AddressYour role on individual projects will include elements such as written documentation collection from vendors/ carriers, information validation, data extracts, conducting focused analyses, developing executive summary for senior H&B stakeholders & client presentations, and other activities.
You will continually learn about North America health and benefits concepts and principles and apply these skills in a global environment. Finally, you will interact with other members of our United States Health and Benefits team and can make important contributions to process improvements and new analytical tools.
This position requires an analytical mind who is detail oriented with work product and outputs using Microsoft Office tools. The position also requires the ability to accurately execute written and verbal instructions.
Manage NQTL written comparative analysis portion of parity assessment, including:
- Prepare NQTL carrier documentation requests on behalf of each client/carrier
- Coordinate with Project Manager regarding sending requests, timing, status, and follow-up
- Attend internal and client kick off meeting with QTL/NQTL team
- Monitor carrier and vendor responsiveness to information requests
- Validate completeness of response and report any issues or impact to timeline proactively to Project Manager
- Complete initial review of carrier responses for parity projects
- Map carrier responses to appropriate section of NQTL document
- Cite specific reference, criteria, and example(s) for each response
- Draft gap analysis based on documents reviewed including master templates and client specific responses
- Collaborate with health management senior reviewer and Project Manager to conduct follow up calls/emails with carriers/vendors as needed for clarification and submission of additional documentation
- Support the overall completion of the NQTL written documentation analysis component of the report
- Schedule meetings and coordinate efforts of colleagues
- Participation in weekly or bi-weekly project status calls as needed
- Participate in MHPAEA office hours as needed
Maintain materials/documentation in a manner consistent with WTW work processes and peer review standards (e.g., filing of drafts, deliverables, client and carrier documentation)
Required Skills and knowledge:
- 2-5 years’ experience dealing with health and welfare plans, ideally gained in a benefit consulting/brokerage firm, Health Plan, Third Party Administrator, Regulatory Agency, Legal/Compliance Firm, or insurance company
- Understanding of health plan utilization/case management processes, network management, credentialing, quality management, pharmacy prior-authorization processes and health plan operations
- Basic understanding of Mental Health Parity and Mental Health Parity Non-Qualitative Treatment Limits
- Well-organized and detail oriented
- Strong project management and critical thinking skills
- Self- starter attitude and ability to work individually and as part of a team
- Strong written and verbal communication skills
- Sense of accountability and ownership
- Flexibility and proven ability to identify and resolve issues
- Strong analytical, creative, and integrative skills
- Ability to ask the right questions and seek help where appropriate, from colleagues and clients.
- Strong client service orientation and ability to respond to all communications effectively and in a timely manner
Excellent Microsoft Office skills, particularly in Excel and Power Point
The Company
Willis Towers Watson is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth. With roots dating to 1828, Willis Towers Watson has 40,000 employees serving more than 140 countries. We design and deliver solutions that manage risk, optimize benefits, cultivate talent, and expand the power of capital to protect and strengthen institutions and individuals. Our unique perspective allows us to see the critical intersections between talent, assets and ideas – the dynamic formula that drives business performance. Together, we unlock potential. Learn more at willistowerswatson.com.
Willis Towers Watson is an equal opportunity employer
Willis Towers Watson believes that effectively managing a diverse workforce is vital to our business strategy. We have an obligation to our organization, ourselves and our clients to hire and develop the best people we can find. We will continually review our policies and practices to ensure that all areas of the employment process (including recruiting, hiring, work assignments, compensation, benefits, promotions, transfers, company-sponsored development programs and overall workplace experience) are free from discriminatory practices. We are committed to equal employment opportunities at Willis Towers Watson.
Unsolicited Contact: Any unsolicited resumes/candidate profiles submitted through our web site or to personal e-mail accounts of employees of Willis Towers Watson are considered property of Willis Towers Watson and are not subject to payment of agency fees. In order to be an authorized Recruitment Agency/Search Firm for Willis Towers Watson, any such agency must have an existing formal written agreement signed by an authorized Willis Towers Watson recruiter and an active working relationship with the organization. Resumes must be submitted according to our candidate submission process, which includes being actively engaged on the particular search. Likewise, for our authorized Recruitment Agencies/Search Firms, if the candidate submission process is not followed, no agency fees will be paid by Willis Towers Watson. Willis Towers Watson is an equal opportunity employer.
