Regulatory Risk & Compliance - Health Industries - Payer Compliance - Senior Associate

Industry/Sector

Not Applicable

Specialism

Risk

Management Level

Senior Associate

Job Description & Summary

The Opportunity

As a Regulatory Risk & Compliance - Health Industries - Payer Compliance - Senior Associate you will help clients navigate regulatory requirements, strengthen compliance processes, and interpret complex payer obligations within our Risk and Compliance practice. As a Senior Associate you will analyze intricate issues, manage assigned workstreams, build meaningful client connections, and support junior team members while developing your personal brand and technical skills. In this role at PwC, you will contribute to compliance strategy, evaluate controls, and translate regulatory expectations into practical guidance for health industry payer organizations.

Responsibilities

• - Analyzing payer compliance requirements and translating regulatory expectations into practical client deliverables
• - Reviewing policies, procedures, and control activities to identify gaps and support remediation planning
• - Interpreting healthcare regulatory developments and applying them to compliance strategies and operating models
• - Developing workstreams for regulatory risk, governance, and control assessments across payer environments
• - Preparing compliance summaries, issue logs, and recommendation materials for client leadership
• - Using data analysis and case review techniques to identify trends, exceptions, and potential compliance exposures
• - Supporting the design and maintenance of compliance programs, reporting routines, and monitoring activities
• - Collaborating across client teams to gather information, validate findings, and track action plans
• - Guiding junior team members on assigned tasks, review feedback, and deliverable development
• - Building client relationships by responding to questions, anticipating needs, and communicating progress clearly

What You Must Have

• - At least a Bachelor's degree
• - At least 3 years of experience

What Sets You Apart

• - Experience in payer compliance within health industries
• - Familiarity with regulatory risk, governance, and internal controls
• - Interpreting healthcare regulations and compliance requirements
• - Applying critical thinking to complex client situations
• - Using data insights to support compliance recommendations
• - Demonstrating client-focused communication across diverse perspectives
• - Mentoring junior team members while navigating ambiguity

Travel Requirements

Up to 60%

Job Posting End Date

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

As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; 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.

Learn more about how we work: https://pwc.to/how-we-work

For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.