Operations Consultant, Senior Associate

PwC•Tampa, FL

6d•$77,000 - $202,000

About The Position

As a Senior Associate in PwC’s Advisory practice, this role supports healthcare payer clients modernizing back-office operations, core technology, and operating models. The work spans claims, reimbursement, government program support, digital experience, and customer-facing functions. The consultant analyzes complex problems, manages assigned workstreams, builds client relationships, and guides junior team members, applying critical thinking, professional judgment, and business context to deliver against project goals. The role contributes to strategy, technology, and operations engagements 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.

Requirements

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

Nice To Haves

Preference for a field of study such as 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 to develop 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 junior team members’ work and provide feedback to refine analyses and deliverables.
Contribute to solution development for health services organizations using payer modernization, operations strategy, and technology insights.