Payer Healthcare Data Scientist, Manager

Posted 4 Hours Ago
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45 Locations
Hybrid
99K-232K Annually
Senior level
Artificial Intelligence • Professional Services • Business Intelligence • Consulting • Cybersecurity • Generative AI
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The Role
Leads payer healthcare data science and operations consulting initiatives, using business analytics to improve payer processes and performance. Manages teams, client relationships, project resources, strategic planning, process optimization, quality standards, and operational transformation. Coaches junior staff, promotes innovative technologies, and identifies opportunities to enhance operational excellence and business outcomes.
Summary Generated by Built In
The Opportunity
As a Payer Healthcare Data Scientist, Manager, you will play a pivotal role in transforming healthcare operations by leveraging data-driven insights to optimize payer processes. Within our Operations practice, you will be at the forefront of modernizing payer systems, working directly with clients to deliver impactful solutions that enhance efficiency and drive innovation in the health services sector. Your expertise will be instrumental in analyzing complex data sets and developing strategies that align with client goals.
As a Manager, you will lead teams and manage client accounts, focusing on strategic planning and mentoring junior staff. You are accountable for confirming project success and maintaining standards. 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.
In this role, you will collaborate with multidisciplinary teams to drive continuous improvement and innovation, confirming rigorous quality standards and fostering a culture of excellence.
Responsibilities
- Leading operations consulting workstreams focused on payer modernization within the healthcare sector
- Guiding teams in strategic planning and execution of operational transformation initiatives
- Utilizing analytical thinking and business data analytics to drive insights and improve performance metrics
- Developing and implementing process improvement strategies to enhance operational excellence
- Managing project resources and stakeholder engagement to achieve service excellence
- Building relationships with healthcare clients to identify opportunities for operational optimization
- Promoting the use of innovative technologies and leading practices across operations management teams
- Confirming quality standards implementation within operational frameworks
- Identifying opportunities for optimizing operations processes and improving business performance
What You Must Have
- At least a Bachelor's degree
- At least 6 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
- Demonstrating analytical thinking and business data analytics
- Excelling in operational performance management and process optimization
- Utilizing strategic questioning and stakeholder engagement
- Managing business transformation and operational excellence initiatives
- Implementing quality standards and process improvement strategies
- Leading operations strategy and planning operations
The salary range for this position is: $99,000 - $232,000. 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

Skills Required

  • Bachelor's degree
  • At least 6 years of experience
  • Degree or academic background in accounting, actuarial science, analytics or data science, business administration, computer science, economics, engineering, finance, health administration, mathematics or statistics, operations or supply chain, risk management, or a related field
  • Analytical thinking and business data analytics
  • Operational performance management and process optimization
  • Strategic questioning and stakeholder engagement
  • Business transformation and operational excellence initiative management
  • Quality standards and process improvement strategy implementation
  • Operations strategy and planning leadership

What the Team is Saying

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PwC Compensation & Benefits Highlights

  • Parental & Family Support — Parental and caregiving benefits are described as extensive, with paid leave for all parents, adoption/surrogacy support, backup child/elder care, and nursing‑parent resources. This breadth signals a family‑forward package that supports a wide range of life stages.
  • Healthcare Strength — Health coverage offers multiple medical plan options with pharmacy, One Medical primary care, digital physical therapy, and mental‑health resources such as Headspace, Calm, Talkspace, and EAP. The mix of preventive, primary, and specialty programs suggests strong overall coverage.
  • Retirement Support — Retirement programs include a firm‑funded Wealth Builder plan alongside a 401(k) with company matching, plus financial coaching and a student‑loan paydown program. This dual‑vehicle approach provides baseline employer funding with additional savings support.

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The Company
HQ: New York, NY
370,000 Employees
Year Founded: 1998

What We Do

Build what’s next — with tech that matters PwC provides professional services across Audit and Assurance, Advisory and Tax — powered by a global network of over 370,000 people in 149 countries. You may know us for our business expertise, but technology is core to how we help clients move faster, build trust and deliver meaningful outcomes. As a technologist, you’ll work on agile teams with experienced engineers and product thinkers — using AI, cloud, cybersecurity and more to design scalable, real-world solutions. You’ll keep learning, stay challenged and be part of a network where your growth is built in — and your work drives what’s next.

Why Work With Us

At PwC, our professionals include technologists, engineers, programmers and consultants working across AI, cloud, cybersecurity, data and more. You’ll explore innovative ways to help clients transform their business through technology—reducing complexity, unlocking value and shaping a more agile, data-driven future.

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