Director, Health Payer Operations
New York , New York
February 23, 2017
PwC/LOS Overview
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PwC Advisory helps our clients with their most challenging imperatives from strategy through execution. We combine the breadth of knowledge of over 48,000 global professionals with deep industry knowledge to deliver custom solutions for our clients. We work with the world's largest and most complex companies and understand the unique business issues and opportunities our clients face.

Job Description
Healthcare is a transforming industry due to legislative and regulatory demands, technology challenges, and societal trends. Our growing Health Industries Advisory team provides strategy, management, technology and risk consulting services to help healthcare institutions around the world to anticipate and address their most complex business challenges.

Our practitioners are supported by a dedicated health research unit, which is managed by a physician partner and provides our clients with cutting-edge intelligence, perspective, and analysis on issues transforming the health industry. Our professionals have deep health industry expertise and include physicians, nurses, system specialists, health policy analysts, actuaries, financial advisors, and data analysts. The Health Industries Advisory team includes the following sectors: Health Services
- Payer/Provider, Pharmaceuticals and Life Sciences
- Suppliers and Innovators/New Entrants.

Our Strategy consultants help clients optimize their business.

This high performing team helps with strategy growth and development, strategy transformation, analytics and strategic decision making, M&A strategy, and commercial and market due diligence.

Position/Program Requirements
Minimum Years of Experience: 7

Minimum Degree Required: Bachelor's degree

Degree(s) Preferred: Master's degree or Doctorate

Knowledge Preferred:
Demonstrates proven expertise of the business strategy consulting field with experience acquired at large, global, complex organizations, and/or successful, fast-growing innovators.
Demonstrates proven extensive consulting

expertise in core, enterprise-wide business issues from achieving rapid growth to defining a path to cost leadership, while achieving it through an effective management of


strategic risk elements. This includes extensive knowledge in one or more of the following specific focus areas:
-Corporate and Business Unit Strategy: Strategic Planning and Portfolio Management;
-Innovation Strategy: Market Entry, Business Design, Growth and

Social Strategies;

Strategy: All front-end of Merger and Acquisition Strategy, including, but not limited to

Inorganic Growth Strategy, Corporate Development/Venturing,

Target Identification and Prioritization, and Commercial Due Diligence;
-Enterprise Profitability: Cost Leadership Strategy, ROI Improvement, Ruthless Competitor Strategy.
Consulting experience with a top tier strategy consulting firm.

Skills Preferred:
Demonstrates proven expert-level ability to engage successfully in complex, broad and often ill-defined business issues through deep understanding of both the particular enterprise and industry-specific issues.
Demonstrates proven expert-level ability and success to begin with a strong vision, and lead a team to a successful conclusion through problem solving global,

enterprise-wide strategy issues, with a clear line of sight to implementation activities.
Demonstrates proven expert-level ability and success to deliver impact to the client through effective listening and strong personal leadership that inspires the rest of the team, fosters productive teamwork, help develop and grow team members throughout the course of the engagement while developing lasting client relationships.
Demonstrates proven expert-level abilities in thought leadership, new business development in the strategy field, including client lead generation, maturation, proposal development, and close.
Proven expert-level abilities and track record of managing and delivering significant business results through delivering strategic insights on the ability of a business to sustain growth and profit and assessing transformational improvements across operational settings while utilizing strategic and creative thinking, individual initiative and the following skills:
-Developing a business vision and leading complex projects while functioning as a trusted advisor at the highest levels of client organizations;

and addressing client needs: build, maintain, and utilize networks of client relationships; manage resource requirements, project workflow and budgets;
-Communicating effectively in written and verbal formats to various audiences with the effective use of compelling visuals;
-Conducting and directing a broad range quantitative and qualitative research, applying the full suite of both primary and secondary analytical approaches from operational benchmarking to strategic voice of the customer.

Key platform/solution vendor experiences should include some of the following: TriZetto Facets / QNXT, HealthEdge, ika, DST, in addition to major BPO and TPA vendors in this space

A little about us:
PwC is a network of firms in 157 countries with more than 184,000 people committed to delivering quality in assurance, tax and advisory services.

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