H&B Consultant

Responsibilities

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.

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, completion of peer review process 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).