Healthcare Business Manager CMH Health

Healthcare Business Manager (Employee Benefits) - CMH Health

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

Milliman’s CMH Health Practice is seeking a Healthcare Business Manager with strong employee benefits experience to join their vibrant, dynamic, and growing practice. Healthcare Business Managers will have the opportunity to work in a wide variety of areas within the healthcare industry while working alongside some of the leading experts in the field.

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues—from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry.

Within a project team, consultants, managers, and analysts coordinate their efforts to deliver client reports and deliverables. Consultants are responsible for building relationships with clients, directing projects, and presenting results. Project managers work directly with analysts by reviewing work, answering questions, and developing client correspondence. Analysts are responsible for the majority of the technical work, which may include analyzing data, completing actuarial calculations, developing and utilizing actuarial models, and implementing software solutions.

• Perform financial analyses including developing pricing and employee contribution strategies, modelling plan design alternatives, and calculating reserves.
• Lead vendor procurement strategy, negotiation, implementation, and optimization activities.
• Analyze benefit plan design, cost savings, and funding strategies.
• Perform data analysis using Excel, SAS, and proprietary Milliman programs to assist with consulting for various health insurance work areas (Medicare, Commercial/ACA, Medicaid, Long Term Care, Pharmacy, Provider, and more).
• Provide consulting services in Pricing, Reserving, Financial Projections, and Mergers and Acquisitions.
• Responsible for performing various technical work while delegating most of the work to professional staff to help meet client needs.
• Responsible for reviewing the work of others and assisting with research and product development.
• Responsible for several projects simultaneously providing insight into the technical direction of each project, verifying the initial reasonableness of the solution and creating client communications for review by Consultants (includes data collection, project updates and answering basic technical questions).

• Bachelor’s or master’s degree in a quantitative field.
• 4+ years of relevant full‑time experience, primarily working with Employee Benefits (current or previous experience at a benefits consulting firm is preferred).
• Able to acquire state life and health license within 90 days of start date.
• Thorough understanding of Microsoft Excel and actuarial concepts.

• Pursuit of CEBS/ASA designation, or health and welfare actuarial/underwriting training.
• Experience working with SAS, VBA, or other coding languages is advantageous.
• Experience with commercial group insurance, employer health benefits, or pharmacy programs from a benefit consulting/brokerage firm or health underwriting/actuarial function of an insurance company is strongly preferred.
• Experience mentoring staff and managing projects.
• Strong communication skills (both verbal and written).
• Ability to help identify client issues and resources needed to solve problems.
• Analytical thinking skills to evaluate analyses for communication to clients.
• Ability to help plan and organize work for projects.
• Identify project deliverables, meet deadlines, and ensure compliance with quality procedures.
• Strong time management skills.
• Ability to work independently and within a team.
• Client focused and results oriented.
• Organizational…