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PwC · 2 days ago

Strategy& Health Services - Payor/Provider, Manager

St Louis, MO

Contract

Hybrid

Mid, Senior Level

$99K/yr - $232K/yr

5+ years exp

PwC is a leading professional services firm that provides Corporate and Business Strategy services. The role of Manager involves solving complex business issues, developing recommendations, and coaching team members while ensuring effective collaboration to meet client expectations.

AccountingBusiness DevelopmentConsultingFinanceFinancial ServicesTax Consulting

No H1B

Responsibilities

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 firm's/client's 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 firm's code of ethics and business conduct

Qualification

Payor operationsClinical AnalyticsPopulation Health ManagementProject managementHealthcare product developmentMarket researchData analysisLeadershipStrategic thinkingProblem solvingCommunication skills

Required

Bachelor Degree

5 year(s) experience

Preferred

Master of Business Administration

Demonstrates extensive knowledge of and/or success in professional services or corporate roles, helping companies define and evaluate corporate and business unit strategies and investment portfolios, reflecting market, competitive and other external drivers

Demonstrates extensive leadership, strategic and creative thinking, problem solving, individual initiative, and the following abilities: Building productive and collaborative relationships with team members and proactively providing and seeking guidance, clarification and feedback; Managing a team to a successful project conclusion through problem solving global, enterprise-wide strategy issues; Building, maintaining, and utilizing networks of client relationships; Communicating cogently in an organized and knowledgeable manner in written and verbal formats; and, Conducting and managing market research and quantitative and qualitative analyses, including the timely synthesis of complex data into meaningful insights and the ability to readily grasp analytical frameworks and employ them effectively to either qualitative or quantitative evidence

Demonstrates extensive-level abilities as a team leader, emphasizing the following areas: Possessing working experience in Payor operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.) to help payors and providers manage their medical costs, quality, and experience; Possessing working experience in Clinical Analytics, Medical Economics, and/or Population Health Analytics or working in collaboration with related functions; Possessing working experience with Population Health Management technologies and approaches (e.g., high-risk user stratification tools, cost/quality/utilization trend analysis, provider performance tools); Possessing working knowledge and experience in software development, implementation, and optimization to accurately translate clinical and business requirements into engineering design documents and instructions; Possessing experience in project management and product development life cycle management specifically in healthcare product design and development to support care management and delivery workflows; Possessing understanding of global trends for health organizations utilizing pragmatic approaches to achieve sustainable financial functions, consumer experience, and operating models; Possessing experience managing and advising healthcare executive leadership or has direct experience from former position; and, Understanding Medicare Stars performance across different markets and helping to develop strategies and programs to match those needs