Payer STARS / Quality Operations Consultant, Manager

Operations Consulting Manager

At PwC, our people in operations consulting specialize in providing consulting services on optimizing operational efficiency and effectiveness. These individuals analyze client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimizing operational efficiency and effectiveness. Working in this area, you will analyze client needs, develop operational solutions, and offer recommendations tailored to specific business requirements. Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team members' unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to : analyze and identify the linkages and interactions between the component parts of an entire system; take ownership of projects, ensuring their successful planning, budgeting, execution, and completion; partner with team leadership to ensure collective ownership of quality, timelines, and deliverables; develop skills outside your comfort zone, and encourage others to do the same; effectively mentor others; use the review of work as an opportunity to deepen the expertise of team members; address conflicts or issues, engaging in difficult conversations with clients, team members, and other stakeholders, escalating where appropriate; uphold and reinforce professional and technical standards, the Firm's code of conduct, and independence requirements.

The Opportunity As part of the Operations Consulting team you are involved in solving complex business challenges by integrating business, experience, and technology perspectives. As a Manager, you lead teams to generate a vision, create an atmosphere of trust, and leverage diverse views to encourage improvement and innovation. This role involves managing client service accounts, driving client engagement workstreams, and maintaining the quality of deliverables while fostering meaningful client relationships and inspiring your team.

Responsibilities include leading teams in developing strategic solutions to complex business challenges, fostering an environment of trust and collaboration to drive innovation, managing client service accounts and overseeing client engagement workstreams, delivering top-quality deliverables and maintaining enduring client relationships, inspiring and motivating team members to reach excellence, integrating diverse perspectives to enhance business, experience, and technology solutions, utilizing a customized approach to address unique client needs, and upholding the firm's standards and contributing to global initiatives.

What You Must Have includes a Bachelor's Degree and 7 years of experience. What Sets You Apart includes a Master's Degree in Business Administration preferred, extensive knowledge of Medicare Advantage and Medicaid, proficiency in Stars programs and methodologies, proficiency in quality programs and compliance, familiarity with provider and member engagement strategies, understanding of enterprise capabilities for Stars performance, experience in program implementation and market expansion, advanced business development skills in the Payor sector, and insight into payer industry market trends and practices.