Job Details

Deloitte Human Capital Team Opportunity

Our Deloitte Human Capital team helps organizations create value through people performance. We work with clients to reimagine work, the workforce, and the workplace across the enterprise and to transform their HR functions with AI and emerging technology. With the rapid pace of change in today's world, you will help clients answer questions like: How do I access, develop, and motivate my workforce? What should my AI strategy be for the HR function? Do I have the right organization and culture to enable performance? Join our team to make work better for humans and humans better at work.

Work you'll do:

• Lead employee benefits diagnostic/planning studies, especially in pharmacy
• Provide subject matter expertise on the pharmacy landscape, including emerging trends and cost drivers
• Work directly with medical and PBM vendors to analyze the program offering and cost management solutions
• Own the process of preparing benefits plan design and pricing studies
• Implement competitive vendor search and selection initiatives
• Review of health plan renewals including assisting in rate negotiation, and analyzing financial terms for both medical and pharmacy
• Prepare financial projections and rate development
• Review health plan performance, including reviewing policy year settlements and premium rate/administrative fee renewals
• Prepare client presentations and reports
• Conduct other general health & welfare consulting activities, as required
• In addition to serving plan sponsors, other project work can include working with payers and providers in such projects as provider network development, operational claim reviews, etc.

The team Deloitte's Government and Public Services (GPS) practice - our people, ideas, technology and outcomes-is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

Our Insights, Innovation, & Operate offering provides key aspects of our clients' businesses with technology, data, and deep technical and human capabilities. Innovates and delivers creative, industry-centric solutions that streamline work and accelerate speed-to-value.

Qualifications Required:

• Bachelor's degree in business administration, human resources, or another related field
• 8+ years' experience in employer health plan consulting
• 1+ years experience reviewing health plan performance
• 1+ years experience preparing financial/budget projections
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• Ability to travel 25%, on average, based on the work you do and the clients/sectors you serve

Preferred:

• Prior professional services or federal consulting experience
• 14+ years of health plan/insurance/pharmaceutical company and/or consulting experience
• Technical background in underwriting and other areas of health care finance
• Strong understanding of health care plan design and alternative delivery systems, including consumer directed health plans with HRAs and HSAs
• Knowledge (plan design and pricing) of other health & welfare benefit plans (e.g., life, disability, dental, etc.)
• CEBS Designation or Actuarial credentials
• In-depth experience with healthcare and pharmacy benefit management, including:
• Experience performing vendor selection reviews for Self-insured Health plans administrators and PBMs
• Experience performing hospital / physician network discount and network disruption analyses
• Experience with evaluating the pricing arrangements for PBMs contracts, including evaluation of disruption related to formulary changes
• Experience reviewing and negotiating pharmacy contracts (pricing and business terms) with PBMS
• Experience performing analytical analysis of medical & pharmacy claims, including understanding financial impact of network changes, design changes and formulary changes
• Understanding of healthcare landscape, including up and coming trends in medical and pharmacy

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $124,700 to $229,500. Information for applicants with a need for accommodation: .html All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.