US E-GPS Consulting-HC/IIO-Pharmacy Benefits Plan SpM - JB
- Deloitte
- Columbus, Ohio
- Full Time
Recruiting for this role will end on August 29th, 2025.
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.
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:
- Bachelors 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
- 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.)
- Technical background in underwriting and other areas of health care finance
- 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
Information for applicants with a need for accommodation:
Recruiting tips
From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. Benefits
At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture
Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose
Deloittes purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development
From entry-level employees to senior leaders, we believe theres always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. Position Summary 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 todays 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.
Recruiting for this role will end on August 29th, 2025.
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.
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:
- Bachelors 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
- 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.)
- Technical background in underwriting and other areas of health care finance
- 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
Information for applicants with a need for accommodation:
Recruiting tips
From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. Benefits
At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture
Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose
Deloittes purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development
From entry-level employees to senior leaders, we believe theres always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.
As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.
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.
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