Pharmacy Benefits Plan Consulting Manager

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 

• 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 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 Degree
• 8+ years’ experience in employer health plan consulting
• 1+ years experience reviewing health plan performance
• 1+ years experience preparing financial/budget projections
• Proficiency with MS Office products, including Word, Excel, PowerPoint
• Must 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 serve
• Must 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 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 administrator