BSCO-Experienced Associate - Payer - Health Transformation job opportunity at PwC.

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DatePosted 23 Days Ago bot
PwC BSCO-Experienced Associate - Payer - Health Transformation
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Pattern: full-time
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degreeAssociate
loacation Bangalore, India
loacation Bangalore....India

Industry/Sector Not Applicable Specialism Operations Management Level Associate Job Description & Summary A career in our Advisory Acceleration Centre is the natural extension of PwC’s leading class global delivery capabilities. We provide premium, cost effective, high quality services that support process quality and delivery capability in support for client engagements. JOB OVERVIEW  PwC US ADVISORY – MANAGEMENT CONSULTING Our Management Consulting team works with our global clients to design and implement growth, operational and customer focused strategies for sustainable competitive advantage. Our thought leadership and unparalleled experience help clients turn formidable challenges into market advantage across the value chain and around the globe. Additionally, our extensive expertise in various industries allow us to serve clients with consulting services with a focus on the most profitable elements of the value chain to create scalable businesses that will deliver increased sustainable profits.  Our Management Consultants work with the client and project teams to support global engagements from India through activities that are driven towards delivering results- conduct analyses and develop insights, prepare excel models, analyze large sets of data, capture as-is processes, prepare work plans, design to-be processes, support project lead, work directly with client teams and facilitate meetings to enable decision making, organize and prepare recommendations on client issues, and participate actively in new business development, thought leadership and firm building activities. COMPETENCY OVERVIEW: HEALTH TRANSFORMATION (HT) The HT team works with clients across healthcare, supporting engagements in driving client’s strategic vision and objectives, assessing market expansion and growth strategies, researching key market trends and its impact on key stakeholders, driving operational and process improvements, evaluating sustainable cost transformation alternatives and enabling technology driven business success.  Our consultants work to provide a range of client solutions across the following areas:  Payer : We work with clients to bring operational and performance improvement in their core Payer functions with the help of our deep understanding of core functional areas. We help in designing the future operating model, payment model, growth strategy, and functional/technical transformation, Business transformation. Our services span across operational performance improvement including benchmarking, process mapping and design, operating model design, project management, data and analytics strategy, technology effectiveness assessments and market strategy Provider : We work with health systems to develop, design, and implement organizational transformation to improve performance and generate lasting growth. Our services span across operational performance improvement including labor and productivity assessments, portfolio rationalization, benchmarking, process mapping and design, operating model design, project management, technology effectiveness assessments and market strategy  Pharma & Life Sciences : We help clients in R&D and commercial domains. Our services span across launch & commercial planning, portfolio optimization, performance management, R&D innovation, product development, product lifecycle management, risk / compliance, internal audit, risk assessment, management and control.  Capability - Healthcare Back Office Transformation Knowledge - Essential Strong analytical and problem-solving skills  Understanding of core payer operations (enrollment, claims, eligibility etc.) and systems  Ability to conduct independent research  Strong strategic and structured thinking skills  Ability to run simple cost-benefit analyses  Basic ability to use GenAI for research and storyboarding  Ability to support technology-enabled operating model transformations, including workflow redesign, system implementation, or platform optimization  Knowledge - Preferred Ability to run benchmarking analyses  Experience analyzing large and complex datasets  Basic knowledge of SQL / automation tools  Exposure to digital transformation and analytics initiatives  Familiarity with AI/ML, & NLP concepts  Familiarity with payer workflows; e.g. benefits, provider data, or credentialing  Understanding of payer core platforms and ecosystems (e.g., enroll Payer Modernization   –   Healthcare   Middle Office Transformation   Knowledge - Essential Strong analytical and problem-solving skills Ability to conduct independent research Ability to think strategically and drive outcomes Ability to perform benchmarking & cost-benefit analyses Basic ability to use GenAI for research and storyboarding Skill Set - Preferred Understanding of payer middle office functions (e.g., care management, utilization management, pharmacy management, network management, provider engagement, and payment integrity) Experience analyzing large and complex datasets Basic knowledge of SQL / automation tools General interest in AI, ML, and NLP concepts Payer Modernization -   Payer Analytics and Data Strategy   Knowledge - Essential Proficiency   in SQL,   R,   Python, or similar tools   Strong analytical skills   to uncover   healthcare data insights   Ability to support data governance practices   Clear communication of technical insights to business teams   Experience supporting data-driven initiatives and outcomes   Basic ability to use GenAI for research and storyboarding   Ability to support risk adjustment, quality, and   utilization   analytics, including performance monitoring and insight generation   Skill Set - Preferred Exposure to predictive modeling and forecasting techniques   Ability to encourage innovation using data-driven ideas   General familiarity with AI, ML, and NLP concepts   Familiarity with risk scoring, anomaly detection, or payment integrity patterns   Exposure to predictive modeling or analytics use cases supporting care management, pharmacy spend, or risk adjustment   Additional   skill sets applicable across capability areas:     Communicating effectively in written and verbal formats to various situations and audiences   Compelling storytelling through creative presentation and powerful visualization (including Tableau,   PowerBI )   Hypothesis based problem solving with abstract/limited data   Proficiency   in Microsoft Office Suite of tools   Demonstrates flexibility in adapting to changing client/business needs   Flexibility to work across multiple sectors   Demonstrates ability to work in a global delivery model     Educational Background:     Degree Preferred: MBA/MHA from a premier B-School; US Healthcare knowledge including Healthcare certifications will be an added benefit. Additional Information:   Level: Experienced Associate   Function:   Payer   Modernization   Experience:   12   to   36 months   of work experience    Time Type: Full time    Work Timings:   Work hours may vary for specific projects   Travel Requirements:   Travel to client locations may be   required   as per project requirements   Office Location:   Bangalore Travel Requirements 0% Job Posting End Date

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