Senior Associate — Health Payer Compliance & Risk

PwC; Philadelphia (Philadelphia County); Vor Ort; USD 77.000 - 202.000; Vollzeit

Benefits dieser Stelle

Medical benefits

Dental benefits

Vision benefits

401k

Zusammenfassung

PwC is seeking a Regulatory Risk & Compliance professional for Health Industries - Payer Compliance. The Senior Associate will help clients navigate regulatory requirements, strengthen compliance processes, and translate payer obligations into practical guidance.

You will analyze issues, manage workstreams, mentor juniors, and build client relationships while developing your personal brand and technical skills.

Qualifikationen

• Bachelor's degree required.
• Minimum 3 years of experience.
• Experience in payer compliance within health industries.

Aufgaben

• Analyze payer compliance requirements and translate regulatory expectations into practical deliverables.
• Review policies, procedures, and control activities to identify gaps and support remediation planning.
• Interpret healthcare regulatory developments and apply them to compliance strategies and operating models.
• Develop workstreams for regulatory risk, governance, and control assessments across payer environments.
• Prepare compliance summaries, issue logs, and recommendations for client leadership.
• Use data analysis to identify trends, exceptions, and potential compliance exposures.
• Support the design and maintenance of compliance programs, reporting routines, and monitoring activities.
• Collaborate across client teams to gather information and track action plans.
• Guide junior team members on tasks and deliverables.

Kenntnisse

Payer compliance

Regulatory risk

Internal controls

Data analytics

Client communication

Ausbildung

Bachelor's degree

Jobbeschreibung

PwC is seeking a Regulatory Risk & Compliance professional for Health Industries - Payer Compliance. The Senior Associate will help clients navigate regulatory requirements, strengthen compliance processes, and translate payer obligations into practical guidance.

You will analyze issues, manage workstreams, mentor juniors, and build client relationships while developing your personal brand and technical skills.