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Payer Platform Delivery Lead, Director

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PRICE WATERHOUSE COOPERS

Toledo, OH (In Person)

$282,500 Salary, Full-Time

Posted 6 weeks ago (Updated 4 weeks ago) • Actively hiring

Expires 5/27/2026

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Job Description

Payer Platform Delivery Lead, Director Toledo, OH Job Details $155,000 - $410,000 a year 1 day ago Benefits Paid holidays Health insurance Dental insurance 401(k) Vision insurance Qualifications Computer science Managerial strategic planning Strategic management Customer relationship building Reputation management Medicare Computer Science Operations management Market analysis Business development within consulting Healthcare Administration Identifying new business opportunities Gap analysis Scalable systems Improving operational efficiency Master's degree Change management SQL Client services experience within consulting industry Team development Solution architecture design Bachelor's degree Public Health Continuous improvement Decision making Product management Mentoring Data analytics Management consulting Master's degree in public health Scalability Master's degree in computer science Master's degree in healthcare administration Business requirements Senior level Cross-functional collaboration Project leadership Leadership Team motivation (leadership skill) Technical Proficiency Python Cross-functional communication Consulting firm experience Senior leadership 10 years Database software proficiency Full Job Description At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse 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 optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements. Translating the vision, you set the tone, and inspire others to follow. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of PwC's reputation, understanding that quality, integrity, inclusion and a commercial mindset are all foundational to our success. You create a healthy working environment while maximising client satisfaction. You cultivate the potential in others and actively team across the PwC Network, understanding tradeoffs, and leveraging our collective strength. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Lead in line with our values and brand. Develop new ideas, solutions, and structures; drive thought leadership. Solve problems by exploring multiple angles and using creativity, encouraging others to do the same. Balance long-term, short-term, detail-oriented, and big picture thinking. Make strategic choices and drive change by addressing system-level enablers. Promote technological advances, creating an environment where people and technology thrive together. Identify gaps in the market and convert opportunities to success for the Firm. Adhere to and enforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance) the Firm's code of conduct, and independence requirements. The Opportunity As part of the Operations Consulting team you will lead the strategy, development, and continuous improvement of a scalable healthcare analytics platform serving payer clients. As a Director you will set the strategic direction, drive business growth, and maintain impactful executive-level client relations while mentoring the next generation of leaders. This role offers a unique chance to shape the future of healthcare analytics, making sure that our platform not only meets but surpasses client expectations through innovative solutions and a commitment to excellence. Responsibilities Mentor and develop future leaders within the team Confirm the platform meets reliable standards of reliability and performance Oversee the technical architecture and roadmap for analytics capabilities Work with cross-functional teams to implement leading practices What You Must Have Bachelor's Degree At least 10 years of experience in healthcare data analytics What Sets You Apart Master's Degree in Health Administration, Computer Science, Public Health preferred Experience in management consulting or professional services Familiarity with Blues plan operations and Medicaid/Medicare analytics Background in defining clinical quality metrics and care gaps Experience in analytics for performance measurement in care contracting Proficiency in building scalable healthcare analytics platforms Demonstrated ability in leading data science and engineering teams Actively engaging in business development and client collaboration Possessing a proven command of health plan clinical and operational data Proficiency in Python, SQL, and modern data stack tools Demonstrating a proven track record as a product owner or technical product lead The salary range for this position is: $155,000 - $410,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. 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: https://pwc.to/H-1B-Lottery-Policy. Learn more about how we work: https://pwc.to/how-we-work For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. 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: https://pwc.to/us-application-deadlines

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