Senior Benefit Consultant

JBM Planning and Consulting LLC; Bordentown (NJ); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Future equity participation

Hybrid schedule

Job summary

JBM Planning and Consulting, LLC is seeking a Senior Benefit Consultant in Bordentown, NJ. You will support the Fund’s monthly meetings by preparing exhibits, narratives, and analyses, while handling data-driven insights from medical and pharmacy claims.

The role offers visibility to fund commissioners, and collaboration with Horizon BCBSNJ, Prime Therapeutics, and stop-loss partners. The ideal candidate has 3–5 years in health insurance consulting, advanced Excel and PowerPoint skills, and

Qualifications

• Bachelor’s degree or equivalent professional experience.
• Three to five years of health insurance or benefits consulting experience.
• Strong knowledge of medical/pharmacy claims data and cost containment levers.
• Advanced Excel skills including pivot tables and data models.
• Excellent written communication and client-ready presentations.
• Experience using AI tools in daily workflows.
• Ability to interact with Fund Commissioners and senior vendors.
• Life and Health producer license (or willingness to obtain within 12 months).

Responsibilities

• Review and analyze monthly claims and utilization data from multiple vendors.
• Prepare Commissioners-ready exhibits, narratives, and analyses.
• Develop Excel models and PowerPoint decks for meetings and evaluations.
• Serve as primary day-to-day contact with the Fund Administrator and vendors.
• Support vendor negotiations, RFIs/RFPs, and contract reviews.

Skills

Excel pivot tables

PowerPoint decks

Written communication

Interpersonal skills

Attention to detail

AI tools proficiency

Education

Bachelor’s degree or equivalent

Tools

Excel

PowerPoint

Horizon BCBSNJ reporting

Prime Therapeutics reporting

Job description

Senior Benefit Consultant

JBM Planning and Consulting, LLC

Location: Bordentown, NJ (Burlington County) — hybrid, three (3) days in office

Reports to: Robert Cola, President

Employment Type: Full-time

About JBM Planning and Consulting

JBM Planning and Consulting, LLC is a boutique health insurance consulting and advisory firm. Our flagship engagement is serving as Program Manager to the NJ Solutions Joint Health Insurance Fund (the “Fund”), a New Jersey public-sector self-insured joint insurance fund operating under the oversight of the New Jersey Department of Banking and Insurance. The Fund has grown rapidly in 2026, expanding from approximately 1,340 contracts and 2,992 members to over 6,250 contracts and 15,000 members effective January 1, 2026. With that growth comes a significant expansion of our service scope, our reporting cadence to the Fund Commissioners, and our role advising on plan design, vendor management, pharmacy cost containment, network performance, and stop-loss strategy.

The Opportunity

JBM is hiring a Senior Consultant to serve as the primary day-to-day service professional supporting the Program Manager in the delivery of advisory services to the Fund. This is a high-visibility role with direct exposure to Fund Commissioners, the Fund Administrator, Horizon BCBSNJ, Prime Therapeutics, stop-loss carriers, and point solution vendors. The Senior Consultant will prepare the exhibits, memoranda, and analyses that anchor every monthly Commissioners’ meeting, support vendor negotiations, and drive the Fund’s cost containment agenda. The position offers meaningful career growth as the Fund continues to scale, including an opportunity to participate in the long-term equity of the firm.

Key Responsibilities

Claims and Utilization Analysis

• Review and analyze monthly medical, pharmacy, and dental claims data and utilization reports from Horizon BCBSNJ, Prime Therapeutics, and other vendors.
• Produce Commissioners-ready exhibits covering high-cost claimants, inpatient and outpatient utilization, out-of-network leakage, specialty drug and GLP-1 trending, and medical Rx therapy class spend.
• Identify cost drivers and surface actionable recommendations to the Program Manager for discussion with Commissioners and the Fund Administrator.
• Maintain recurring analytics workbooks, dashboards, and trend reports; reconcile data across sources to ensure accuracy before distribution.

Reporting and Presentation

• Prepare the monthly Program Manager’s Report to the Fund Commissioners — drafting narrative, building exhibits, integrating pharmacy and network data, and maintaining the established report format.
• Build and refine Excel models and PowerPoint decks for Commissioners’ meetings, vendor evaluations, RFP scoring, and stop-loss renewal discussions.
• Draft professional memoranda, vendor correspondence, and internal summaries with a high standard of clarity and polish.

Client and Vendor Service

• Serve as the primary day-to-day point of contact between JBM and the Fund Administrator, responding to service requests, data requests, and ad hoc analyses.
• Coordinate with carriers, brokers, actuaries, underwriters, the PBM, stop-loss partners, and point solution vendors to gather information and resolve issues.
• Attend Trustee and Commissioners’ meetings in a supporting capacity; occasionally present exhibits or data summaries directly to the Commissioners.
• Support the Program Manager in vendor negotiations, RFI/RFP processes, and contract reviews.

Process, Tools, and AI-Enabled Productivity

• Use AI tools (such as Claude, ChatGPT, Copilot, and others) productively and safely to accelerate document drafting, data summarization, research, and analytical workflows — always with appropriate review for accuracy and confidentiality.
• Contribute to the continuous improvement of JBM’s reporting templates, data pipelines, and analytical processes as the Fund scales.
• Maintain strict confidentiality of Fund, member, and vendor information in compliance with HIPAA and the firm’s information security practices.

Qualifications

Required

• Bachelor’s degree, or equivalent professional experience.
• Three to five years of relevant experience in health insurance, employee benefits consulting, benefits brokerage, third-party administrator, or carrier account management environment.
• Strong working knowledge of medical and pharmacy claims data, high-cost claimant analysis, network utilization metrics, and common cost containment levers.
• Advanced Microsoft Excel skills — comfortable with pivot tables, large data sets, formula-driven models, and clean formatting.
• Strong Microsoft PowerPoint skills, with the ability to build clean, professional client-ready decks.
• Excellent written communication — able to produce polished memoranda, board-level reports, and clear vendor correspondence.
• Demonstrated comfort and proficiency using modern AI tools as part of daily workflow.
• Strong interpersonal skills — able to communicate with Commissioners, senior vendor executives, and internal team members with professionalism and discretion.
• High level of accuracy, attention to detail, and ownership of deliverables. Life and Health producer license (or willingness to obtain within first 12 months).

Preferred

• Prior experience supporting or consulting to New Jersey employers, Joint Health Insurance Fund (JHIF), or other public-sector self-insured entities.
• Familiarity with Horizon BCBSNJ reporting, Prime Therapeutics (or comparable PBM) reporting, and health intelligence/claims analytics platforms (e.g., Innovu, Springbuk, Artemis).

Compensation and Benefits

• Base Salary: TBD
• Bonus: TBD
• Equity: Future equity participation opportunity for the right candidate as the firm and Fund engagement continue to grow.
• Benefits: Standard employer-sponsored benefits package (details provided during offer stage).
• Schedule: Hybrid schedule — three (3) days per week in the Bordentown, NJ office (Burlington County); two (2) days remote.

JBM Planning and Consulting, LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.