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Copy pasting an answer I gave to a similar question on implementation WLB from a a few days ago:
Mck implementation is the same as any client facing generalist consultant at McK. An implementation associate can and do get staffed in all the usual projects that any generalist gets staffed in. So the WLB
is the same. Same for salary, career progression and opportunities.
An Implementation associate does get
targeted training on change management,
client coaching, etc. in addition to all the usual
Mck consultant training. The real difference is
implementation folks come in with industry
experience and is part of the firm's focus over
last 10 years on helping clients capture impact
after the initial strategy/diagnostic effort.
Staffing is not as guarded here in the US and neither is there any distinction is opportunity (I did get a PE offer while EM but decided to stay on try to make Partner)