Regulatory Risk & Compliance - Health Industries - Payer Compliance - Senior Associate

PricewaterhouseCoopers • Dallas, NY

1d

About The Position

As a Regulatory Risk & Compliance Senior Associate in Health Industries Payer Compliance, you will help clients navigate regulatory requirements, strengthen compliance processes, and interpret payer obligations within PwC’s Risk and Compliance practice. You will analyze complex issues, manage assigned workstreams, build client relationships, and support junior team members while developing your technical skills. The role contributes to compliance strategy, control evaluation, and practical guidance for health industry payer organizations. Travel may be required up to 60%.

Requirements

• At least a bachelor's degree.
• At least 3 years of experience.

Nice To Haves

• Experience in payer compliance within health industries.
• Familiarity with regulatory risk, governance, and internal controls.
• Ability to interpret healthcare regulations and compliance requirements.
• Critical thinking when addressing complex client situations.
• Ability to use data insights to support compliance recommendations.
• Client-focused communication across diverse perspectives.
• Ability to mentor junior team members while navigating ambiguity.

Responsibilities

• Analyze payer compliance requirements and translate regulatory expectations into practical client deliverables.
• Review policies, procedures, and control activities to identify gaps and support remediation planning.
• Interpret healthcare regulatory developments and apply them to compliance strategies and operating models.
• Develop workstreams for regulatory risk, governance, and control assessments across payer environments.
• Prepare compliance summaries, issue logs, and recommendation materials for client leadership.
• Use data analysis and case review techniques to identify trends, exceptions, and potential compliance exposures.
• Support the design and maintenance of compliance programs, reporting routines, and monitoring activities.
• Collaborate across client teams to gather information, validate findings, and track action plans.
• Guide junior team members on assigned tasks, review feedback, and deliverable development.
• Build client relationships by responding to questions, anticipating needs, and communicating progress clearly.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k)
• Holiday pay
• Vacation
• Personal and family sick leave
• Annual discretionary bonus

What This Job Offers

• Job Type: Full-time
• Career Level: Senior