Senior Hcc Risk Adjustment Coder Jobs in Illinois

Industry/Sector

Not Applicable

Specialism

IFS - Risk & Quality (R&Q)

Management Level

Senior Manager

Job Description & Summary

At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions. They help organisations navigate complex regulatory landscapes and enhance their internal controls to mitigate risks effectively.
Those in enterprise risk management at PwC will focus on identifying and mitigating potential risks that could impact an organisation's operations and objectives. You will be responsible for developing business strategies to effectively manage and navigate risks in a rapidly changing business environment.
Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
- Craft and convey clear, impactful and engaging messages that tell a holistic story.
- Apply systems thinking to identify underlying problems and/or opportunities.
- Validate outcomes with clients, share alternative perspectives, and act on client feedback.
- Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations.
- Deepen and evolve your expertise with a focus on staying relevant.
- Initiate open and honest coaching conversations at all levels.
- Make difficult decisions and take action to resolve issues hindering team effectiveness.
- Model and reinforce professional and technical standards (e.g. refer to specific - PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.
The Opportunity
As a Risk Management - Contract Specialist - Advisory Consulting Services - Senior Manager, you will lead initiatives in enterprise risk management, focusing on business continuity and risk model implementation. You will guide teams in identifying and mitigating risks, confirming that operations and core business functions remain resilient against unforeseen disruptions. As a Senior Manager, you will leverage your strategic advising skills to influence key stakeholders and drive project success. You will develop high-performing teams, fostering an environment of innovation and operational excellence.
As a contract specialist, you will negotiate risk, legal, and commercial terms in services contracts with PwC's clients (sell-side contracts, not procurement). Contract Specialists collaborate with R&I risk management and PwC business teams to (1) evaluate contract and related performance risks, (2) educate stakeholders and clients on contract provisions, (3) redline/negotiate contracts with clients' procurement, legal and outside counsel, and (4) develop internal controls to establish and reinforce contract compliance. In this role, you will collaborate across diverse teams to implement risk management frameworks and enhance business processes, driving firm success through innovation, large-scale leadership, and strategic guidance in a dynamic environment that builds your expertise and strengthens your ability to represent PwC.
Responsibilities
- Manage contract reviews and support engagement planning by applying risk management frameworks and governance considerations that strengthen delivery and contract compliance
- Drive sell-side services contract negotiations by redlining and negotiating risk, legal, and commercial terms directly with clients' procurement, legal, and outside counsel
- Collaborate with R&I risk management and PwC business teams to identify, assess, and mitigate contract, operational, and performance risks across managed services engagements
- Translate contract provisions and risk positions into clear guidance by educating stakeholders and clients, enabling effective execution and proactive issue prevention
- Establish and enhance internal controls and contract compliance processes to promote consistent delivery, reduce exposure, and confirm adherence to negotiated terms
- Lead contract risk alignment and governance across engagements by applying sound judgment to drive timely stakeholder decisions, documenting positions and approvals, and maintaining clear audit trails throughout the contract lifecycle
What You Must Have
- At least a High School Diploma
- At least 6 years of experience
What Sets You Apart
- Juris Doctorate degree preferred
- Leading the substantive negotiation of complex commercial contracts;
- Reviewing and redlining detailed risk, legal, and commercial contract terms;
- Understanding of professional advisory/consulting service offerings, performance details, and related business strategies, including large-scale technology transformations, vendorselectionand assessments, small to medium scale system implementations and AI roadmaps, and business integrator/change management projects;
- Exercising an entrepreneurial, problem-solving mentality and autonomy in managing contract negotiations;
- Explaining contract terms and positions in a collaborative manner to both internal stakeholders and external contract parties;
- Driving process improvement by analyzing current contracting approaches and processes and improving contracting efficiency and overall experience.

Travel Requirements

Up to 20%

Job Posting End Date

The salary range for this position is: $91,000 - $321,500. 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-glanceAs PwC is anequal 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-workFor 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.Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines