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Strong fit for clinicians or quality leaders who already know payer performance programs and want to advise multiple health plans through a Big Four consulting model rather than a single-plan operational role.
As a Senior Manager, Payer STARS/Quality Clinical Consultant at PwC, your day centers on advising health-plan clients on CMS STARS and quality programs: interpreting clinical and quality measures, shaping remediation roadmaps, facilitating stakeholder workshops, and coaching junior consultants while managing delivery risk and client communications.
The listing marks remote as no; expect on-site or hybrid presence tied to the New Orleans / Custom House location unless PwC later states otherwise.
It points to consulting health plans on CMS Star Ratings and related clinical quality performance, not bedside nursing.
Saylor Academy Health Sciences courses (free) and Coursera audit-track healthcare courses (free to learn).
Website: pwc.com/gx/en
PricewaterhouseCoopers, also known as PwC, is a British multinational professional services network based in London, England.
Public cache only — not an employee review.
PwC is hiring a Payer STARS/Quality Clinical Consultant, Senior Manager to join our Health Services consulting practice in Custom House, Orleans Parish — a full-time role for a clinical strategist ready to shape how payers measure and elevate quality. About the Role As a Payer STARS/Quality Clinical Consultant, Senior Manager at PwC in Custom House, Orleans Parish, you will partner directly with health services organizations to sharpen their clinical quality programs and lift key performance metrics. Working within our Management Consulting team, you will translate complex STARS and quality requirements into practical, operational improvements that deliver measurable results for payer clients. This position carries travel expectations of up to 80%. Key Responsibilities Advise payer and health services clients on strategies to strengthen clinical quality and STARS performance. Lead operational consulting engagements that improve quality measures and overall program outcomes. Provide strategic guidance that aligns clinical objectives with broader business performance goals. Collaborate across PwC's Management Consulting practice to design and execute client solutions. Travel to client sites and project locations as needed, up to 80% of the time. Qualifications Demonstrated expertise in payer STARS and clinical quality consulting within the health services sector. Senior-level experience leading operational consulting engagements and advising clients on quality and performance metrics. Strong strategic and analytical skills, with the ability to guide clients through complex clinical quality challenges. Willingness and ability to travel up to 80% in support of client work. Availability for a full-time, on-site role based in Custom House, Orleans Parish. About PwC PwC's Health Services and Management Consulting teams help payers and provider organizations navigate the evolving demands of clinical quality, operations, and performance. Joining PwC means contributing to high-impact engagements alongside experienced professionals dedicated to driving real, lasting improvement for clients across the health care landscape. How to Apply Ready to bring your clinical quality expertise to PwC in Custom House, Orleans Parish? View the full listing and apply via Adzuna to take the next step in your consulting career.
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