Clinical Benefits Strategist

HUB International; Myrtle Beach (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Health benefits

Retirement savings matching

Parental leave

Wellbeing program

Job summary

HUB International is seeking a Clinical Consultant to bring clinical expertise to employee benefits consulting. You will review claims data, translate findings into actionable client insights, and support decision-making alongside account teams and specialty partners.

You will interpret disease states, educate on risk, and identify patterns in utilization to inform cost trajectory and care improvement strategies. A RN/LPN license and 2–5 years of clinical experience are preferred.

Qualifications

• Bachelor’s degree in a health-related field required; BSN active RN license preferred.
• Associate-level RN/LPN/LVN with active license and relevant clinical experience will be considered in lieu of a bachelor’s degree.
• 2–5 years of direct patient care or clinical practice experience is required.

Responsibilities

• Reviews and interprets medical and pharmacy claims data, applying clinical knowledge of disease states, treatment protocols, and pharmacology to identify utilization patterns, cost drivers, and gaps in care.
• Learns and adapts to new reporting and technology tools as needed to support client deliverables.
• Provides condition interpretation and risk education, explaining how identified conditions may affect plan risk and cost trajectory, grounded in standards of care and medical necessity.
• Reviews clinical risk factors and treatment patterns among large or complex claimants, identifying key cost and risk drivers that support account team discussion.
• Identifies utilization patterns behind emergency room visits, hospital admissions, and specialty drug or site-of-care opportunities, distinguishing clinically necessary care from avoidable utilization.
• Shares clinical interpretation with the account team and other specialty partners to support broader population health and plan strategy discussions.
• Supports account team preparation for carrier conversations by identifying clinical patterns in carrier and vendor program data; may participate directly in carrier discussions as directed.
• Prepares clinical deliverables for routing to account team or presents directly on client calls as assigned.
• Maintains current knowledge of emerging treatment drug and site of care trends relevant to plan cost and utilization through ongoing research, training, and professional development.
• Maintains strict compliance with applicable regulatory and compliance standards including HIPAA, PHI protections, state and federal regulations, company policies, and client confidentiality standards.
• Other duties as assigned.

Skills

Microsoft Office

Communication

Time management

Organization

Education

Bachelor’s degree in health-related field

BSN preferred

RN/LPN/LVn license with active status

Job description

HUB International is seeking a Clinical Consultant to bring clinical expertise to employee benefits consulting. You will review claims data, translate findings into actionable client insights, and support decision-making alongside account teams and specialty partners.

You will interpret disease states, educate on risk, and identify patterns in utilization to inform cost trajectory and care improvement strategies. A RN/LPN license and 2–5 years of clinical experience are preferred.