Healthcare Consultant
4 days ago
SC International is seeking a highly skilled Healthcare Consultant to join our team. As a key member of our consulting practice, you will be responsible for managing projects and client relationships across a range of healthcare topics, including plan design, compliance, and reporting services.
Key Responsibilities- Lead consulting projects and mentor other associates to promote teamwork and knowledge sharing.
- Analyze and present data vital to client benefit programs, including qualitative and quantitative analysis, negotiations, and documentation of results.
- Develop and implement H&W program pricing, budgets, forecasting, employee contributions, and premium equivalent rates for self-insured benefit plans.
- Support the development of actuarial assumptions and per-capita claims cost calculations for OPEB (ASC 715) actuarial valuations.
- Evaluate survey responses and benchmarking data related to employee benefit programs.
- Negotiate 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, and the management of new vendors and exiting vendors during implementation.
- Monitor the market to remain current regarding major health plans, administrators, and other vendors available in the marketplace.
- Maintain project plans and status logs with completion times and issue resolutions/decisions.
- Craft letters, presentations, proposals, charts, and spreadsheets.
- Work as a cooperative, proactive team member in projects involving other associates throughout the practice, group, and region to deliver coordinated client results.
- Mentor less-experienced associates at every opportunity.
- Share information freely and proactively, keeping other associates advised of current information and ensuring all relevant information is captured in client documents.
- 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.
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