Jericho, New York, USA
4 days ago
Pharmacy Benefits Plan Consulting Specialist Master
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 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. 
Recruiting for this role will end on August 29th, 2025.
Work you'll doLead employee benefits diagnostic/planning studies, especially in pharmacyProvide subject matter expertise on the pharmacy landscape, including emerging trends and cost driversWork 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 studiesImplement competitive vendor search and selection initiativesReview of health plan renewals including assisting in rate negotiation, and analyzing financial terms for both medical and pharmacyPrepare financial projections and rate developmentReview health plan performance, including reviewing policy year settlements and premium rate/administrative fee renewalsPrepare 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 teamDeloitte’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 field8+ years’ experience in employer health plan consulting1+ years experience reviewing health plan performance1+ years experience preparing financial/budget projectionsMust be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the futureAbility to travel 25%, on average, based on the work you do and the clients/sectors you servePreferred:Prior professional services or federal consulting experience14+ 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 medical and pharmacyThe 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: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html
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