.. services call center. The pharmacy services team coordinates care and is a liaison between patients, providers, and pharmacies to ensure access to medication, refills and address barriers to adherence. You will oversee department and departmental policies and procedures, training, communication, and .. read more
Description
Client looking to add a Consultant who will manage projects and client relationships spanning a variety of topics including, but not limited to: plan design, compliance and reporting services, health plan underwriting and employee contribution setting, health and well-being management, and retiree health care solutions. Lead consulting projects, mentor other associates, and promote teamwork. Important skills for this role include:
Analyzing and presenting data vital to client benefit programs
Managing benefit plan renewal processes, including project management, vendor coordination, qualitative and quantitative analysis, negotiations, and documentation of results
Developing H&W program pricing, budgets, forecasting, employee contributions and premium equivalent rates for self-insured benefit plans (adhering to actuarial standards of practices)
Developing reserve estimates for self-funded benefit plans
Supporting the development of actuarial assumptions and per-capita claims cost calculations for OPEB (ASC 715) actuarial valuations
Assist in development of long- and short-term employee benefits strategy
Evaluating survey responses and benchmarking data related to employee benefit programs
Negotiation of rates, contractual provisions, and performance guarantees with current benefit vendors
Manage marketing analysis including RFP creation, proposal collection, and vendor comparisons
Assist with vendor selection, performance criteria with the management of new vendors and exiting vendors during implementation process
Monitoring the market to remain current regarding the major health plans, administrators, and other vendors available in the marketplace to consulting clients and prospects, as well as new, innovative solutions
Maintaining project plans and status logs with completion times and issue resolutions/decisions
Crafting letters, presentations, proposals, charts, and spreadsheets
Working as a cooperative, proactive team member in projects involving other associates throughout the practice, group, and region to deliver coordinated client results
Mentoring less-experienced associates at every opportunity
Sharing information freely and pro-actively. Keep other associates advised of current information, and ensure all relevant information is captured in client documents
Qualifications:
5-10 years' experience working with H&W plan financials, preferably at a benefit consulting/brokerage firm or through a health underwriting/actuarial function at an insurance company
Actuarial exam completion and/or accreditation preferred, but willing to consider non-actuary with consulting experience.
Bachelor's degree or equivalent experience is required
Strong Microsoft Office PC skills in Excel, Word, and PowerPoint
Strong critical thinking and problem-solving skills
Excellent communication skills
Strong project management skills
Knowledge of health insurance industry and employee benefits strategy
Knowledge of applicable laws and regulations
Knowledge of GAAP and STAT accounting and audit procedures, a plus
Experience with Monte Carlo simulation modeling and VBA programming, a plus
Willingness to work with teams in a hybrid in-person/virtual environment
To apply please email: Matt Doman |
Client looking to add a Consultant who will manage projects and client relationships spanning a variety of topics including, but not limited to: plan design, compliance and reporting services, health plan underwriting and employee contribution setting, health and well-being management, and retiree health care solutions. Lead consulting projects, mentor other associates, and promote teamwork. Important skills for this role include:
Analyzing and presenting data vital to client benefit programs
Managing benefit plan renewal processes, including project management, vendor coordination, qualitative and quantitative analysis, negotiations, and documentation of results
Developing H&W program pricing, budgets, forecasting, employee contributions and premium equivalent rates for self-insured benefit plans (adhering to actuarial standards of practices)
Developing reserve estimates for self-funded benefit plans
Supporting the development of actuarial assumptions and per-capita claims cost calculations for OPEB (ASC 715) actuarial valuations
Assist in development of long- and short-term employee benefits strategy
Evaluating survey responses and benchmarking data related to employee benefit programs
Negotiation of rates, contractual provisions, and performance guarantees with current benefit vendors
Manage marketing analysis including RFP creation, proposal collection, and vendor comparisons
Assist with vendor selection, performance criteria with the management of new vendors and exiting vendors during implementation process
Monitoring the market to remain current regarding the major health plans, administrators, and other vendors available in the marketplace to consulting clients and prospects, as well as new, innovative solutions
Maintaining project plans and status logs with completion times and issue resolutions/decisions
Crafting letters, presentations, proposals, charts, and spreadsheets
Working as a cooperative, proactive team member in projects involving other associates throughout the practice, group, and region to deliver coordinated client results
Mentoring less-experienced associates at every opportunity
Sharing information freely and pro-actively. Keep other associates advised of current information, and ensure all relevant information is captured in client documents
Qualifications:
5-10 years' experience working with H&W plan financials, preferably at a benefit consulting/brokerage firm or through a health underwriting/actuarial function at an insurance company
Actuarial exam completion and/or accreditation preferred, but willing to consider non-actuary with consulting experience.
Bachelor's degree or equivalent experience is required
Strong Microsoft Office PC skills in Excel, Word, and PowerPoint
Strong critical thinking and problem-solving skills
Excellent communication skills
Strong project management skills
Knowledge of health insurance industry and employee benefits strategy
Knowledge of applicable laws and regulations
Knowledge of GAAP and STAT accounting and audit procedures, a plus
Experience with Monte Carlo simulation modeling and VBA programming, a plus
Willingness to work with teams in a hybrid in-person/virtual environment
To apply please email: Matt Doman |