Specialist - Payors jobs in United States
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McKinsey & Company · 3 hours ago

Specialist - Payors

McKinsey & Company is a global management consulting firm that helps organizations make significant improvements in their performance. The Specialist - Payors role involves working within the Healthcare Access, Quality and Outcomes improvement domain to deliver impactful solutions for payors, focusing on improving the affordability, accessibility, and quality of healthcare.

ConsultingManagement ConsultingProfessional Services
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

You’ll work with McKinsey’s Healthcare Access, Quality and Outcomes improvement (HALO) domain as part of our Social Sector, Healthcare & Public Sector Entities (SHaPE) practice in one of our offices in North America
You will be staffed on client engagements, primarily with national and regional health plans, focused on making healthcare better, more affordable, and more accessible for all
In this role, you will deliver high-quality outputs to help guide decisions on critical business problems for our clients
These outputs could include strategies to improve affordability/accessibility/quality of healthcare, identified potential opportunity areas in medical / administrative / pharmacy costs, and development of tactical programs and implementation plans, to support execution of the strategies and initiatives you’ve helped develop
You will actively engage with front-line client teams involved in helping payors improve the quality and cost of healthcare
You will leverage your expertise to take ownership of tenure-appropriate client relationships and guide clients through appropriate syndication discussions as well as longer-term front-line implementation projects
You will also leverage your project management and client communication skills as you participate in problem-solving sessions with clients and McKinsey leadership
You will also devote time to creating new knowledge, assets and capabilities for the payor practice in partnership with Healthcare Access, Quality and Outcomes improvement (HALO) leadership

Qualification

Payment IntegrityMedical Cost OptimizationPharmacy Cost OptimizationHealthcare Ecosystem KnowledgeProblem-Solving SkillsClient Service MindsetAutomationLeadership SkillsTeam Player

Required

Bachelor's degree, advanced degree preferred
5+ years of relevant experience, including experience with at least one of the following areas: Payment Integrity including Fraud, Waste & Abuse; Medical & Pharmacy Cost Optimization; Network optimization; Administration & Operational Efficiency; Care Management; Risk Adjustment
Understanding of the healthcare ecosystem, particularly payors; knowledge of medical or administrative cost optimization is a plus
Strong problem-solving skills with the ability to process complex information
High level of entrepreneurship, professionalism and presence to succeed on the ground with clients
Client service mindset
Able to provide leadership over, and influence individuals across, multiple stakeholders from different levels and backgrounds by tailoring approach
Ability to be a strong team player in a dynamic and changing environment

Preferred

Knowledge of automation or other AI is a plus

Benefits

World-class benefits
Comprehensive benefits package

Company

McKinsey & Company

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McKinsey & Company is a global management consulting firm and trusted advisor by businesses, governments, and institutions.

H1B Sponsorship

McKinsey & Company has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (612)
2024 (647)
2023 (613)
2022 (811)
2021 (740)
2020 (471)

Funding

Current Stage
Late Stage

Leadership Team

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Guy Perry
Vice President
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Abhyuadaya Shrivastava
Partner
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Company data provided by crunchbase