Payer Transformation - Stars/Quality Strategy & Operations - Senior Manager

A career within Operations Consulting services, will provide you with the opportunity to help our clients optimise all elements of their operations to move beyond the role of a cost effective business enabler and become a source of competitive advantages.
We focus on product innovation and development, supply chain, procurement and sourcing, manufacturing operations, service operations and capital asset programmes to drive both growth and profitability.
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 Senior 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: Encourage everyone to have a voice and invite opinion from all, including quieter members of the team.
Deal effectively with ambiguous and unstructured problems and situations.
Initiate open and candid coaching conversations at all levels.
Move easily between big picture thinking and managing relevant detail.
Anticipate stakeholder needs, and develop and discuss potential solutions, even before the stakeholder realises they are required.
Contribute technical knowledge in area of specialism.
Contribute to an environment where people and technology thrive together to accomplish more than they could apart.
Navigate the complexities of cross-border and/or diverse teams and engagements.
Initiate and lead open conversations with teams, clients and stakeholders to build trust.
Uphold the firm's code of ethics and business conduct.
Job Requirements and Preferences: Basic Qualifications: Minimum Degree Required: Bachelor Degree Additional Educational Requirements: .
Minimum Years of Experience: 7 year(s) Preferred Qualifications: Degree Preferred: Master of Business Administration Preferred Fields of Study: Health Administration, Business Administration/Management Preferred Knowledge/Skills: Demonstrates intimate level abilities and/or a proven record of success with Government Programs Experience regarding Medicare Advantage and Medicaid program requirements, such as: Experience with Stars (e.
g.
, CAHPS, HEDIS) programs and methodologies; Experience with quality programs; Program compliance, risk and regulatory compliance; Familiar with provider and member engagement strategies; Understanding of key enterprise capabilities that drive Stars performance; Program implementation, product/market expansion and growth; Business Development - growing existing clients and developing new clients within the Payor sector; and, Payer industry market trends and industry-leading practices in order to develop insights and provide recommendations.
Demonstrates intimate level abilities and/or a proven record of success with leadership, strategic and creative thinking, problem solving, individual initiative, as well as the following abilities: Leading teams to generate a vision and creating an atmosphere of trust, leveraging diverse views and encouraging improvement and innovation; Building productive and collaborative relationships with team members and proactively providing and seeking guidance, clarification and feedback; Leading a team to a successful project conclusion through problem solving complex operations issues; Managing the planning, organizing and delivery of operations tasks and projects; Overseeing independent analyses and ensuring the quality of client deliverables; Leading the development and improvement of various frameworks and methodologies within operations; Identifying and addressing client needs: building, maintaining, and utilizing networks of client relationships; Communicating cogently in an organized and knowledgeable manner in written and verbal formats; and, Leveraging quantitative analyses to construct analytical frameworks and synthesize complex data into meaningful insights.
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.
For positions in California, Colorado, Hawaii, Nevada, New York State, or Washington State, or for opportunities that will report to a supervisor, office or other work site in New York State, please visit the following link for pay range information: https://pwc.
to/payrange-v1-advisoryseniormanager