Experienced Associate - Provider - Health Transformation

Line of Service

Industry/Sector

Specialism

Management Level

Job Description & Summary

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 - Provider Ops Transformation

Knowledge - Essential

• US healthcare ecosystem and interplay among players
• Cost models of healthcare providers
• Hospital operational strategy planning incl benchmarking, LOS analytics etc
• Hospital and healthcare org structure

Knowledge - Preferred

• Various business processes in a healthcare provider set-up
• Implementing/designing improvement projects in hospital departments

Skill Set - Essential

• Analytical mindset with strong quantitative and problem solving skills
• Data cleansing and wrangling with advanced MS office, Alteryx
• Creative presentation and visualization skills including Tableau, PowerBI
• Hypothesis based problem solving with abstract/limited data
• Communicating effectively in written and verbal formats to various situations and audiences

Skill Set - Preferred

Proficient in one or more from the following skills:

• R
• SQL
• Python
• Saas
• VBA
• Power Query
• Financial planning, forecasting and reporting
• Understanding of GenAI and other disruptive technologies

Capability - Provider Strategy

Knowledge - Essential

• US healthcare ecosystem and interplay among players
• Market assessments and go-to-market strategy
• Roadmap conceptualization and opportunity quantifications for provider clients

Knowledge - Preferred

• Operating model design 
• Due diligence, and M&A processes
• Digital Health Strategy and Cloud technology

Skill Set - Essential

• Ability to research, synthesize and integrate disparate pieces of data, analysis, and information
• Communicating effectively in written and verbal formats to various situations and audiences
• Analytical mindset with strong quantitative and problem solving skills

Skill Set - Preferred

Proficient in one or more from the following skills:

• R
• SQL
• Python
• Saas
• VBA
• Power Query
• Financial planning, forecasting, and reporting
• Understanding of GenAI and other disruptive technologies

Capability - Higher Education, Academic Medical Center Ops

Knowledge - Essential

• US healthcare ecosystem and interplay among players
• AMC business model and Medical school synergies- incl student affairs, faculty mgmt and regulations
• Research grants management

Knowledge - Preferred

• Faculty effort and compensation models
• US GME/UME programs
• Academic Program management

Skill Set – Essential

• Hypothesis based problem solving with abstract/limited data
• Ability to research, synthesize and integrate disparate pieces of data, analysis, and information
• Strong analytical skills
• Good Communication skills for stakeholder interaction

Preferred

Proficient in one or more from the following skills:

• R
• SQL
• Python
• Saas
• VBA
• Power Query
• Financial planning, forecasting, and reporting
• Understanding of GenAI and other disruptive technologies

Capability - Business Transformation

Knowledge – Essential

• US healthcare ecosystem and interplay among players
• Conducting current state assessment

Knowledge - Preferred

• Modernization and simplification opportunities
• Awareness on support services and processes’ value drivers
• Understanding of Project Management and Operating Model

Skill Set – Essential

• Vendor assessment and RFP mgmt
• Ability to construct a multi-year roadmap and business case
• Strong analytical skills and proficiency in Excel and PPT with good reporting skills

Skill Set – Preferred

• Ability to research, synthesize and integrate disparate pieces of data, analysis, and information
• Ability to manage project using various PMO tools
• Proficient in one or more from the following skills:
  • R
  • SQL
  • Python
  • Saas
  • VBA
  • Power Query

Capability - Clinical Expertise

Knowledge - Essential

• US healthcare ecosystem and interplay among players
• Understanding of processes in a clinical environment, good know-how of medical abbreviations and a point of view on medical innovations, patient experience and effective care delivery

Knowledge - Preferred

• 340B program and regulations in US
• Pharmacy Operations and Supply Chain cost optimization
• Prior Authorization and Formulary Standardization

Skill Set – Essential

• Excel / Powerpoint
• Data cleansing and wrangling with advanced MS office, Alteryx
• Creative presentation and visualization skills incl tableau, PowerBI

Skill Set – Preferred

• Awareness ICD 10 / CPT codes / DRG codes/Regulatory and Compliance frameworks / Medico legal knowledge etc.

Capability - Revenue Cycle Management

Knowledge - Essential

• US healthcare ecosystem and interplay among
  players.
• Current trends, pain points and opportunities for healthcare providers in RCM space.
• Revenue cycle concepts and familiarity with front, middle and back end revenue cycle processes.
• Understanding of key Revenue Cycle KPIs and their impact on revenue and cost

Knowledge - Preferred

• Revenue cycle ecosystem and products in market.

• RCM current state assessment and benchmarking against

  industry peers.

• Implementation of RCM strategies as part of hospital transformation

Skill Set – Essential

• Analytical mindset with strong quantitative and problem solving skills.
• Hypothesis based problem solving with abstract/limited data.
• Data cleansing and wrangling with good analytical skills incl advanced MS office, Alteryx
• Creative presentation and visualization skills

Skill Set – Preferred

• Intermediate to advance level skills in Excel, Alteryx and PowerBI
• Accounts Receivable Management, Denials Management, Cost to Collect, Denials Write-off
• Understanding of the application of AI/ML in RCM
• Ability to manage project using various PMO tools

Capability - Patient Access Analytics

Knowledge - Essential

• Understanding of Patient Access processes like provider capacity and session utilization, patient demand and referral network
• Patient Access metrics - demand and capacity

Knowledge - Preferred

• Awareness on contact center and referral network trends, pain points and opportunities
• Financial modeling
• Implementing ML/ AI models

Skill Set – Essential

• Analytical mindset with strong quantitative and problem solving skills
• Data cleansing and wrangling with advanced MS office, Alteryx
• Creative presentation and visualization skills including PowerBI
• Hypothesis based data analysis to derive insights
• Communicating effectively in written and verbal formats to various situations

Skill Set – Preferred

• Proficient in one or more from the following skills:
  ○ Alteryx
  ○ Advanced Excel
  ○ PowerBI
  ○ SQL
  ○ Python
  ○ R

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/MPharm from a premier B-School; US Healthcare knowledge will be an added benefit.

Additional Information:

• Level: Experienced Associate
• Function: Provider
• Experience: 24 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 Locations: Bangalore

Education (if blank, degree and/or field of study not specified)

Certifications (if blank, certifications not specified)

Required Skills

Optional Skills

Desired Languages (If blank, desired languages not specified)

Travel Requirements

Available for Work Visa Sponsorship?

Government Clearance Required?

Job Posting End Date