Payer STARS/Quality Clinical Consultant, Senior Manager

PricewaterhouseCoopers•Boston, MA

2d•Remote

About The Position

As a Payer STARS/Quality Clinical Consultant, Senior Manager, you will engage with clients in the health services sector, providing strategic guidance and operational consulting to enhance their clinical quality and performance metrics. Within our Management Consulting practice, you will leverage your skills to drive impactful solutions that align with industry trends and client needs. As a Senior Manager, you will lead large projects, innovate processes, and maintain operational excellence while interacting with clients at a strategic level to drive project success. You will apply sound judgment and communicate effectively, developing high-performing, diverse, and inclusive teams that contribute to the overall success of the firm. In this role, you will focus on delivering quality results through strategic advising and problem-solving, motivating and coaching teams to tackle complex challenges. You will deepen your professional skills, staying relevant in the evolving health industries landscape, and initiate open and honest coaching conversations at all levels. Your commitment to excellence and ability to navigate ambiguity will be crucial in crafting and conveying clear, impactful messages that tell a holistic story. This opportunity allows you to validate outcomes with clients, share alternative perspectives, and act on client feedback, driving continuous improvement and innovation.

Requirements

At least a Bachelor's degree
At least 6 years of experience

Nice To Haves

Demonstrating advanced skills in business data analytics and transformation
Leading operational excellence initiatives within health services
Innovating processes for payer modernization projects
Utilizing Epic Software and Systems for healthcare operations
Excelling in strategic questioning and stakeholder engagement
Developing high-performing teams through effective coaching and feedback
Applying analytical thinking to drive operational performance management

Responsibilities

Leading strategic initiatives to enhance operational performance within health services
Driving business transformation projects with a focus on payer modernization
Utilizing analytical thinking to develop and implement quality standards in clinical consulting
Managing stakeholder engagement to foster collaborative client relationships
Overseeing process improvement efforts to optimize operational effectiveness
Implementing business performance metrics to track and improve service delivery models
Coordinating logistics management to streamline operations processes
Applying change management techniques to support organizational transformation
Facilitating coaching and feedback sessions to develop high-performing teams
Conducting market research to inform strategic decision-making and innovation