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Elevance Health Business Development Consultant - Group Medicare Advantage/Part D Benefit Plan Expert in Woburn, Massachusetts

Business Development Consultant - Group Medicare Advantage/Part D Benefit Plan Expert

  • Job Family: Business Development and Planning

  • Type: Full time

  • Date Posted:Jan 25, 2023

  • Req #: JR45295


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Business Development Consultant - Group Medicare Advantage/Part D Benefit Plan Expert

Location: Aligned to an Elevance Health office, but ability to work remotely.

Responsible for reviewing, editing, and approving Group Medicare Advantage and Part D Plans for potential and existing clients to ensure plans are company and CMS compliant. Responsible for developing custom benefit charts for the Group Retiree Solutions department.

How you will make an impact:

  • Monitors and analyzes standard medical and pharmacy product benefit plans to help determine optimal strategy and client offering.

  • Provides research, analysis and recommendations on the external environment as part of the development of strategic plans for the business unit.

  • Reviews competitor plans and consults with sales and underwriting to develop suitable benefit offerings, including custom plans.

  • Identifies and monitors changing patterns of competition and recommends responses.

  • Develop custom benefit plans/charts that are CMS compliant for RFPs and renewals for fully insured medical and pharmacy plans and fully insured and ASO Part D only plans.

  • Consult with Sales, Account Managers, Underwriters, and Proposal Coordinators on custom benefit designs for RFPs and renewals.

  • Coordinates with Product, Compliance, and Actuarial to ensure the benefit plan is compliant.

  • Uses Elevance Health proprietary application to approve and finalize documents.

  • Assist with maintenance and testing enhancements for benefits tool.

  • Analyzes recommends and implements enhancements to the Custom Benefit Plan/Chart processes.

  • Attends annual Product Development work sessions and recommends benefit changes based on prior year custom requests.

Minimum Requirements:

Requires a BA/BS related degree and a minimum of 5 years of healthcare related experience including at least 3 years of business development experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences

  • MS/MBA is preferred.

  • Experience and knowledge of Medicare Advantage and Part D most notably Group Medicare is strongly preferred.

  • Experience and knowledge of benefit coding, review or plan creation is highly preferred.

  • Experience interacting confidently with key stakeholders, as a subject matter expert and comfortable with influencing decision-making.

  • Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties.

  • Proficient of Microsoft Office products, most notably expertise in Word, Access, Excel, PowerPoint, Teams, and Outlook.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $79,600 to $150,444

Locations: California; Colorado; Nevada; Washington State; Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

  • EEO Policy Statement

  • Know Your Rights

  • Pay Transparency

  • Privacy Notice for California Residents

Elevance Health, Inc. is an E-verify Employer

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