Health Benefits Consultant

The Segal Group, Inc; Washington (District of Columbia); Hybrid; USD 102,000 - 130,000; Full time

Job summary

The Segal Group, Inc is seeking a Health Benefits Consultant to join the East Region, working in a hybrid capacity from major U.S. hubs including DC and NYC.

You will lead defined portions of health and welfare projects, analyze data to drive client recommendations, and mentor junior staff while expanding client relationships. You will collaborate with lead consultants and client teams to deliver timely, practical advice across health and welfare programs, with responsibilities spanning

Qualifications

• 6+ years of health benefits, actuarial, managed care, underwriting or consulting experience.
• Strong quantitative and analytical skills with clear communication.
• Knowledge of health and welfare programs, funding arrangements, and vendors.
• Experience with vendor procurements and RFP processes is preferred.
• Ability to manage multiple projects, meet deadlines, and deliver high-quality results.

Responsibilities

• Lead components of vendor procurements for medical, pharmacy, and other benefits.
• Analyze claims, utilization, costs, and plan design data; translate findings for clients.
• Manage multiple projects with planning, budgeting, and quality reviews.
• Support pricing, budgets, renewals, benchmarking and ad hoc analyses.
• Prepare client-ready reports and presentations with clear recommendations.
• Coordinate with clients, carriers, vendors and internal specialists; drive issues to resolution.
• Mentor junior staff and contribute to thought leadership and quality initiatives.
• Assist business development through proposals and client relationship opportunities.

Skills

Health benefits

Analytical skills

Vendor management

Excel proficiency

Communication skills

Tools

Microsoft Office Suite

Vendor procurement tools

Job description

Health Benefits Consultant (EAS0000007P)

The Opportunity:

We are seeking a highly motivated professional who thrives in a collaborative environment and is passionate about driving results. This is a hybrid role based in Atlanta, GA; Boston, MA; Hartford, CT; New York, NY; or Washington, DC. If you thrive in a collaborative environment, enjoy building strong relationships, and are motivated to make an impact, we'd love to hear from you.

Join Segal’s East Region as a hands‑on Health Consultant serving a broad range of group health and welfare engagements for public sector, multiemployer, and corporate clients. This role offers meaningful client interaction, ownership of complex assignments, and increasing responsibility for project leadership and client advisory work. Successful candidates will serve as trusted contributors on client engagements, develop specialized technical expertise, and play an active role in mentoring junior colleagues while building toward broader client leadership responsibilities. The position works with multidisciplinary teams that may include actuaries, clinicians, attorneys, and analysts.

The Role:

You will collaborate with the lead consultant and client team to deliver timely, practical advice across health and welfare programs. Key responsibilities include:

• Leading defined components of vendor procurements for medical, pharmacy, dental, vision, stop loss, life, disability and other benefit programs, including RFP development, proposal evaluation and recommendation support.
• Analyzing claims, utilization, cost, funding and plan design data; identifying key drivers, investigating anomalies and translating findings into client implications.
• Developing and managing multiple concurrent projects and workstreams, including project planning, resource coordination, budgeting, quality review, and delivery of client‑ready work products.
• Supporting pricing of benefit changes, budget projections, renewal analysis, benchmarking and other ad hoc financial or strategic work.
• Preparing client‑ready reports and presentations that clearly frame the issue, analytical approach, tradeoffs and recommended actions.
• Coordinating with clients, carriers, vendors and internal specialists; maintaining timely communication and driving complex issues to resolution.
• Reviewing and providing guidance on the work of junior consultants and analysts, offering coaching, mentorship, and developmental feedback.
• Contributing to thought leadership, quality improvement initiatives, development of intellectual capital, and other efforts that enhance service quality and practice effectiveness.
• Supporting business development activities, including proposal development, finalist meetings, and identifying opportunities to expand client relationships.

Health Benefits Consultants are expected to work with a high degree of independence, frequently leading defined projects and serving as a trusted advisor to clients and project teams. Individuals in this role are expected to build subject matter expertise, take an active role in managing client relationships and serving as a trusted advisor on defined areas of responsibility, mentor junior staff, and take ownership of significant project components while helping ensure high‑quality deliverables and successful client outcomes.

Qualifications

What You Bring

• At least 6 years of relevant health benefits, actuarial, managed care, underwriting or consulting experience.
• Strong quantitative and analytical skills, including the ability to interpret claims and financial information and communicate conclusions clearly.
• Working knowledge of health and welfare benefit programs, including plan design, fully insured and self‑insured funding arrangements, vendor management, and cost‑containment strategies.
• Experience with vendor procurements including proposal evaluation is preferred.
• Demonstrated initiative, sound judgment, accountability, ownership, and follow‑through, with the ability to work independently, manage competing priorities and projects, meet deadlines, and deliver high‑quality results in a fast‑paced, client‑focused environment.
• Strong written and verbal communication skills and the judgment to adapt to changing client needs.
• Demonstrated ability to communicate complex technical concepts and recommendations to clients and other non‑technical audiences.
• Proficiency in Microsoft Office, with strong Excel capabilities.
• Experience coaching, mentoring, or reviewing the work of junior staff is preferred.

About Segal and its Total Rewards Program

Segal is a privately owned, leading North American employee benefit, human resources and investment management consulting firm with over 80 years of history providing trusted advice that improves lives. Clients include public and private corporations, multiemployer trust funds, public sector entities, higher education institutions, institutional advisors, among many others.

Segal’s total rewards are part of what makes Segal a special place to work. The current salary range for this position is $101,500 to $130,000 plus opportunity for a discretionary performance bonus based on company profitability and employee performance. In addition, Segal offers a comprehensive suite of benefits to include a non‑contributory defined benefit pension plan, matching and discretionary contributions to a 401(k) profit sharing plan, medical and prescription benefits including contributions to a health savings account for eligible employees, dental benefits, life insurance, disability insurance, an Employee Assistance Program, wellness benefit reimbursements and rewards, and professional credential and tuition reimbursement. Segal also provides comprehensive paid time off including holidays, vacation days, sick leave, paid family leave and sabbaticals.

We’re committed to creating a fair and transparent hiring process and all hiring decisions will be merit‑driven. If you require accommodations during the interview, please let us know.

Primary Location

US-DC-Washington