Payer Healthcare Data Scientist, Director
About the role
The Opportunity As a Payer Healthcare Data Scientist you will lead data science efforts within our Advisory practice, focusing on payer modernization work that improves core operations, platform execution, and member experience across healthcare organizations. As a Director you will set direction for multiple work streams, shape executive client relationships, drive business growth, and guide teams in using data, technology, and industry insight to develop new ideas and solutions. In this role at PwC, you will apply advanced analytic methods to healthcare payer data, translate business questions into data-driven approaches, and present findings that support decisions across claims, care management, digital experience, and operating model transformation.
You will also help identify market needs, develop thought leadership, and contribute to delivery quality across engagements tied to the Payer Modernisation offering, within our Advisory practice and aligned to the Health Services sector and Business & Supply Chain Operations network.
What you'll do
- Leading payer modernization data science initiatives that inform strategy, improve operations, and support client growth Developing predictive models, statistical analyses, and scenario-based insights for healthcare payer operations and platform decisions Translating business questions into analytical approaches using AI fluency, digital tooling, and business data analytics Synthesizing claims, reimbursement, utilization management, and customer experience data into actionable findings Presenting findings and recommendations to executive client leaders through clear data narratives and visual storytelling Overseeing multiple analytical workstreams across core systems, front office, middle office, and operational process improvement efforts Guiding technical teams in the use of payer platforms such as Oracle OHI, Epic, Facets, and Nasco Applying operations strategy, process optimization, and business performance metrics to identify efficiency opportunities Collaborating across strategy, technology, and risk functions to support transformation roadmaps and implementation planning Advising on data quality, analytical me
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
- sex (including pregnancy, sexual orientation, and gender identity)
- 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
What to confirm before applying
- Required experience, licenses, or schedule needs.
Posted 1 day ago