Health & Benefits Consultant Job Description
Health & Benefits Consultant Duties & Responsibilities
To write an effective health & benefits consultant job description, begin by listing detailed duties, responsibilities and expectations. We have included health & benefits consultant job description templates that you can modify and use.
Sample responsibilities for this position include:
Health & Benefits Consultant Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Health & Benefits Consultant
List any licenses or certifications required by the position: CEBS, FAIS, ASA
Education for Health & Benefits Consultant
Typically a job would require a certain level of education.
Employers hiring for the health & benefits consultant job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Statistics, Mathematics, Actuarial Science, Finance, Economics, Business, Education, Public Health, Health, Associates
Skills for Health & Benefits Consultant
Desired skills for health & benefits consultant include:
Desired experience for health & benefits consultant includes:
Health & Benefits Consultant Examples
Health & Benefits Consultant Job Description
- Conduct analysis of client demographic, utilization and financial data (e.g., review utilization data to assess aberrant patterns and suggest remedial actions
- Develop benefits design and renewal strategies and drive the development of tools and solutions to address complex client issues
- Accountable for revenue/profitability for client accounts and projects
- Contribute to client deliverables
- BA/BSc, Bachelor’s degree or equivalent experience
- On a limited scope, assist in the sales process (RFP and proposal development, presentation)
- Pricing and evaluation of individual and group insurance exchange plans (high deductible health plans with provisions to create greater consumer awareness) creating and developing a Mercer internal pricing model to compare designs and outcomes under various scenarios
- Estimating the impact of Medicare part D legislation by entering retiree prescription drug data into Mercer’s Part D pricing model and performing tests to determine whether a federal government subsidy is available to the client
- Develop appropriate tools and models for Mercer Marketplace’s group insurance product portfolio
- Serve as Senior Actuary for selected clients
- Five plus years of experience in Health and Benefits
- Five plus years of experience in a HR consulting firm or professional services firm
- Resolve client issues via phone or email
- Review the analyst's compilation of the 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 spreadsheet template (customization depends on client plan types, funding, rate structure, ), reviews the transparency documents (compliance documents required for completion of all health and benefits work)
- Manage different projects (renewal, request for proposals, redesign, program implementation, financial projections, ) from start to finish
- 5+ years of experience in a benefits consulting firm preferred
Health & Benefits Consultant Job Description
- Delegate effectively to provide developmental opportunities to team members while providing mentoring and coaching to direct reports
- Proactively advise clients and provide consistent client service to clients, resolving day to day service issue (eligibility, carrier coverage and claims issues, compliance
- Prepare for and facilitate client meetings (prepare agendas and materials, coordinate resources)
- Manage completion of reports and administrative actions for clients including Form 5500 filings, policy checking and delivery, monthly reporting of client and carrier information, summary plan descriptions, certificates
- Contribute to the client open enrollment process including preparing materials and presentations, organizing and conducting employee meetings, proofing contracts, updating internal systems
- Conduct qualitative and quantitative evaluations of PBM contracts
- Analyze pharmacy claims data
- Assist with sales and marketing by drafting proposals, presentations, exhibits, and articles
- Manage client relationships, projects, assignments, presentations, and deliverables
- Work autonomously but also actively participate in various project teams to foster collaboration and information sharing
- CEBS designation is preferred
- Minimum eight or more years' experience in identifying, designing, recommending and implementing efficient, innovative business solutions to clients' complex health care benefits challenges
- Minimum seven years of H&B or relevant actuarial experience required
- Lead the Health Analytics Practice for all of Canada
- Serve as a Senior Consultant for large market clients in the Ontario market
- Proven ability to generate health and group benefits revenue to large corporate clients
Health & Benefits Consultant Job Description
- Regional & local Benefits consulting sales strategy review (in collaboration with key
- Collecting and reviewing 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, ), and reviews the transparency documents
- Actively participate and coordinate oversight activities for all H&W related processes, policies, programs and vendors
- Participate in cross functional teams related to strategic planning and process improvement
- Support the development of the benefits budget specific to H&W programs
- Partner with HR Shared Services, as needed, to ensure effective and timely handling of H&W benefit operations (e.g., vendor file processing and bill payment process are accurate)
- Partner with HR Shared Services to manage vendor relationships, improve status quo and deliver exceptional results
- Resolve member escalations and research root cause
- Lead key cross-team projects by setting timelines, allocating tasks and reporting status to H&W manager
- Manage the RFP process for new & prospective clients
- Ability to work effectively in highly matrixed environment
- Track record of effectively partnering with third party organizations, such as data warehouse vendors
- Experience with deep, data driven health and group benefit solutions to premiere clients, preferably gained in a health benefits consulting or brokerage environment, health insurance carrier, managed care organization or another leading health care provider
- Proven ability to recognize and diagnose issues and leverage the resources of other related practices to address client challenges
- Flexibility with regard to travel that can range from 25 to 50%
- Experience of business development in a consulting environment or financial services sector
Health & Benefits Consultant Job Description
- Support the RFP process and renewal and Implementation of insurance coverages processes
- Gathers, reviews and summarizes renewal/marketing results and assists in communicating to clients
- Identify and understand negotiable elements of underwriting calculations for all lines of coverage
- Coordinates renewal process, census data, Schedule A requests and ERISA Wrap documents
- Responds to client inquiries through email, phone calls or other requests of information
- Conducts initial research for client projects and works with carriers in coordinating information
- Assists with open enrollment communications and other employee related communications
- Proactively works with vendors and Corteva Global Rewards personnel to assess potential impact of business decisions and legal changes, in advance, on stakeholders and also develops, gains approval, communicates and executes associated action plans
- Works with Corteva Sourcing and Legal organization to review and amend contract documents, including service level exhibits, statements of work – fully versant in contract language and contract structuring
- Develops, implements, and drives compliance of Corteva vendor management, sourcing, change request and financial processes in this work
- Bachelor’s degree required (mathematics, business, finance or economics preferred)
- Successful track record in selling solutions to senior stakeholders
- Understanding of private medical, life assurance, Income protection and flexible benefits arrangements
- Ability to identify appropriate prospective clients
- Ability to generate a need with clients for our services and products
- 7+ years experience and success in the design/management of group health and benefit plans gained in a consulting, brokerage or carrier environment
Health & Benefits Consultant Job Description
- Develop and mentor benefit analysts and associate consultants on the team
- Manage the client RFP process
- Manage the plan renewal and implementation processes
- Manage post-implementation process for all lines of coverage
- Contribute toward company sales initiatives
- Build a strong and trusted client relationship with clients, through effective communication, providing timely solutions and advice
- Work across the region and team to ensure deliverables and RFPs are appropriately coordinated, approved and delivered timely
- Review legislation and learn about changes that affect our clients
- Support New Business/Sales initiatives and identifying opportunities including
- Client prospecting and offering/conducting benefits assessments
- Ideal candidate will have 5-8 years of client facing experience at an insurance company or brokerage/or consulting experience in the Health & Benefits discipline, with a strong emphasis on health benefits
- Pursuit of CEBS designation, or group health and benefit, actuarial or underwriting training desired
- 10+ years experience and success in the design/management of large group health and welfare plans gained in a consulting or brokerage environment
- Track record of success in managing large client relationships and leading global teams
- Interest and aptitude in keeping abreast of latest developments in health and welfare plan strategy and contributing to the development of new tools and approaches
- Proven ability to generate revenue, including through the pursuit of new clients