Healthcare Consultant

4 days ago


CA United States SC International Full time
About the Role

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.
Requirements
  • 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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