Job Description

About the Role

The Health Management Consultant (HMC) is responsible for the development and delivery of assigned client’s health and well-being programs and solutions to improve client outcomes by leveraging data intelligence to identify trends. This will include providing creative solutions to help meet the well-being program goals, considering the company culture, organizational goals, desired outcomes for the program, and taking into account a client’s budget. The HMC also partners closely with the Employee Health & Benefits (EH&B) Account Management team to provide cohesive program solutions and recommendations.

Responsibilities

• Manage a strategically important book of business
• Access data warehouse systems, carrier data systems; and have proficiency in analyzing claims, utilization and condition specific data for client reports and recommendations
• Develop and execute client data driven population health management strategies by delivering client presentations and reports
• For PATH clients: Become proficient on reviewing and pulling data from the data warehouse, and work closely with Clinical Consultant and Data Analyst to interpret the data and draw insights for strategic recommendations
• Measure the success of client well-being programs by collaborating with vendors and carriers, reviewing and analyzing client data and engagement metrics in comparison to benchmarks and client goals
• Provide ongoing client support including planning and scheduling client well-being events and initiatives
• Collaborate with the Account Management teams on shared clients and provide health management resources as needed
• Conduct client well-being meetings as appropriate and provide agenda and meeting follow-up
• Leverage MMA National Resources and collaborate with MMA National HMC team
• Foster strong vendor relationships and insurance carrier partnerships
• Manage the RFP process and price negotiations for client well-being programs and services
• Oversee implement and ongoing service of third-party vendor programs to ensure a high level of service and reporting
• Work closely with Regional Marketing/Communications team on development and delivery of client specific communications
• Manage budgets, policies, and procedures relevant to the operation of client well-being programs
• Understand current well-being legislative and compliance landscape, leverage MMA Compliance Center of Excellence as a resource, and clearly explain regulations to the client

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