Jobs in the United States

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Added 1 min ago
CO
Finance Director
City of San Rafael
San Rafael, CA
- $206,760 to $251,316 USD / year
The Finance Director safeguards the City of San Rafael's fiscal health by providing strategic, transparent, and responsible stewardship of public resources. Through sound financial…
Added 1 min ago
CO
Risk Manager
City of San Rafael
San Rafael, CA
- $146,508 to $178,080 USD / year
Are you ready to take the lead in safeguarding a dynamic city’s future? We’re seeking a skilled and proactive Risk Manager to administer, manage, and direct The City of San Rafael’s…
Added 1 min ago
Key Account Manager
Advanced Innovative Technology Corp
Memphis, TN
The Key Account Manager (KAM) is responsible for developing and executing strategic business plans to drive profitable revenue growth, strengthen customer relationships, and expand market…
Added 1 min ago
VC
Construction Operations Director
Verde Clean
Eagle Mountain, UT
- $90,000 to $100,000 USD / year
OSHA 30-Hour Construction certification required; OSHA 511 required or must be completed within 90 days of hire with Verde sponsorship
Added 3 mins ago
Senior Vice President, Government Engagement, LAC
Visa International Service Association
Miami, FL
Visa requires at least 3 days in office, expectations of these days will be confirmed by your Hiring Manager
Added 5 mins ago
Wireless Sales Manager - W2420
OSL Retail Services Inc
BELLE VERNON, PA
…the nation - and we're looking for an exceptional Wireless Manager like you! As a crucial part of our team, you will spearhead operations at your location, ensuring the seamless delivery of…
Added 5 mins ago
Wireless Sales Manager - W5040
OSL Retail Services Inc
CARNEGIE, PA
…the nation - and we're looking for an exceptional Wireless Manager like you! As a crucial part of our team, you will spearhead operations at your location, ensuring the seamless delivery of…
Added 6 mins ago
RI
Benefits Manager
Radwell International
Willingboro, NJ
- $85,000 to $120,000 USD / year
The Benefits Manager is responsible for the strategic administration, compliance, optimization, and overall management of Radwell's employee benefits programs. This role provides leadership…
Added 6 mins ago
Manager, Grant Operations
Northbay
Fairfield, CA
At NorthBay Health, the Grant Operations Manager provides centralized oversight and coordination of post-award grant activities across NorthBay Health, ensuring awarded funds are…
Added 8 mins ago
Manager Marketing | Colton House Hotel, Austin, TX
Columbia Hospitality Inc
Austin, TX
Columbia Hospitality, Inc. is seeking a Marketing Manager at Colton House Hotel and Rock Creek Resort. With a focus on fostering a dynamic environment, the ideal candidate will bring 5+…
Added 8 mins ago
Manager Marketing | Rock Creek Resort, Red Lodge, MT
Columbia Hospitality Inc
Red Lodge, MT
Columbia Hospitality, Inc. is seeking a Marketing Manager at Colton House Hotel and Rock Creek Resort. With a focus on fostering a dynamic environment, the ideal candidate will bring 5+…
Added 12 mins ago
SLCM-N TEST MANAGER
Strategic Systems Programs Office
Washington Navy Yard, DC
Added 12 mins ago
Director, Local Study Operations Manager
Amgen
Washington D.C., DC
Build leadership capability within the LSOM organization through targeted coaching, development, and succession planning, preparing LSOMs to lead increasingly complex trials and programs.
Added 12 mins ago
Technology Demand Admin-Staff or Senior
Intermountain Health
Washington, DC
…Technology Services (DTS) project portfolio is aligned with the strategic objectives, priorities, and resources of the business. The role is responsible for developing demands into…
Added 12 mins ago
AI Native Cloud and Platform Architect - Senior Manager
EY
Washington, DC
To qualify you must have
Added 12 mins ago
O
Strategic Planning and Organization Program Manager
Oracle
Washington, DC
- $91,000 to $209,500 USD / year
Oracle Research Services is seeking a Strategic Planning and Organization Program Manager to support the Group Vice President. In this role, you will help translate leadership priorities…
Added 12 mins ago
Senior Lead Marketing Manager
Lumen
Washington, DC
The Senior Lead Marketing Manager will shape scalable, integrated marketing programs that translate business priorities, sales goals, and pipeline needs into measurable growth. Operating at…
Added 13 mins ago
AT
Technical Program Manager II
Akamai Technologies, Inc.
Washington, DC
- $100,700 to $181,300 USD / year
As a Technical Program Manager II, you will have end-to-end accountability for the delivery of assigned projects and programs. You will lead complex, cross-functional initiatives from…
Added 13 mins ago
Payer Middle Office / Technology / Operations Consultant, Senior Manager
PwC
Washington, DC
What You Must Have
Added 13 mins ago
Senior Capital Program Manager, Design & Configuration Management
Washington Metropolitan Area Transit Authority
Washington, DC
Lead the programs that shape the future of Metro's infrastructure. As the Senior Capital Program Manager for the Design & Configuration Management team, you will oversee a critical…
Added 13 mins ago
Workforce Planning Program Leader
Eleven Inc
SSC Irving, TX
The Workforce Planning Program Manager leads key programs, governance processes, and system-enabled practices that support enterprise workforce planning across Field and Store Support…
Added 13 mins ago
VA&AE Strategic Business and Operations Manager
Ford
Dearborn, MI · Dearborn
This position is hybrid with a requirement to be onsite four or more days per week
Added 15 mins ago
Assistant Store Manager
AT&T Mobility Services LLC
Remote, United States
Support the Store Manager in daily operations, driving sales, ensuring exceptional customer service, and optimizing operational efficiency to achieve the store’s performance goals.
Added 15 mins ago
Assistant Store Manager
AT&T Mobility Services LLC
Remote, United States
Take the lead at the center of where it all happens – our retail stores. With your retail knowledge and leadership abilities, you’ll help oversee store operations, manage and develop a team…
Added 16 mins ago
Vice President, Program Manager – Delegated Authority
US HoldCo
NY
Lead underwriting due diligence for prospective managing general agents, program administrators, and other delegated partners, evaluating underwriting capabilities, controls, data quality,…

PwC

Payer Middle Office / Technology / Operations Consultant, Senior Manager

Washington, DC, United States

The salary range for this position is: $124,000 - $280,000.

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Job details

Pay: The salary range for this position is: $124,000 - $280,000.
Experience: At least 78 years of experience
Posting language: English
Posted: Nov 11, 2026

Original job description

The Opportunity

As a Payer Middle Office / Technology / Operations Consultant you will advise health payer clients on modernizing operations and platforms across core systems and customer-facing functions, within our Advisory practice. As a Senior Manager you will lead large projects, shape process improvements, apply sound judgment in complex settings, and guide diverse teams through change while drawing on your knowledge of business and supply chain operations, payer modernization, and health services.

In this role at PwC, you will help drive work across payer core operations, payer core technology, and front and middle office operations, with focus areas that may include claims processing, reimbursement models, government program support, core platform execution, care and utilization management, digital experience, and customer growth. You will bring a client-facing perspective to work that connects strategy, technology, and operations, with exposure to platforms such as Oracle OHI, Epic, Facets, and Nasco.

Responsibilities

Advising payer clients on modernization of middle office operations, core technology, and operating models across claims, reimbursement, care management, and customer service functions
Leading large client engagements that connect operations strategy, process design, and technology execution to improve efficiency, cost control, and member experience
Managing workstreams focused on platform transformation across payer systems such as Oracle OHI, Epic, Facets, and Nasco
Developing current-state and future-state operating models for payer front and middle office functions, with attention to service delivery, controls, and scalability
Guiding process improvement efforts by analyzing workflows, identifying performance gaps, and redesigning operating procedures
Coordinating stakeholder discussions across business, technology, and risk groups to align priorities and resolve issues affecting delivery
Applying business performance metrics and data analysis to evaluate operating effectiveness, track progress, and inform recommendations
Coaching teams through complex project tasks, setting clear expectations, and supporting issue resolution across multiple workstreams
Contributing to firm growth by shaping client-facing solutions, sharing market insights, and presenting ideas to senior decision makers

What You Must Have

At least a Bachelor's degree
At least 78 years of experience

What Sets You Apart

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
Bringing prior consulting experience across payer operations or technology modernization
Demonstrating experience leading client-facing transformation programs within health services
Applying operational excellence, process improvement, and performance metric analysis
Navigating technology, operations, and middle office integration in complex settings
Communicating strategic recommendations to senior stakeholders with clarity and confidence

The salary range for this position is: $124,000 - $280,000. 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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More about this job

Skills

Business knowledge
Supply chain management
Claims processing
Oracle
EPIC
Customer service
Design process
Process improvement
Data analysis
Coaching
Actuarial science
Computer science
Statistics
Risk management
Employment law

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Work requirements

Jobs in the United States