Epic Payer Platform, Senior Associate

Industry/Sector

Health Services

Specialism

Operations

Management Level

Senior Associate

Job Description & Summary

The Opportunity

As an Epic Payer Platform Senior Associate you will support healthcare payer platform work within our Advisory practice, drawing on Epic consulting knowledge to help clients modernize core systems, improve operating performance, and strengthen member-facing experiences. As a Senior Associate you will analyze complex issues, manage assigned workstreams, build meaningful client connections, and guide junior team members while using critical thinking and professional judgment to move deliverables forward. In this role at PwC, you will contribute to efforts across claims, reimbursement, care and utilization management, digital experience, and platform execution, with exposure to Oracle OHI, Epic, Facets, and Nasco in support of payer modernization goals.

Responsibilities

- Analyzing payer platform requirements and translating them into Epic-enabled workflow recommendations
- Supporting client workstreams focused on payer modernization, claims operations, and platform execution
- Gathering and interpreting business and technical inputs to inform process improvement and implementation decisions
- Applying Epic software knowledge alongside electronic health record and health information system concepts to support solution delivery
- Reviewing current-state operations and identifying opportunities to streamline member, provider, and administrative processes
- Developing deliverables that reflect healthcare technology, digital transformation, and operational improvement priorities
- Using analytical reasoning and business analysis methods to organize issues, track dependencies, and resolve workstream gaps
- Contributing to discussions with client stakeholders by clarifying requirements, documenting decisions, and advancing next steps
- Mentoring junior team members on task execution, work planning, and structured problem solving
- Monitoring work product for consistency with project goals, delivery timelines, and firm methodologies

What You Must Have

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

What Sets You Apart

- Preference for a Master's or Masters of Business Administration degree
- Experience supporting payer platform modernization using Epic Software
- Understanding of healthcare technology and health information systems
- Experience analyzing claims, reimbursement, or care management operations
- Familiarity with digital transformation in health services environments
- Developing client relationships while guiding junior team members

Travel Requirements

Up to 80%

Job Posting End Date

The salary range for this position is: $77,000 - $202,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance

As PwC is an equal opportunity employer, 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.

Learn more about how we work: https://pwc.to/how-we-work

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.

Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines