Senior Manager, Payer Middle Office / Technology / Operations Consultant

PwC

. Advise health payer clients on modernizing operations and platforms across core systems and customer-facing functions .

Posted 11/10/2026full-timeUnited StatesSenior💰 $124,000 - $280,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in advising health payer clients on operational modernization and technology execution, with a strong focus on process improvement and performance metrics analysis. Proven ability to lead transformation programs and communicate strategic recommendations to senior stakeholders.

Highest-signal resume keywords

Health Payer Operations ConsultingTransformation Program LeadershipOperational ExcellencePerformance Metric AnalysisStakeholder Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Process ImprovementData AnalysisWorkflow AnalysisOperating Model DevelopmentTechnology Integration

Soft Skills

CoachingIssue ResolutionClient Engagement

Tools & Technologies

Oracle OHIEpicFacetsNasco

Industry Keywords

Health ServicesOperations StrategyBusiness Performance MetricsMiddle Office IntegrationRisk Management

Tech Stack

Tools & technologies

Oracle

About the role

Key responsibilities & impact

Advise health payer clients on modernizing operations and platforms across core systems and customer-facing functions
Lead large projects and client engagements connecting operations strategy, process design, and technology execution
Manage workstreams focused on transformation of payer platforms such as Oracle OHI, Epic, Facets, and Nasco
Develop current-state and future-state operating models for payer front and middle office functions
Analyze workflows, identify performance gaps, and redesign operating procedures
Coordinate stakeholders across business, technology, and risk groups
Apply business performance metrics and data analysis to evaluate operating effectiveness and inform recommendations
Coach teams through complex project tasks and support issue resolution across multiple workstreams
Shape client-facing solutions, share market insights, and present ideas to senior decision makers

Requirements

What you’ll need

At least a Bachelor's degree
At least 78 years of experience
Preference for study in 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, or Risk Management/Insurance
Prior consulting experience across payer operations or technology modernization
Experience leading client-facing transformation programs within health services
Experience applying operational excellence, process improvement, and performance metric analysis
Experience navigating technology, operations, and middle office integration in complex settings
Ability to communicate strategic recommendations to senior stakeholders
Willingness to travel up to 80%
Must not require PwC sponsorship through the H-1B lottery, except as set forth in PwC's policy

Benefits

Comp & perks

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