administrative Management and General Management Consulting ServicesOther Management Consulting ServicesOther Scientific and Technical Consulting Services
APPLY NOW (opens in a new tab)Overview:
As a Senior Manager in PwC’s Advisory practice, you will lead payer modernization initiatives across middle office, technology, and operations. You’ll drive large client engagements, shaping operating models and transformation programs for health payers, and coordinate cross-functional teams to connect strategy with technology execution. You’ll work with platforms like Oracle OHI, Epic, Facets, and Nasco to improve efficiency, cost control, and member experience. This is a client-facing role focused on meaningful, measurable improvements in payer operations and core technology. Compensation / Benefits medical dental vision 401k holiday pay vacation
Responsibilities:
Advise clients on modernization of middle office operations, core technology, and operating models across claims, reimbursement, care management, and customer service functions Lead large client engagements linking operations strategy, process design, and technology execution to improve efficiency and member experience Manage workstreams transforming payer platforms (Oracle OHI, Epic, Facets, Nasco) Develop current-state and future-state operating models for front and middle office with focus on service delivery, controls, and scalability Guide process improvement by analyzing workflows, identifying gaps, and redesigning procedures Coordinate stakeholder discussions across business, technology, and risk to align priorities and resolve delivery issues Apply performance metrics and data analysis to evaluate effectiveness and inform recommendations Coach teams through complex tasks and support issue resolution across multiple workstreams Contribute to firm growth by shaping client-facing solutions and presenting ideas to senior decision makers
Key requirements:
Bachelor’s degree unknown years of experience leadership and team coaching stakeholder management and communication client-facing presentation Oracle OHI Epic Facets
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Level
Manager L7
Location
Millbrae, CA
Occupation
Project Management Specialists
Industry
Administrative Management and General Management Consulting Services
Posted
today