Payer Analytics Business Analyst, Senior Associate

As a Payer Analytics Business Analyst, you will support client work within our Advisory practice by turning health services data into clear insights that help guide decisions, shape operating models, and support payer modernization efforts.

As a Senior Associate you will analyze complex problems, manage assigned workstreams, build meaningful client connections, and use critical thinking to break down concepts while guiding junior team members and adapting as priorities shift. In this role at PwC, you will apply data science and analytics methods to interpret trends, develop deliverables, communicate findings, and support client-facing work across payer and health services engagements.

Responsibilities

• Analyzing payer operations data to identify trends, patterns, and business issues that affect member, provider, and claims processes
• Developing descriptive and exploratory analyses that support platform modernization, operating model changes, and service improvement efforts
• Translating complex data findings into clear recommendations for client teams focused on payer operations and healthcare performance
• Building dashboards, visual summaries, and recurring reporting that track core metrics across claims, utilization management, and member experience
• Applying statistical and analytical methods to support data-driven decisions across healthcare payer programs and modernization efforts
• Working through data quality, data mapping, and source validation activities across multiple systems and business domains
• Collaborating across client teams to gather requirements, interpret feedback, and refine analytical deliverables
• Supporting analytics workstreams by organizing tasks, tracking progress, and adapting to changing priorities and project needs
• Applying knowledge of healthcare payer processes, regulatory requirements, and operational workflows to frame analysis and recommendations
• Mentoring junior team members on analytical methods, reporting techniques, and delivery of assigned workstreams, * Preference for at least one of the following fields of study: Accounting, Analytics/Data Science, Artificial Intelligence/Robotics, Business Administration/Management, Computer Science/Information Systems, Cybersecurity, Engineering, Mathematics/Statistics, Operations/Supply Chain, Project/Technology Management, Risk Management/Insurance
• Analyzing payer data, claims trends, and operational patterns
• Using SQL, Python, or analytics tools for healthcare insights
• Developing dashboards, visualizations, and executive-ready summaries
• Interpreting healthcare payer workflows, utilization, or membership data
• Communicating findings to clients and guiding junior team members

What You Must Have

• At least a Bachelor’s degree
• At least 3 years of experience

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