Payer Office Strategy, Technology, Operations Consultant, Manager

PwC

Operations consulting Manager at PwC leading team development, client service accounts, and operational strategy creation. Focused on solving complex problems and inspiring teams for exceptional deliverables.

Posted 4/11/2026full-timeBoston • Florida, Massachusetts, North Carolina • 🇺🇸 United StatesMid-LevelSenior💰 $99,000 - $232,000 per yearWebsite

About the role

Key responsibilities & impact

Supervise, develop, and coach teams to achieve client goals
Manage client service accounts and engagement workstreams
Create and implement impactful operational strategies
Solve complex problems to develop exceptional deliverables
Utilize autonomous decision-making and professional skepticism
Cultivate meaningful client relationships
Inspire teams and navigate ambiguity
Facilitate meaningful dialogue between different perspectives

Requirements

What you’ll need

Bachelor's Degree
5 years of experience
Master's Degree preferred
Proven record of success as a team leader
Experience in payer back office operations
Specialization in claims, enrollment, billing, and membership
Familiarity with technology solutions enabling these functions
Experience with transaction lifecycles and Healthcare/Payer Services
Knowledge of COTS platforms including TriZetto Facets/QNXT
Experience with Operations and administration of Healthcare/Payer
Proficiency in data and systems interactions

Benefits

Comp & perks

medical
dental
vision
401k
holiday pay
vacation
personal and family sick leave
annual discretionary bonus

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

payer back office operationsclaimsenrollmentbillingmembershiptransaction lifecyclesdata interactionssystems interactions

Soft Skills

team leadershipclient relationship managementproblem solvingoperational strategy developmentautonomous decision-makingprofessional skepticisminspirationnavigating ambiguityfacilitating dialogue

Certifications

Bachelor's DegreeMaster's Degree