Top 52 Claims consultant Jobs in Washington State

Associate Pharmacy Benefit Consultant
Rael & Letson —Seattle, WA
- $120,000 - $155,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- 5 years
- Writing skills
- Disability insurance
- Health insurance
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Property & Casualty Insurance Claims Operations Consultant, Manager
PRICE WATERHOUSE COOPERS —Seattle, WA
- $99,000 - $232,000 a year
- Mid-level
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
Collision Consultant
OEConnection —Seattle, WA
- Hybrid work
- Marketing
- 3 years
- Driver's License
- Paid holidays
- Health insurance
6d
Risk Control Consultant-Washington
Sentry Insurance —Seattle, WA
- $74,910 - $164,450 a year
- Full-time
- Up to 50% travel
- Construction site
- Mid-level
- Fuel card
- Health insurance
3d
Payer Analytics Consultant (Defined Term)
Central California Alliance for Health —Seattle, WA
- Email
- Hybrid work
- Microsoft Outlook
- Research
- Mid-level
- Wellness program
- Paid holidays
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Insurance Senior Consultant
Accenture —Redmond, WA
- $59,100 - $205,800 a year
- Full-time
- Bachelor's degree
- US work authorization
- Military encouraged
- Paid holidays
- Disability insurance
11d
Employer Health and Welfare Senior Consultant, Strategy, Growth, and Transformation
Deloitte —Seattle, WA
- $137,700 - $229,500 a year
- Full-time
- Bachelor's degree
- Team management
- Travel
Human Resources Advisor
T&T Supermarket —Bellevue, WA
- $80,180 - $90,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- English
Regional Contents Consultant
YA Group —Seattle, WA
- $65,000 - $85,000 a year
- Full-time
- Business development
- Quality control
- Travel
- Parental leave
- 401(k) matching
12d
Financial Consultant - Employee Benefits
IMA Financial Group —Bellevue, WA
- $100,000 - $120,000 a year
- Mid-level
- Bachelor's degree
- Continuous improvement
- Health savings account
- AD&D insurance
Quick Apply
11d
Staff Consultant (Electrical)
Engineering Systems Inc —Seattle, WA
- $80,000 - $110,000 a year
- Full-time
- OSHA
- Construction site
- Office
- Paid holidays
- Health insurance
Senior Consultant (Polymers)
Engineering Systems Inc —Seattle, WA
- $120,000 - $180,000 a year
- Full-time
- Construction site
- Residential
- Master's degree
- Paid holidays
- Health insurance
Health - Network Performance / Utilization Manager
Accenture —Seattle, WA
- $87,400 - $293,800 a year
- Full-time
- Bachelor's degree
- Travel
- US work authorization
- Paid holidays
- Disability insurance
Identity & Security Consultant
Oxford Computer Group —Bothell, WA
- Email
- Mid-level
- Windows
- SQL
- AD&D insurance
- Paid holidays
Senior Cost Consultant
Mace —Seattle, WA
- From $130,000 a year
- Full-time
- Senior level
- Leadership
- Commercial
Clinical Risk Consultant Lead
Alliant Insurance Services —Washington State
- $150,000 - $160,000 a year
- Email
- Writing skills
- Research
- Bachelor's degree
Quick Apply
5d
Group Employee Benefits Consulting Manager
Accenture —Redmond, WA
- $87,400 - $293,800 a year
- Full-time
- 3 years
- Bachelor's degree
- Product management
- Paid holidays
- Disability insurance
Commercial Lines Senior Casualty Consultant
USI Holdings Corporation —Seattle, WA
- $135,000 - $200,000 a year
- Remote
- Mid-level
- Bachelor's degree
- Team management
- Wellness program
- Health savings account
Commercialization Expert
CLEAResult Consulting Inc. —Olympia, WA
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
Global Indirect Tax Manager - US Sales and Use Tax Consulting
Grant Thornton —Bellevue, WA
- $138,000 - $172,500 a year
- Full-time
- CPA
- Computer literacy
- Bachelor's degree

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claims consultant jobs near washington state

Associate Pharmacy Benefit Consultant

Rael & Letson -
Seattle, WA

Quick Apply

Job Details

Full-time
$120,000 - $155,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
401(k) 5% Match
Vision insurance
Employee stock ownership plan

Qualifications

Contract documentation review
Contract review
Benefits strategy management
Writing skills
Employee relationship building
Contract management experience in healthcare
Business consulting
Client management
Conflict management
Presentation creation
Insurance claims auditing
Healthcare claims compliance audits
Account management

Full Job Description

About Us:

Rael & Letson is an independent employee benefits consulting and actuarial services firm. We serve as a trusted advisor to multiemployer and other retirement and health plans, helping bring high quality benefits to working people. We partner with our clients to design, implement, evaluate and communicate innovative and cost-effective benefit programs customized to their unique needs.

Responsibilities:

The Associate Pharmacy Benefit Consultant provides pharmacy benefit oversight and Pharmacy Benefit Management (PBM) industry expertise, including plan design, PBM procurement, claims and pricing audits, contractual review, rebate auditing, and guidance on pharmacy matters such as formulary structure and new drugs to market. The Consultant communicates and resolves pharmacy issues for clients, often in coordination with the Health & Welfare Consultant to the client.

Support pharmacy benefit consulting activities, including:

Preparing, conducting, and analyzing PBM RFPs, including specialty carve-out vendors as requested
Performing audits of pharmacy benefit management contracts and pharmacy benefits using PBM claims data
Participating in and supporting clients’ financial recovery efforts
Reviewing PBM pricing, rebates, performance guarantees, plan design, claim eligibility, and other features impacting plan and participant costs
Advising clients and colleagues on pharmacy matters, emerging market developments, formulary structure, and new drugs to market

Support PBM contract strategy and client issue resolution, including:

Clearly defining ambiguous contract terms to help achieve more competitive market terms and rates
Negotiating favorable and transparent contract terms with PBMs
Reviewing contract terms for compliance with plan requirements and client expectations
Communicating complex pharmacy benefit issues clearly and resolving client questions in collaboration with the Health & Welfare consulting team
Building productive relationships with PBMs, vendors, clients, and internal colleagues

Professional and firm development, including:

Providing guidance and mentorship to colleagues
Participating in training and professional development to further pharmacy benefit and PBM expertise
Contributing to Health & Welfare Practice and firm initiatives as needed
Supporting special projects or assignments related to pharmacy benefits and PBM consulting

Necessary Skills and Attributes:

Strong PBM industry knowledge, including pharmacy benefit oversight, plan design, PBM procurement, claim auditing, pricing audits, rebate auditing, and contractual review
Ability to advise clients on pharmacy matters, including formulary structure and new drugs to market
Entrepreneurial team player who can multitask and work independently
Engaged, flexible, collaborative, and proactive, with the ability to positively impact strategic and tactical initiatives
Excellent communication, judgment, creative problem-solving, negotiation, and conflict resolution skills
Ability to operate as an effective tactical and strategic thinker
Ability to work in a fast-paced environment, manage multiple priorities, and maintain a high level of accuracy and productivity
Strong written, verbal, interpersonal, and presentation skills
Computer / software skills: Strong proficiency with general Office software such as Word, Excel, PowerPoint, Outlook, SharePoint, Teams

Preferred Education and Experience:

Work Experience: Minimum of 5 years of experience in Pharmacy Benefit Management as an Account Executive, Account Manager, or Clinical support, including auditing PBM contracts and pharmacy benefits
Education: Business, Science, Communication, or Math degree

Location and Travel:

This Pharmacy Benefit Consultant position may be based in Seattle, Washington or Southern California, with flexibility to work remotely much of the time. Some travel is required, up to approximately 30%, including overnight travel to client meetings within the Western U.S.

Company Culture:

We are a friendly, professional team and are open to flexible work arrangements (including working from home and some schedule flexibility), as long as business needs are covered.

At Rael & Letson, we are committed to a culture of diversity and inclusiveness, as demonstrated through our recruitment, retention, and employee development programs. We maintain an environment that respects and builds on the assets and talents of each person, valuing their unique backgrounds including - but not limited to - gender and gender identity, race, ethnicity, sexual orientation, disability status, veteran status, age, and religion. Fostering a diverse and inclusive environment is critical to our success, allows us to attract and retain the best talent and enables us to support one another’s professional success.

Total Comp and Benefits:

In addition to competitive base pay, this position is eligible for our annual bonus program.

We are proud to offer excellent benefits including a 401k with a 5% company contribution, available medical, dental, vision, life and disability coverage, ESOP, generous time off, and more.

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Refine Your Search

claims consultant jobs in washington state

Associate Pharmacy Benefit Consultant

Property & Casualty Insurance Claims Operations Consultant, Manager

Collision Consultant

Risk Control Consultant-Washington

Payer Analytics Consultant (Defined Term)

Insurance Senior Consultant

Employer Health and Welfare Senior Consultant, Strategy, Growth, and Transformation

Human Resources Advisor

Regional Contents Consultant

Financial Consultant - Employee Benefits

Staff Consultant (Electrical)

Senior Consultant (Polymers)

Health - Network Performance / Utilization Manager

Identity & Security Consultant

Senior Cost Consultant

Clinical Risk Consultant Lead

Group Employee Benefits Consulting Manager

Commercial Lines Senior Casualty Consultant

Commercialization Expert

Global Indirect Tax Manager - US Sales and Use Tax Consulting

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