Payer Strategy& – Middle Office Health Value Management, Manager

Specialty/Competency: Operations Strategy

Industry/Sector: Health Services

Time Type: Full time

Travel Requirements: Up to 60%

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, youll 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 firms/clients 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 firms code of ethics and business conduct.

Minimum Degree Required

Bachelors Degree

Additional Educational Requirements

In lieu of a bachelor’s degree, may be considered if they have demonstrated three years of specialized training and/or progressively responsible work experience in industry for each missing year of college in addition to the 7 years of experience required.

Minimum Year(s) of Experience

7 year(s)

Degree Preferred

Master of Business Administration

Preferred Fields of Study

Business Administration/Management,Health Administration,Organizational Management

Additional Educational Preferences

Master of Health Care Admin/Master of Public Health

Preferred Knowledge/Skills

Demonstrates extensive level abilities and/or a proven record of success managing efforts in supporting large teams through the design and implementation of changes to Middle Office Operations, including people, process, and technology by the following:

Having prior strategy consulting or management consulting and transformation project-based experience;

Possessing proven strategy and management consulting tool kit including hypothesis driven problem solving and analysis skill, ability to synthesis complex outcome into simple written and oral communications, and project structuring and management;

Ability to manage, coach, and develop high performing strategy consulting resources in alignment with firm and market needs;

Identifying, addressing, and managing client needs related to building, maintaining, and utilizing networks of client relationships and community involvement;

Possessing functional depth in Network, Medical Economics, Value Based Care, Medical Value Analytics, Population Health, Care Management Behavior Change and Measurement Science, Rx and Specialty Drug Management, Digital Health Platforms, Next Generation Condition Management Strategies, Public Health and Finance, CMS Regulation and Operational Response;

Experience with next generation sourcing, operating model design, workforce management, and process engineering in alignment with business and technology transformation;

Communicating value propositions, utilizing PC applications such as Microsoft Word, Excel, PowerPoint and project to write and deliver proposals to prospective clients;

Managing resource requirements, project workflows, budgets, billing and collections;

Preparing and/or coordinating complex written and verbal materials;

Supervising teams to create an atmosphere of trust and seeking diverse views to encourage improvement and innovation; and, answering questions and providing direction to less experienced staff;

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

Working experience with Provider Network contracting domains including: value-based / risk contracting; specialty and behavioral health contracting; provider performance incentive management; alternative model contracting strategies, such as with community-based organizations and social needs providers; and,

Understanding of global trends for health organizations utilizing pragmatic approaches to achieve sustainable financial functions and operating models.

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.

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.

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. Actual compensation within the range will be dependent upon the individuals skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance