Payer Operations, Manager

PwC; Denver (CO); On-site; USD 100,000 - 232,000; Full time

Job summary

Join PwC as a Payer Operations Manager to lead client engagements in optimizing healthcare operations. This role focuses on driving strategic initiatives, mentoring teams, and enhancing operational efficiency within the healthcare sector. With your expertise, you'll identify growth opportunities and ensure project success while fostering client relationships and innovation.

Benefits

Medical, dental, vision insurance

401k

Vacation

Personal and family sick leave

Qualifications

• 6 years of experience in healthcare payer operations.
• Specialization in healthcare payer physician practice operations.
• Understanding of operational and financial drivers.

Responsibilities

• Lead teams and manage client accounts focusing on strategic planning.
• Identify strategic opportunities for growth and efficiency.
• Mentor junior staff to deliver top standards in project delivery.

Skills

Analytical skills

Project management

Mentoring

Technology adoption

Education

Bachelor's Degree

Job description

Join to apply for the Payer Operations, Manager role at PwC

1 week ago Be among the first 25 applicants

Join to apply for the Payer Operations, Manager role at PwC

Specialty/Competency: Operations

Industry/Sector: Health Services

Time Type: Full time

Travel Requirements: Up to 80%

At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements.

Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member’s unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same.

Skills

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

• Analyse and identify the linkages and interactions between the component parts of an entire system.
• Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion.
• Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables.
• Develop skills outside your comfort zone, and encourage others to do the same.
• Effectively mentor others.
• Use the review of work as an opportunity to deepen the expertise of team members.
• Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate.
• Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
  
  

The Opportunity

As part of the Operations Consulting Generalist team you are expected to provide healthcare payer physician practice operations subject matter specialization in client engagements related to improving the efficiency of healthcare payer physician practice organizations and identifying strategic opportunities for growth. As a Manager you are expected to lead teams and manage client accounts, focusing on strategic planning and mentoring junior staff. You are accountable for project success and maintaining exceptional standards. Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member’s unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and principles in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same. Additionally, you are expected to manage client engagements or healthcare in payer physician practice operations leadership and produce solutions, understand the latest industry trends and regulatory changes, and their impact to organizations, and assess healthcare payer physician practice operating models, including strategy, capabilities, operational performance and governance models and compensation plan design.

Responsibilities

• Provide subject matter knowledge in healthcare payer operations
• Lead teams and manage client accounts with a focus on strategic planning
• Mentor junior staff and deliver top standards in project delivery
• Utilize independent judgment and critical thinking in deliverable reviews
• Identify strategic opportunities for growth and efficiency
• Foster meaningful client relationships and inspire team members
• Embrace technology and innovation to enhance service delivery
• Assess and improve healthcare payer operating models
  
  

What You Must Have

• Bachelor's Degree
• 6 years of experience
  
  

What Sets You Apart

• Healthcare payer physician practice operations specialization
• Understanding of key operational and financial drivers
• Managing client engagements in healthcare
• Knowledge of healthcare industry trends and regulatory changes
• Experience with payer physician practice operating models
• Implementing and improving physician alignment models
• Benchmarking healthcare payer performance and costs
• Experience with core payer/provider healthcare systems
  
  

Learn more about how we work: https://pwc.to/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: https://pwc.to/H-1B-Lottery-Policy.

As PwC is anequal 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: https://pwc.to/us-application-deadlines

The salary range for this position is: $100,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. 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: https://pwc.to/benefits-at-a-glance

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Management and Manufacturing

• Industries

  Accounting, Financial Services, and Business Consulting and Services

Referrals increase your chances of interviewing at PwC by 2x

Get notified about new Operations Manager jobs in Denver, CO.

Denver, CO $75,000.00-$85,000.00 22 hours ago

Louisville, CO $130,000.00-$140,000.00 1 day ago

Boulder, CO $128,100.00-$168,000.00 1 week ago

Denver, CO $99,900.00-$149,900.00 3 weeks ago

Denver Metropolitan Area $28.00-$30.00 5 days ago

Denver, CO $82,800.00-$121,600.00 3 days ago

Greater Seattle Area $28.00-$30.00 5 days ago

Regional Operations Manager - (Physician Groups)

Brighton, CO $113,300.00-$124,400.00 1 week ago

Denver, CO $80,000.00-$120,000.00 3 weeks ago

Denver, CO $55,000.00-$75,000.00 1 month ago

Lakewood, CO $100,000.00-$120,000.00 1 week ago

Denver, CO $80,000.00-$120,000.00 14 hours ago

Thornton, CO $100,000.00-$125,000.00 1 day ago

Strategy and Operations Senior Manager, Integrated Solutions

Boulder, CO $180,000.00-$267,000.00 4 days ago

GTM Strategy & Operations Manager -- Denver, CO

Denver, CO $65,000.00-$80,000.00 2 weeks ago

Denver Metropolitan Area $120,000.00-$140,000.00 6 days ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.