Reports to the Health Benefits Manager and works under the direction and guidance of the unit manager, health/benefits
consultants and lead health benefit analysts. Works independently and on teams exercising cooperation, initiative and a commitment to achieving quality in work products and meeting assignment and project deadlines. Contributes own thinking to enhance the
value and quality of work products. Must possess excellent communication (oral/written) and interpersonal skills with ability to interact effectively with a diverse audience. Must have strong project management skills and work ethics.
Possesses and/or develops and applies competent knowledge of and skills in core health benefits and managed care services and products as described under the analyst role.
Works with and analyzes complex data to include
demography, claims experience, financial performance, cost-effectiveness, budget projections, renewal analysis, health delivery system and/or other benefits related issues.
Reviews client contracts and benefit agreements with insurance carriers for
accuracy and compliance Issues request for proposals and analyzes responses to assist clients in selecting a financially viable option that will deliver high quality benefits to their participants.
Prepares reports and memoranda communicating
results of analysis to consultants and clients.
Interacts effectively at senior levels with health benefits staff, consultants and clients on more complex matters.
Client contact on routine matters and attends client meetings as
Acts as liaison between client and third party vendors regarding contract, service and coverage issues
Reviews work completed by health benefit analysts for accuracy, completeness and quality and, may supervise analysts on the
completion of tasks.
Undergraduate degree with academic training in a quantitative discipline (e.g., Mathematics, Statistics, etc.) and analytical skills plus; 3-4 years of health benefits, managed
care, and/or actuarial / underwriting experience.
May be an entry point for individuals with a graduate level academic degree and/or training in relevant health disciplines (e.g., health administration, public health, etc.)
skills (oral / written) – competent level.
Sitting for and passing CEBS exams and/or pursuing other relevant accreditation (e.g., HIAA) preferred.
Affirmative Action / Diversity Inclusion at Segal: At Segal, we are
committed to a culture of diversity and inclusiveness, as demonstrated through our recruitment, retention and employee development programs. We maintain an environment that respects and builds on the assets and talents of each person, valuing their
differences. We also engage in good faith efforts to maintain an environment free from discrimination and harassment in strict compliance with applicable laws, and consider all qualified candidates for employment without regard to their race/ethnicity,
national origin, color, religion, gender, sexual orientation, gender identity or expression, age, disability or medical condition, protected veteran or military status, criminal record history, marital status, or status in any group or class protected by
applicable federal, state or local law. We also engage in affirmative action to employ and advance in employment qualified women, minorities, disabled individuals and protected veterans. Maintaining a diverse and inclusive workforce is a win/win, and
provides Segal with the opportunity to leverage our top talent to provide innovative solutions to our clients.