Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Specialist - Payors

$192k

McKinsey & Company

Consulting Specialist - Payors

Job ID: 104020

  • Atlanta
  • Austin
  • Boston
  • Charlotte
  • Chicago
  • Cleveland
  • Connecticut - Darien
  • Dallas
  • Detroit
  • Houston
  • Miami
Apply NowApply Later Do you want to do work that matters, alongside supportive leaders who will help you grow faster than you ever thought possible? Are you a creative problem-solver who is energized by challenges? You've come to the right place. YOUR IMPACT You'll work with McKinsey's Healthcare Access, Quality and Outcomes improvement (HALO) domain as part of our Social Sector, Healthcare & Public Sector Entities (SHaPE) practice in one of our offices in North America. HALO aspires to build solutions, expertise, and capabilities to deliver a comprehensive, end-to-end performance impact to payors (including provider led health plans) and services clients (including investor entities and those that operate like payors and take risk) across affordability, access, quality, and efficiency. Taken together, HALO aspires to improve the performance of healthcare worldwide, by means of these levers and capabilities. The HALO domain is the combination of an impact-focused, interdisciplinary team and a robust suite of analytics, insights, expertise, and solutions to enable payor transformations. These assets can be rapidly deployed across our clients either directly, or in partnership with other domains (e.g. pharmacy, value-based care, clinical operations). Given this, you will be expected to collaborate both with other HALO colleagues and other SHaPE healthcare areas, as well as the broader global practice of McKinsey consultants and teams. You will also work closely with professional development to ensure the goals of the domain and team experience are closely aligned and play an active role in bringing our people development vision to life. You will be staffed on client engagements, primarily with national and regional health plans, focused on making healthcare better, more affordable, and more accessible for all. In this role, you will deliver high-quality outputs to help guide decisions on critical business problems for our clients. These outputs could include strategies to improve affordability/accessibility/quality of healthcare, identified potential opportunity areas in medical / administrative / pharmacy costs, and development of tactical programs and implementation plans, to support execution of the strategies and initiatives you've helped develop. You will actively engage with front-line client teams involved in helping payors improve the quality and cost of healthcare. You will leverage your expertise to take ownership of tenure-appropriate client relationships and guide clients through appropriate syndication discussions as well as longer-term front-line implementation projects. You will also leverage your project management and client communication skills as you participate in problem-solving sessions with clients and McKinsey leadership. You will also devote time to creating new knowledge, assets and capabilities for the payor practice in partnership with Healthcare Access, Quality and Outcomes improvement (HALO) leadership. YOUR GROWTH Driving lasting impact and building long-term capabilities with our clients is not easy work. You are the kind of person who thrives in a high performance/high reward culture - doing hard things, picking yourself up when you stumble, and having the resilience to try another way forward. In return for your drive, determination, and curiosity, we'll provide the resources, mentorship, and opportunities you need to become a stronger leader faster than you ever thought possible. Your colleagues-at all levels-will invest deeply in your development, just as much as they invest in delivering exceptional results for clients. Every day, you'll receive apprenticeship, coaching, and exposure that will accelerate your growth in ways you won't find anywhere else. When you join us, you will have:
  • Continuous learning: Our learning and apprenticeship culture, backed by structured programs, is all about helping you grow while creating an environment where feedback is clear, actionable, and focused on your development. The real magic happens when you take the input from others to heart and embrace the fast-paced learning experience, owning your journey.
  • A voice that matters: From day one, we value your ideas and contributions. You'll make a tangible impact by offering innovative ideas and practical solutions, all while upholding our unwavering commitment to ethics and integrity. We not only encourage diverse perspectives, but they are critical in driving us toward the best possible outcomes.
  • Global community: With colleagues across 65+ countries and over 100 different nationalities, our firm's diversity fuels creativity and helps us come up with the best solutions for our clients. Plus, you'll have the opportunity to learn from exceptional colleagues with diverse backgrounds and experiences.
  • World-class benefits: On top of a competitive salary (based on your location, experience, and skills), we provide a comprehensive benefits package to enable holistic well-being for you and your family.
YOUR QUALIFICATIONS AND SKILLS
  • Bachelor's degree, advanced degree preferred
  • 5+ years of relevant experience, including experience with at least one of the following areas: Payment Integrity including Fraud, Waste & Abuse; Medical & Pharmacy Cost Optimization; Network optimization; Administration & Operational Efficiency; Care Management; Risk Adjustment
  • Understanding of the healthcare ecosystem, particularly payors; knowledge of medical or administrative cost optimization is a plus
  • Strong problem-solving skills with the ability to process complex information
  • High level of entrepreneurship, professionalism and presence to succeed on the ground with clients
  • Client service mindset
  • Able to provide leadership over, and influence individuals across, multiple stakeholders from different levels and backgrounds by tailoring approach
  • Ability to be a strong team player in a dynamic and changing environment
  • Knowledge of automation or other AI is a plus
Please review the additional requirements regarding essential job functions of McKinsey colleagues.
Our
unwavering commitment to integrity drives everything we do, guiding us to always act in the best interests of our clients, our people, and the communities we serve. Industries Capabilities Apply NowApply Later

FOR U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by applicable law.


Certain US jurisdictions require McKinsey & Company to include a reasonable estimate of the salary for this role.
For new joiners for this role in the United States, including all office locations where the job may be performed, a reasonable estimated range
is $192,000 - $192,000 USD -to help you understand what you can expect. This reflects our best estimate of the lowest to highest
[salary/hourly wages] for this role at the time of this posting, ensuring you have a clear picture right from the start, though it's important
to remember that actual salaries may vary. Factors like your office location, your unique blend of experience and skills, start date and our current
organizational needs all play a part in determining the final figure. Certain roles are also eligible for bonuses, subject to McKinsey's discretion
and based on factors such as individual and/or organizational performance.


Additionally, we provide a comprehensive benefits package that reflects our commitment to the wellness of our colleagues and their families.
This includes medical, mental health, dental and vision coverage, telemedicine services, life, accident and disability insurance, parental leave and family planning benefits, caregiving resources, a generous retirement contributions program, financial guidance,
and paid time off.

FOR NON-U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity employer. For additional details regarding our global EEO policy and diversity initiatives, please visit our McKinsey Careers and Diversity & Inclusion sites.

Share This Job
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Specialist - Payors in Houston, TX vacancy
  •  ...for providing net revenue observations Working knowledge of net revenue and reimbursement structures from commercial and government payors Experience retrieving data from various systems such as Excel, Lawson, EPSI, and Crowe RCA Principal Accountabilities Lead level... 
    Suggested
    Contract work
    Work experience placement

    Memorial Hermann Health System

    Houston, TX
    2 days ago
  •  ...Utilization Management Specialist I SUN Behavioral Houston - Houston, TX 77054 Overview Position Type PRN Job Shift Days Education...  ...Coordinates with managed care companies or other third-party payors regarding peer reviews, retrospective reviews and appeals. Documents... 
    Suggested
    Relief
    Work at office
    Local area
    Monday to Friday
    Shift work

    SUN Behavioral Delaware

    Houston, TX
    1 day ago
  • Charge Capture Specialist Townsen Memorial Hospital is looking for a Full-Time Charge Capture Specialist to join our team in our Houston...  ...billings and charges for insurers, government agencies and other payors. Reviews patient records, dictated report(s), and physician/... 
    Suggested
    Full time
    Temporary work
    Work at office

    Townsen Memorial Hospital

    Houston, TX
    4 days ago
  •  ...Specialty Physician Group. At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle...  ...service focus and positive language principles. Understands payor plan policies and environment for government, managed care,... 
    Suggested

    Houston Methodist

    Houston, TX
    2 days ago
  • $14.9 - $29.06 per hour

    Overview 8am - 5pm Monday - Fri with alternative weekends Job Description Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives ...
    Suggested
    Hourly pay
    Work experience placement
    Work at office
    Remote work
    Weekend work

    Molina Healthcare

    Houston, TX
    5 days ago
  •  ...Associate Interventional Specialist At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare... 
    Local area
    Night shift

    Globus Medical

    Houston, TX
    3 days ago
  •  ...Associate Tech Specialist Manages the system, integration and user testing for the applications, and coordinates remediation activities. Ensures that systems meet business and technical requirements. Scope of Work Examples: Development of testing scripts... 

    Keylent Inc

    Houston, TX
    4 days ago
  • Job Description Provides entry level support for Molina enterprise credentialing activities. Ensures that the Molina provider network consists of providers that meet all regulatory and risk management criteria - effectively minimizing liability to the company and maximizing...
    Work at office
    Remote work

    Molina Healthcare

    Houston, TX
    1 day ago
  •  ...Kirksey Architecture is seeking a Proposal Coordinator/Pursuit Specialist to join our team in our Dallas or Houston office. ABOUT KIRKSEY ARCHITECTURE At Kirksey, we greatly value our people, our clients, our communities, and our planet. As architects, designers... 
    Temporary work
    Work at office

    KIRKSEY ARCHITECTS, Inc.

    Houston, TX
    5 days ago
  •  ...a high school diploma or equivalent, five years of experience in insurance follow-up, and strong analytical abilities. Knowledge of payor policies and a customer service focus are essential. This role contributes to maximizing payments and ensuring compliance with regulations... 

    Houston Methodist

    Houston, TX
    1 day ago
  • $25 per hour

    Job Title: Assembly Technician Location: Houston, TX 77095 (Onsite) Duration: 12+ Months (Contract/Temp with the possibility of extension) Pay: $25 - $29/hr (Negotiable) Job Description: Seeking an experienced mechanical assembly technician to assemble and disassemble gas...
    Hourly pay
    Full time
    Contract work
    Temporary work

    Cube Hub

    Houston, TX
    12 hours ago
  • $95.86k - $208.27k

     ...new areas of inspiration and expand your capabilities, then consider a career in Advisory. KPMG is currently seeking a Senior Specialist, SOC Analyst Level II to join our Advisory Services practice. Responsibilities: Lead advanced security event investigation... 
    H1b
    Local area
    Shift work
    Night shift
    Weekend work

    KPMG

    Houston, TX
    4 days ago
  • $14 per hour

    A healthcare staffing firm is seeking a Remote Phone & Data Entry Specialist in the United States. The role involves connecting nurses with healthcare facilities through phone and data entry, requiring strong communication skills and a background in customer service. The... 
    Full time
    Remote work

    Jobsultant Solutions

    Houston, TX
    1 day ago
  •  ...Billing Specialist With general direction, this role performs a variety of routine and non-routine complex billing functions to ensure the proper preparation of accurate and timely bills to customers based on service contract terms and is responsible for related activities... 
    Contract work
    Temporary work
    Work at office
    Local area

    Republic Services

    Houston, TX
    3 days ago
  • $35 per hour

     ...Macroeconomic Modeling Specialist (EViews) $ 35 - $ 100 /hour pay Required Skills EViews Macroeconomics About micro1 micro1 connects domain experts to the development of frontier AI models. Real-world expertise is turned into training data, evaluations, and feedback loops... 
    Contract work
    Remote work

    Micro1

    Jersey Village, TX
    3 days ago
  • A leading real estate services firm is seeking an Environmental Phase I Report Writer in Houston, TX. The role involves preparing Environmental Site Assessments, interviewing property personnel for historical information, and analyzing data for environmental concerns. ...
    Remote work

    JLL

    Houston, TX
    2 days ago
  • SafetyCall International is looking for a Radiologist to join our team in Houston, Texas. The role involves performing radiography, general fluoroscopy, and interpreting ultrasound and body CT. Candidates should graduate from an approved radiology residency program and...
    Remote work

    SafetyCall International PLLC

    Houston, TX
    3 days ago
  • A growing customer service company is seeking a Customer Support & Retention Advisor to engage with customers regarding appointment scheduling and account inquiries. This role is fully remote, ensuring a flexible work environment. Candidates should have prior customer ...
    Remote work
    Flexible hours

    Smart Start

    Houston, TX
    4 days ago
  • KPRC 2 is looking for an Audience Engagement Specialist to help the station better understand and respond to the communities we serve. Audience expectations around local media have changed. People don't just watch the news anymore - they react to it, share it, question... 
    Full time
    Local area

    KPRC

    Houston, TX
    2 days ago
  •  ...Research marketing and advertising trends in the recruiting industry. The Recruitment Marketing Performance & Optimization Associate Specialist Skillbridge trainee will support Maximus recruitment marketing teams by improving performance visibility, data accuracy, and... 
    Minimum wage
    Full time
    Contract work
    Temporary work
    Traineeship
    Work experience placement

    Maximus

    Houston, TX
    1 day ago
  •  ...Insulation Specialist The Insulation Specialist leads and oversees the entire insulation function within the organization — driving operational excellence, safety performance, team development, client satisfaction, and revenue growth. This senior lead role sets the... 
    Contract work
    For subcontractor

    MAREK

    Houston, TX
    1 day ago
  • Position Summary The Material Manager is responsible for overseeing the planning, coordination, tracking, and control of materials across multiple projects and field locations in Texas. This role serves as a central point of coordination between early-stage project...
    For contractors
    Work at office

    VDart

    Houston, TX
    3 days ago
  •  ...About the job Lead Specialist - IT ETRM Apps Dev - 2610001304 This individual works in the RightAngle (OpenLink ETRM application) development group. As part of a development team, this individual will have development and support responsibilities for business... 
    Work experience placement
    Work at office
    Night shift

    Patriot Advertising Inc

    Houston, TX
    4 days ago
  •  ...Lead Generation Specialist  BuzzTechMedia is a U.S.-based digital solutions company that helps businesses and professionals manage their workloads more efficiently through smart digital collaboration. We specialize in virtual assistance and digital support services... 
    Remote work

    BuzzTech Media

    Houston, TX
    4 days ago
  •  ...About the job Lead Specialist - IT ETRM Systems Dev - 2610001294 This individual works in the RightAngle (ETRM application) support and development group. As a part of the team, the individual will have support responsibility for business users, including troubleshooting... 

    Patriot Advertising Inc

    Houston, TX
    4 days ago
  • Fleet Specialist Associate - London At Voi, we’re on a mission to create safe, sustainable, and reliable ways to move around cities. As a Fleet Specialist Associate , you’ll play an important role in keeping our vehicles safe, available, and ready for everyone to ride.... 
    Contract work
    Fixed term contract
    Local area
    Monday to Friday
    Shift work

    Voi

    Houston, TX
    1 day ago
  •  ...execute effective SEO strategies and manage client accounts. After the initial training, you'll transition into the role of SEO Specialist. Applicants should possess a Bachelor's degree or equivalent in a relevant field, and be ready to engage actively in-person at our... 
    Full time
    Work at office

    OuterBox

    Houston, TX
    4 days ago
  •  ...About the job Remote Destination Specialist Remote Destination Specialist As a Remote Destination Specialist, you will serve as a strategic partner in our clients’ travel journeys—from the spark of an idea to a smooth return home. This role is central to our service model... 
    Remote work

    Sweetcarolinatravels

    Houston, TX
    5 days ago
  • A leading towing service provider is seeking a Tow Truck Dispatcher to efficiently manage towing requests and ensure timely service delivery. This is a fully remote job, requiring strong communication and problem-solving skills. Ideal candidates should have proven experience...
    Remote work
    Flexible hours
    Night shift

    Global Pacific Support

    Houston, TX
    4 days ago
  • $20 per hour

     ...of experience helping homeowners improve comfort, efficiency, and reliability in their homes. We’re hiring Lead Generation Specialists to work inside major home improvement retail locations. This is a sales role focused on customer engagement, lead generation,... 
    Hourly pay
    Weekly pay
    Full time
    Part time
    Work at office
    Work from home
    Relocation package
    Flexible hours
    Shift work
    Weekend work

    ARS-Rescue Rooter

    Houston, TX
    2 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Specialist - Payors. Be the first to apply!