Chargé(e) de comptes H/F

Overview

Provides financial, contract and/or administrative analysis, and manages portions of projects, including ad-hoc client requests of problem-solving on administrative and operations issues.

Responsibilities

• Supports financial analysis and review, including underwriting, data analytics, and partnership with actuaries to support funding analysis.
• Contributes as a member of the consulting team in developing overall client strategy, interprets and presents benchmark data to client and ensures plan and program changes are properly implemented embody client’s strategy.
• Demonstrates project management skills and manages the quality and timeliness of deliverables and delegates to and reviews project work of more junior colleagues.
• Manages internal specialty resources ensuring client deliverables meet client’s goals and deadlines and delegates and reviews project work of more junior colleagues.
• Assists with the preparation and completion of peer review processes and delivery of clear and concise client-friendly communications.
• Works directly with the client and manages the request for proposal (RFP) process with the health insurance carriers and internal analyst.
• Collects and reviews the analyst’s compilation of health benefits information from a variety of sources (such as hard files, electronic files, the client and carriers), responses from the carriers and the data in a template (customization depends on client plan types, funding, rate structure, etc.), and reviews the transparency documents.
• Ensures compliance with professional standards including use of templates, client calendar, peer review, and transparency.
• Peer reviews the information, analyzes and interprets the results, edits and finalizes the executive summary report, and sends this report to the client.
• Establishes necessary carrier/vendor relationships with appropriate contacts to serve clients in handling all administration (eligibility, claims, billing, plan implementation, contracts, plan changes and necessary amendments).

Note: This description focuses on responsibilities for the role. It excludes corporate marketing or promotional content irrelevant to day-to-day duties but may reference the employer’s broader policies and diversity statements as applicable to the work environment.