Epic Payer Platform, Senior Associate

PricewaterhouseCoopers•Boston, MA

About The Position

As an Epic Payer Platform Senior Associate in PwC’s Advisory practice, you will support healthcare payer platform work, using Epic consulting knowledge to help clients modernize core systems, improve operating performance, and strengthen member-facing experiences. You will analyze complex issues, manage assigned workstreams, build client connections, and guide junior team members, applying critical thinking and professional judgment to advance deliverables. The role contributes to efforts across claims, reimbursement, care and utilization management, digital experience, and platform execution. It offers exposure to Oracle OHI, Epic, Facets, and Nasco in support of payer modernization goals. Travel requirements are up to 80%.

Requirements

At least a Bachelor's degree.
At least 4 years of experience.

Nice To Haves

Preference for a Master's or Master of Business Administration degree.
Experience supporting payer platform modernization using Epic Software.
Understanding of healthcare technology and health information systems.
Experience analyzing claims, reimbursement, or care management operations.
Familiarity with digital transformation in health services environments.
Developing client relationships while guiding junior team members.

Responsibilities

Analyze payer platform requirements and translate them into Epic-enabled workflow recommendations.
Support client workstreams focused on payer modernization, claims operations, and platform execution.
Gather and interpret business and technical inputs to inform process improvement and implementation decisions.
Apply Epic software knowledge alongside electronic health record and health information system concepts to support solution delivery.
Review current-state operations and identify opportunities to streamline member, provider, and administrative processes.
Develop deliverables reflecting healthcare technology, digital transformation, and operational improvement priorities.
Use analytical reasoning and business analysis methods to organize issues, track dependencies, and resolve workstream gaps.
Contribute to client stakeholder discussions by clarifying requirements, documenting decisions, and advancing next steps.
Mentor junior team members on task execution, work planning, and structured problem solving.
Monitor work product for consistency with project goals, delivery timelines, and firm methodologies.