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Senior Manager, Healthcare Payer

Westmonroe4 · Chicago; New York · 2026-07-29

executive
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About this role

Are you ready to make an impact?

West Monroe is seeking a Senior Manager to join our Healthcare Practice team. Our team partners with health plans and dental plans to uncover opportunities, develop clear roadmaps, and deliver measurable improvements in outcomes. As a Senior Manager, you will serve as a trusted client service leader responsible for leading large, complex transformation engagements, growing strategic client relationships, originating new business opportunities, and developing high-performing consulting teams. You will play a pivotal role in shaping client strategy, expanding our healthcare practice, and mentoring the next generation of leaders at West Monroe.

Responsibilities

Client Delivery

• Lead large, complex healthcare transformation engagements, overseeing scope, budget, staffing, profitability, delivery quality, and overall engagement performance

• Serve as a trusted advisor to executive client stakeholders, helping organizations solve complex operational, technology, and business challenges

• Develop strategic transformation roadmaps and guide clients through organizational, process, and technology change initiatives

• Lead multidisciplinary consulting teams across multiple concurrent engagements while ensuring exceptional client outcomes and delivery excellence

• Oversee engagement governance, executive communications, and steering committee meetings while proactively managing risks and resolving complex delivery challenges

• Apply deep healthcare industry expertise to help clients improve performance, accelerate transformation, and deliver measurable business value

• Ensure compliance with quality assurance, legal, and risk management standards across all engagements

• Leverage AI tools to improve delivery quality, accelerate project execution, and create greater value for clients

Client Relationship & Business Development

• Serve as the primary relationship leader for strategic healthcare clients, identifying opportunities to deepen partnerships and expand West Monroe's impact

• Originate new business opportunities within existing accounts while supporting growth into new client organizations

• Lead pursuit strategy, proposal development, executive presentations, and contract negotiations for new work, change orders, and engagement extensions

• Build long-term executive relationships that position West Monroe as a trusted advisor across the healthcare ecosystem

• Represent West Monroe through industry events, conferences, networking, and thought leadership activities

Practice Leadership

• Mentor, coach, and develop consultants, managers, and emerging leaders while serving as a Career Advisor

• Lead recruiting efforts and help attract, interview, and retain top consulting talent

• Develop new healthcare offerings, reusable assets, methodologies, and delivery frameworks that strengthen practice capabilities

• Drive continuous improvement across the Healthcare Practice by identifying new service offerings and innovative delivery approaches

• Foster an inclusive, collaborative culture through active participation in practice initiatives, leadership activities, and community-building efforts

Qualifications

• Bachelor's degree or equivalent experience required; advanced degree (MBA, MHA, MPH, or similar) preferred

• 8+ years of consulting experience working directly with healthcare clients, including experience leading large, complex client engagements

• Deep understanding of healthcare payer and/or dental plan operations, strategy, and transformation

• Demonstrated success leading enterprise transformation initiatives involving organizational transformation, operating model redesign, process improvement, technology implementation, or product development

• Proven experience managing engagement financials, staffing, profitability, and delivery across multiple concurrent engagements

• Experience serving as a trusted advisor to executive and C-suite client stakeholders

• Demonstrated success originating new business, expanding existing client accounts, and leading pursuit activities

• Experience developing consulting offerings, methodologies, and reusable assets

• Strong people leadership experience, including coaching, career development, performance management, and team building

• Exceptional executive communication, presentation, and relationship management skills

• Strong strategic thinking, problem-solving, and organizational skills

• Ability to travel to client sites (30–50%)

• A commitment to inclusion and diversity, and openness to new ideas and perspectives

Based on pay transparency guidelines, the salary range for this role can vary based on your proximity to one of our West Monroe offices (see table below). Information on our competitive total rewards package, including our bonus structure and benefits is here. Individual salaries are determined by evaluating a variety of factors including geography, experience, skills, education, and internal equity.

Employees (and their families) are covered by medical, dental, vision, and basic life insurance. Employees are able to enroll in our company’s 401k plan, purchase shares from our employee stock ownership program and be eligible to receive annual bonuses. Employees will also receive unlimited flexible time off and ten paid holidays throughout the calendar year. Eligibility for ten weeks of paid parental leave will also be available upon hire date.

Seattle or Washington, D.C.
$194,100—$228,400 USD

Los Angeles
$203,400—$293,300 USD

New York City or San Francisco
$212,600—$250,100 USD

A location not listed above
$184,900—$217,500 USD

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The combination of business and technology is not new, but how we bring them together is unique. We’re fluent in both. We know…

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