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About the Role
As an Epic Payer Platform Senior Associate, you will support healthcare payer platform work within our Advisory practice. You will help clients modernize core systems, improve operating performance, and strengthen member-facing experiences by analyzing complex issues, managing workstreams, building client connections, and guiding junior team members. This role involves contributing to efforts across claims, reimbursement, care and utilization management, digital experience, and platform execution, with exposure to Oracle OHI, Epic, Facets, and Nasco.
Responsibilities
- Analyze payer platform requirements and translate them into Epic-enabled workflow recommendations.
- Support client workstreams focused on payer modernization, claims operations, and platform execution.
- Gather and interpret business and technical inputs to inform process improvement and implementation decisions.
- Apply Epic software knowledge alongside EHR and health information system concepts to support solution delivery.
- Review current-state operations and identify opportunities to streamline member, provider, and administrative processes.
- Develop deliverables reflecting healthcare technology, digital transformation, and operational improvement priorities.
- Use analytical reasoning and business analysis methods to organize issues, track dependencies, and resolve workstream gaps.
- Clarify requirements, document decisions, and advance next steps in discussions with client stakeholders.
- Mentor junior team members on task execution, work planning, and structured problem solving.
- Monitor work product for consistency with project goals, delivery timelines, and firm methodologies.
Requirements
- At least a Bachelor's degree.
- At least 4 years of experience.
Skills
- Epic consulting knowledge
- Epic software knowledge
- Electronic health record concepts
- Health information system concepts
- Healthcare technology
- Digital transformation
- Operational improvement
- Analytical reasoning
- Business analysis methods
- Claims operations
- Reimbursement operations
- Care management operations
Location
- Up to 80% travel
Work Type
- Full-time
Experience Level
- Senior Associate
Education Level
- Bachelor's degree
- Master's degree
- Master of Business Administration degree
Salary/Compensations
- $77,000 - $202,000
Benefits
- Medical
- Dental
- Vision
- 401k
- Holiday pay
- Vacation
- Personal and family sick leave
About the Company
- PwC is an equal opportunity employer.
- Learn more about how we work: https://pwc.to/how-we-work
Equal Opportunity
- All qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.
- PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
- For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws.
- At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.