Talent.com
Strategy& Health Services - Payor/Provider, Manager
Strategy& Health Services - Payor/Provider, ManagerPricewaterhouseCoopers Advisory Services LLC • St. Louis,MO
Strategy& Health Services - Payor/Provider, Manager

Strategy& Health Services - Payor/Provider, Manager

PricewaterhouseCoopers Advisory Services LLC • St. Louis,MO
30+ days ago
Job type
  • Full-time
Job description

Description

& SummaryA career within Corporate and Business Strategy services, will provide you with the opportunity to help our clients solve their toughest problems and seize essential advantages by defining and evaluating strategies of all types. We analyse business and market trends to explore new approaches that help our clients make tough choices and surpass the competition. At both the business unit and corporate level, we help organisations with organic enterprise growth, pricing and profitability, shareholder value, and sustainable corporate strategies.

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, 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:

  • 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.
Job Requirements and Preferences :

Basic Qualifications :

Minimum Degree Required :
Bachelor Degree

Minimum Years of Experience :
5 year(s) experience

Preferred Qualifications :

Degree Preferred :
Master of Business Administration

Preferred Knowledge/Skills :

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.

Travel Requirements

Up to 60%

Job Posting End Date

Learn more about 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: .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.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: The salary range for this position is: $100,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's 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:
Create a job alert for this search

Strategy Health Services PayorProvider Manager • St. Louis,MO

Similar jobs
Payer STARS/Quality Clinical Consultant, Senior Manager

Payer STARS/Quality Clinical Consultant, Senior Manager

PwC • St Louis, MO, United States
Full-time
At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness.These individuals analyse client needs, develop operat...Show more
Last updated: 30+ days ago • Promoted
Program Manager with Healthcare

Program Manager with Healthcare

Brillio • Saint Louis, Missouri, United States
Full-time
Brillio is one of the fastest growing digital technology service providers and a partner of choice for many Fortune 1000 companies seeking to turn disruption into a competitive advantage through in...Show more
Last updated: 2 days ago • Promoted
Specialist - Payors

Specialist - Payors

McKinsey & Company • St Louis, MO, United States
Full-time
Do you want to work on complex and pressing challenges-the kind that bring together curious, ambitious, and determined leaders who strive to become better every day?.If this sounds like you, you've...Show more
Last updated: 4 days ago • Promoted
Remote Transitions of Care RN & Health Coach

Remote Transitions of Care RN & Health Coach

Elevance Health • Saint Louis, MO, United States
Remote
Full-time
A leading health company is looking for a Transitions of Care RN- Carebridge to participate in patient education and health management interventions.This role offers the flexibility of virtual work...Show more
Last updated: 10 days ago • Promoted
Senior Talent Acquisition Specialist - Healthcare Focus

Senior Talent Acquisition Specialist - Healthcare Focus

MLee Medical Employment • St Louis, MO, United States
Permanent
Experience a New Height in Healthcare Recruiting.At MLR, our mission is simple yet profound: to transform healthcare recruiting through innovative technology and a personal touch.We stand on a lega...Show more
Last updated: 4 days ago • Promoted
Senior Talent Acquisition Specialist - Healthcare Focus

Senior Talent Acquisition Specialist - Healthcare Focus

MLee Healthcare Staffing and Recruiting, Inc • St Louis, MO, United States
Permanent
Experience a New Height in Healthcare Recruiting.At MLR, our mission is simple yet profound: to transform healthcare recruiting through innovative technology and a personal touch.We stand on a lega...Show more
Last updated: 5 days ago • Promoted
Finance Manager, Product Development

Finance Manager, Product Development

Marvin • St. Louis, MO, US
Full-time
The Finance Manager will use proven expertise in financial analytics, forecasting, and insights to support Marvin’s business strategy.This position will be responsible for supporting the need for f...Show more
Last updated: 30+ days ago • Promoted
HR BP CS Cust Product Pod NA

HR BP CS Cust Product Pod NA

Bayer • St Louis, MO, United States
Full-time
At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where 'Health for all Hunger for none' is no longer a dream, but a real possibility.We're doing ...Show more
Last updated: 5 days ago • Promoted
Director of Provider Recruitment and Retentio

Director of Provider Recruitment and Retentio

So IL Health Care Foundation • Sauget, IL, United States
Full-time
VISION, MISSION, PLEDGE & VALUES:.Every employee of SIHF Healthcare is expected to uphold our vision, mission, and values.Our actions will reflect our values of Compassion, Diversity/Inclusivity, E...Show more
Last updated: 13 hours ago • Promoted • New!
Travel Physical Therapist (PT) - $1,783 to $1,932 per week in Columbia, IL

Travel Physical Therapist (PT) - $1,783 to $1,932 per week in Columbia, IL

AlliedTravelCareers • Columbia, IL, US
Full-time
AlliedTravelCareers is working with Host Healthcare to find a qualified Physical Therapist (PT) in Columbia, Illinois, 62236!.Host Healthcare is an award-winning travel healthcare company with an i...Show more
Last updated: 2 days ago • Promoted
Clinical Director (Board Certified Behavior Analyst)

Clinical Director (Board Certified Behavior Analyst)

Protouch Staffing • Bridgeton, MO, United States
Full-time
Board Certified Behavior Analyst (BCBA).Location: Bridgeton, MO (ASAP).Location: Saint Peters, MO (Slated to open in May).Job Type: Full-Time Monday through Friday (8:15-4:45).Pay Range: $75,000 - ...Show more
Last updated: 5 days ago • Promoted
Channel Strategy Manager

Channel Strategy Manager

Tech Electronics • St. Louis, MO, USA
Full-time
Quick Apply
We provide systems and services that help our customers work smarter, feel safer, and collaborate more effectively.Tech Electronics is a technology services organization headquartered in St.Louis, ...Show more
Last updated: 30+ days ago
RN - Behavioral Health

RN - Behavioral Health

SSM Health • Bridgeton, Missouri, US
Full-time
It's more than a career, it's a calling.MO-SSM Health DePaul Hospital - St.Behavioral Health opportunities available in Adult (Days) and Child & Adolescent units.Apply fast, check the full descript...Show more
Last updated: 8 hours ago • Promoted • New!
Lead BCBA | Hope Therapeutic Services - St. Louis, MO

Lead BCBA | Hope Therapeutic Services - St. Louis, MO

HOPE • St Louis, MO, United States
Full-time
Lead Board Certified Behavior Analyst - Hope Therapeutic Services.Pay = starting at $85,000-$95,000 annually (based on experience).Job Summary: The Lead BCBA is responsible for the ethical and evid...Show more
Last updated: 2 days ago • Promoted
Donation Manager For A Nonprofit......

Donation Manager For A Nonprofit......

Highway To Destiny • St Louis, MO, United States
Full-time
We provide hygiene items, food, clothing and other resources for them.We are currently seeking a Donation Manager to be in charge of our in-kind donations.This individual will be responsible for st...Show more
Last updated: 3 days ago • Promoted
Regional Healthcare CFO: Strategy, Growth & Governance

Regional Healthcare CFO: Strategy, Growth & Governance

Rudish Health Solutions, LLC • St. Louis, MO, United States
Full-time
A healthcare solutions provider in St.Louis seeks a financial leader to develop financial strategies supporting their academic health system.Responsibilities include leading financial operations ac...Show more
Last updated: 12 days ago • Promoted
CT Technologist - PRN

CT Technologist - PRN

BJC HealthCare • Alton, IL, US
Full-time
Additional Information About the Role.Newly Approved Increased Compensation Package Now Available!.BJC HealthCare is now hiring a.Alton Memorial Hospital location.Alton, Illinois, and the surroundi...Show more
Last updated: 30+ days ago • Promoted
RN-Specialty - Pain Management/PRN - Mercy Jefferson

RN-Specialty - Pain Management/PRN - Mercy Jefferson

Mercy • Festus, MO, US
Part-time
Provides professional nursing care to patients within the medical practice in support of, and as directed by, the physicians.Assists the physician in the treatment of patients and completes related...Show more
Last updated: 29 days ago • Promoted