Operations Consultant, Senior Associate

PricewaterhouseCoopers•Boston, MA

4d•$77,000 - $202,000

About The Position

As a Payer Back Office Strategy / Technology / Operations Consultant, Senior Associate, you will support healthcare payer clients as they modernize back-office operations, core technology, and operating models across claims, reimbursement, government program support, digital experience, and customer-facing functions within PwC’s Advisory practice. You will analyze complex problems, manage assigned workstreams, build client relationships, and guide junior team members, applying critical thinking, professional judgment, and business context to deliver work aligned with project goals. You will contribute to strategy, technology, and operations efforts that help clients improve platform execution, streamline processes, and adapt operating models across payer functions and systems such as Oracle OHI, Epic, Facets, and Nasco. The role requires at least a bachelor’s degree and four years of experience. Travel requirements are up to 80%. The salary range is $77,000–$202,000, with actual compensation dependent on skills, experience, qualifications, location, and applicable employment laws. Hired individuals are eligible for an annual discretionary bonus.

Requirements

At least a bachelor’s degree.
At least 4 years of experience.

Nice To Haves

Preference for study in one or more of these fields: 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.
Payer modernization consulting experience in health services.
Experience leveraging operations strategy, process improvement, and service delivery models.
Ability to analyze business data and performance metrics for client recommendations.
Experience applying change management and stakeholder engagement across workstreams.
AI fluency, digital tooling, and learning agility in delivery.

Responsibilities

Analyze payer operations, technology, and strategy workstreams to identify process gaps and improvement opportunities.
Support transformation initiatives across claims, customer operations, core platforms, and administrative functions.
Develop deliverables that synthesize business data, operational metrics, and client input into practical recommendations.
Apply process improvement, change management, and digital tooling to streamline payer workflows and service delivery models.
Interpret operational performance trends to inform decisions on cost reduction, efficiency, and platform modernization.
Collaborate on client engagements by building trusted relationships and responding to evolving business needs.
Review work from junior team members and provide feedback to refine analyses and deliverables.
Contribute to solution development for health services organizations using payer modernization, operations strategy, and technology insights.