Consultant - National Employer Consulting - Employee Benefits

EPIC Brokers$70K — $95K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-10 years experience in insurance/employee benefits/HR.
  • In-depth knowledge of self-funded medical plans and Health & Welfare Industry.
  • Experience managing large self-funded group clients in consulting or brokerage environment.
  • Familiarity with full-cycle Request for Proposal process.
  • Bachelor's degree or equivalent education or business experience.

Responsibilities

  • Ensure client satisfaction and effective vendor management.
  • Develop and present tailored strategies for complex client benefits programs.
  • Evaluate and implement cost containment strategies for health programs.
  • Analyze data to optimize claims and service utilization trends.
  • Facilitate meetings and communicate emerging trends and product options to clients.

Benefits

  • Hybrid work model with 3 days in office.
  • Professional development opportunities.
  • Supportive team environment for collaboration and innovation.
  • Access to a dynamic work culture with evolving challenges.
Full Job Description
LOCATION: Atlanta, GA-Hybrid-3 days a week in office required.

WHAT YOU'LL DO:

The Benefit Consultant will be responsible for:
• Client satisfaction, service delivery, and vendor management.
• Support team to develop and present innovative and customized strategy solutions that optimize complex clients' benefit programs and services
This includes vendor management for Health & Welfare vendors, leveraging data and analytics to develop short- and long-term strategies, identification of actionable cost-containment and quality-improvement solutions, procurement project management, RFP management, implementation of vendors, products, and services, and measurement and reporting on program outcomes.
Strategy Development Functions
• Support development and execution of benefit program strategic initiatives for large, self-funded, complex clients
• Develop and implement cost containment strategies for medical, prescription drug, and disability programs
• Evaluate services to optimize claim and utilization trends in the following areas: medical, pharmacy, absence, and disability management
• Conduct opportunity analysis to identify critical strategic initiatives
• Organize, develop content, and facilitate meetings with clients
• Communicate industry trends, benchmarks, emerging products, and innovative vendors to clients
• Evaluate new vendors for client consideration
• Contribute to the process improvement and development of new internal strategic initiatives through ongoing collaboration with team members
• Evaluate emerging local, state, and federal legislative changes to identify and advise clients of potential impact on their organization
Client Management Functions
• Serve as the primary contact, day-to-day contact for clients and their respective vendors
• Act as project manager for all client initiatives, compliance deadlines, communication, and annual benefit program deliverables
• Work with the client and actuarial teams to ensure all client deliverables are executed in a timely and accurate manner
• Develop and manage the annual calendar of key milestones and compliance deadlines
• Proactively communicate relevant local, state, and federal regulatory updates along with steps for adherence and potential collaboration with the client's vendors to ensure compliance
• Ongoing review and negotiation of vendor contracts and renewals
• Ongoing review of plan documents, summary plan descriptions, and SBCs (Summary of Benefits and Coverage)
• Project management, procurement and implementation for benefit programs including but not limited to preparation, management, analysis, and subsequent presentation of all Request for Proposals for self-funded and fully insured benefit programs
• Analyze health and welfare benefit plans through competitive benchmarking and valuation modeling
• Manage escalated claim issue resolution
• Manage or coordinate 5500 filings
• Assist in proofing, managing, and delivering communication materials for annual enrollment and/or benefit-related activities
• Maintain key documents and data in corporate files
• Perform special projects as assigned
Client Relationship Management
• Work with EPIC consulting team and the client to define goals and objectives as related to employee benefits, normally related to the design and budget of self-funded health plans
• Present financial reports or other analyses, as needed
• Determine client report content with Client Team and perform final review
New Business Development
• Participate in new business activities, including assessment strategy development and meetings as requested
Personal and Organizational Development
• Set priorities and manage workflow to ensure all goals are met
• Interact with others effectively, utilizing superior communication skills, impactful collaboration, and providing information and guidance as needed to achieve the business goals of the Company
• Maintain a strong working knowledge of the employee group benefits industry, emerging marketplace product/program developments, legislation, and technology
• Project a professional image in action and appearance

WHAT YOU'LL BRING:
• 5-10 years of experience, preferably in the insurance/employee benefits/HR area
• In-depth experience and knowledge of the Health & Welfare Industry, including but not limited to self-funded medical plans, carve-out prescription drug programs, self-funded dental, self-funded vision, absence management, and disability programs, life insurance, health improvement programs, and tax advantaged accounts
• Experience managing large, self-funded group Health & Welfare clients in a consulting or brokerage environment
• Experience with full-cycle Request for Proposal process

Bachelor's degree or equivalent educational training or business experience
• Experience designing cost-effective benefit plans for clients
• Experience with implementing Health and Welfare benefit plans on behalf of clients or employee populations
• Underwriting experience is preferred, but not required
• Insurance licensing or ability to obtain licensing after employment
KSAs (Knowledge, Skills, Abilities)
• Superior oral, written, and interpersonal communication skills
• Superior problem-solving skills
• Able to adapt and work well with ambiguity
• Ability to create and execute project plans
• Personal sense of accountability
• Comfortable with completing and presenting data analysis for Health & Welfare plans
• Strong analytic skills with understanding of underwriting and self-funded plan financials
• Experience leading multi-disciplinary teams
• Strong organizational skills
• Ability to concurrently manage multiple client projects and work assignments under aggressive timeframes
• Entrepreneurial attitude
• Willing to be a part of a team unit and cooperate in the accomplishment of organizational goals and objectives
• Detail-oriented and self-directed worker, efficient in a remote work environment
• Creativity and flexibility are required. EPIC is a dynamic environment and requires a candidate who is comfortable facing new challenges.
• Microsoft Office Suite experience, including large data sets
• Able to effectively interface with internal and external customers, including executive-level contacts
• Able to handle confidential information with maximum discretion
• Able to understand business principles and apply them accordingly
• High-touch client orientation
• Open and willing to receive and give constructive critique
• Able to train/coach and counsel others and provide peer review
• Approach projects in a financially responsible and resourceful manner
• Knowledge of federal and state regulations
Special Requirements
• Flexible to work outside normal working hours
• Travel (as needed); overnight stay required

COMPENSATION:

The base pay offered will be determined based on your experience, skills, training, certifications, and education, while also considering internal equity and market data.

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