Director, Payer Healthcare Data Scientist

PwC

. Lead data science efforts within PwC's Advisory practice, focusing on payer modernization work .

Posted 10/22/2026full-timeUnited StatesLead💰 $155,000 - $410,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data science and analytics within healthcare payer environments, focusing on payer modernization and operational transformation. Proficient in predictive modeling, statistical analysis, and translating data insights into actionable executive recommendations.

Highest-signal resume keywords

Payer Modernization AnalyticsPredictive ModelingStatistical AnalysisData-Driven Decision MakingClient Relationship Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Advanced Analytic MethodsData SynthesisOperational Performance MetricsBusiness Data AnalyticsScenario-Based Insights

Soft Skills

Clear CommunicationTeam LeadershipChange Management

Tools & Technologies

Oracle OHIEpicFacetsNasco

Industry Keywords

Healthcare Payer DataClaims ManagementCare ManagementDigital ExperienceOperational Process Improvement

Tech Stack

Tools & technologies

Oracle

About the role

Key responsibilities & impact

Lead data science efforts within PwC's Advisory practice, focusing on payer modernization work
Set direction for multiple work streams and shape executive client relationships
Drive business growth and guide teams in using data, technology, and industry insight
Apply advanced analytic methods to healthcare payer data
Translate business questions into data-driven approaches
Present findings supporting decisions across claims, care management, digital experience, and operating model transformation
Identify market needs and develop thought leadership
Contribute to delivery quality across Payer Modernisation engagements
Lead payer modernization data science initiatives informing strategy, improving operations, and supporting client growth
Develop predictive models, statistical analyses, and scenario-based insights
Synthesize claims, reimbursement, utilization management, and customer experience data into actionable findings
Present findings and recommendations to executive client leaders through data narratives and visual storytelling
Oversee multiple analytical workstreams across core systems, front office, middle office, and operational process improvement
Guide technical teams using payer platforms such as Oracle OHI, Epic, Facets, and Nasco
Apply operations strategy, process optimization, and business performance metrics
Collaborate across strategy, technology, and risk functions on transformation roadmaps and implementation planning
Advise on data quality, analytical methods, and responsible use of AI in healthcare payer environments

Requirements

What you’ll need

At least a Bachelor's degree
At least 10 years of experience
Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance
Demonstrating payer modernization analytics within health services settings
Applying business data analytics to operational transformation initiatives
Using predictive modeling and statistical methods for payer decisions
Translating data insights into executive recommendations and action
Guiding cross-functional teams through change and process improvement
Communicating findings clearly to clients and leadership teams
Up to 80% travel
Must not require, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within PwC policy

Benefits

Comp & perks

Annual discretionary bonus
Medical insurance
Dental insurance
Vision insurance
401k
Holiday pay
Vacation
Personal and family sick leave