San Francisco, California, USA
16 days ago
Senior Pharmacy Benefits Plan Consultant
Position Summary

Are you interested in working in a dynamic environment that offers opportunities for professional growth and new responsibilities? Are you interested in helping clients drive alignment with their business, improve organizational and human resource performance and establish a culture focused on adding business value? That is what the new generation of human resource transformation is all about. If you are seeking a role that offers you the opportunity to advise Government and Public Services (GPS) clients through critical and complex issues, while allowing you to develop personally and professionally, consider a career in Deloitte’s Human Capital practice.

Work you’ll do 

Provide strategic and technical employee benefit consulting services to plan sponsors (e.g., employers, state, county, and city governments, health & welfare funds, etc.).Conduct employee benefits diagnostic/planning studies, especially in pharmacyAssist with preparing benefits plan design and pricing studiesHelp conduct competitive vendor search and selection initiativesReview of health plan renewals including assisting in rate negotiationAssist with preparing financial projections and rate developmentReview health plan performance, including reviewing policy year settlements and premium rate/administrative fee renewalsAssist in preparing client presentations and reportsConduct other general health & welfare consulting activities, as requiredIn 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 over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

The Workforce Transformation (WFT) offering helps clients consider how work, workforces and workplaces need to be reimagined in the service of future business strategy. We collaborate with clients to evaluate the nature of work, how the composition of the workforce will evolve to meet business needs, and how to activate next generation leaders, learning, skills, and incentives for the future.

Qualifications 

Required:

Bachelor's Degree5+ years’ experience in employer health plan consulting1+ years experience reviewing health plan performance1+ years experience preparing financial/budget projectionsProficiency with MS Office products, including Word, Excel, PowerPointMust be able to obtain and maintain the required clearance for this role Ability to travel 25-50%, on average, based on the work you do and the clients and industries/sectors you serveMust be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future

Preferred: 

Prior professional services or federal consulting experience6+ years of health plan/insurance/pharmaceutical company and/or consulting experienceTechnical background in underwriting and other areas of health care financeStrong understanding of health care plan design and alternative delivery systems, including consumer directed health plans with HRAs and HSAsKnowledge (plan design and pricing) of other health & welfare benefit plans (e.g., life, disability, dental, etc.)Technical background in underwriting and other areas of health care financeCEBS 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 PBMsExperience performing hospital / physician network discount and network disruption analysesExperience with evaluating the pricing arrangements for PBMs contracts, including evaluation of disruption related to formulary changesExperience reviewing and negotiating pharmacy contracts (pricing and business terms) with PBMSExperience performing analytical analysis of medical & pharmacy claims, including understanding financial impact of network changes, design changes and formulary changesUnderstanding of healthcare landscape, including up and coming trends in healthcare and pharmacy

For individuals assigned and/or hired to work in California Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to California, Colorado, Hawaii, Jersey City, Nevada, New York state, and Washington state and 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. 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 $97,875 - $163,125

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Information for applicants with a need for accommodation:https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html

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