Ability to interpret and analyze medical and pharmacy claims and utilization patterns, and unit ... Problem solving and decision-making using data, benchmarking, and contractual levers Educational ...
Ability to interpret and analyze medical and pharmacy claims and utilization patterns, and unit ... Problem solving and decision-making using data, benchmarking, and contractual levers Educational ...
Software Development Engineer III (SDE III) Tech Lead
Seffner, FL · On-site
$100K/yr
We are dedicated to Making the world a more readable place™, delivering high-quality, accessible ... Establish clear patterns and practical direction that support faster implementation and high ...
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Software Development Engineer III (SDE III) Tech Lead
Seffner, FL · On-site
$100K/yr
We are dedicated to Making the world a more readable place™, delivering high-quality, accessible ... Establish clear patterns and practical direction that support faster implementation and high ...
Ensure reliable, on time service delivery that meets or exceeds customer and contractual ... Lead real-time operational decision making in response to service disruptions, capacity constraints ...
Ensure reliable, on time service delivery that meets or exceeds customer and contractual ... Lead real-time operational decision making in response to service disruptions, capacity constraints ...
Monitors contract expenditures and recurring vendor invoices to ensure alignment with contractual ... Analytical Thinking & Decision Making - Identifies and understands trends and/or issues, connects ...
Monitors contract expenditures and recurring vendor invoices to ensure alignment with contractual ... Analytical Thinking & Decision Making - Identifies and understands trends and/or issues, connects ...
Monitors contract expenditures and recurring vendor invoices to ensure alignment with contractual ... Analytical Thinking & Decision Making - Identifies and understands trends and/or issues, connects ...
Monitors contract expenditures and recurring vendor invoices to ensure alignment with contractual ... Analytical Thinking & Decision Making - Identifies and understands trends and/or issues, connects ...
Data/BI Analyst, VBC
Orlando, FL · On-site
... and decision-making. Responsibilities Education/Training: Bachelor's degree in Health ... patterns and trends, leverages different data sources for analyses, and develops reports and ...
Data/BI Analyst, VBC
Orlando, FL · On-site
... and decision-making. Responsibilities Education/Training: Bachelor's degree in Health ... patterns and trends, leverages different data sources for analyses, and develops reports and ...
Value Based Care Analyst
Orlando, FL · On-site
... and decision-making. Responsibilities Education/Training: Bachelor's degree in Health ... patterns and trends, leverages different data sources for analyses, and develops reports and ...
Value Based Care Analyst
Orlando, FL · On-site
... and decision-making. Responsibilities Education/Training: Bachelor's degree in Health ... patterns and trends, leverages different data sources for analyses, and develops reports and ...
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
Coordinator, Referrals
Miami, FL · On-site
$17.25 - $22.50/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Coordinator, Referrals
Miami, FL · On-site
$17.25 - $22.50/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Coordinator, Referrals
Pompano Beach, FL · On-site
$17 - $22/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Coordinator, Referrals
Pompano Beach, FL · On-site
$17 - $22/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Analyze inventory trends, demand patterns, and key performance metrics to identify risks, improve ... decision-making. * Drive continuous improvement initiatives that enhance inventory accuracy ...
New
Analyze inventory trends, demand patterns, and key performance metrics to identify risks, improve ... decision-making. * Drive continuous improvement initiatives that enhance inventory accuracy ...
New
Coordinator, Referrals
$17 - $22/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Coordinator, Referrals
$17 - $22/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
Analyze inventory trends, demand patterns, and key performance metrics to identify risks, improve ... decision-making. * Drive continuous improvement initiatives that enhance inventory accuracy ...
New
Analyze inventory trends, demand patterns, and key performance metrics to identify risks, improve ... decision-making. * Drive continuous improvement initiatives that enhance inventory accuracy ...
New
Coordinator, Referrals
Delray Beach, FL · On-site
$17 - $22/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Coordinator, Referrals
Delray Beach, FL · On-site
$17 - $22/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Coordinator, Referrals
Tampa, FL · On-site
$17 - $22.25/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
Coordinator, Referrals
Tampa, FL · On-site
$17 - $22.25/hr
It's rewarding to be on a team of people that truly believe in making an impact! We are committed ... Track referral patterns and help guide patients to in-network or preferred providers aligned with ...
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
This role operates at the center of the deal-making lifecycle, partnering closely with Strategic ... Identify recurring deal patterns and contribute to the evolution of standardized structures
Contractual Pattern Making information
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Full-time
Medical
This job post has expired today. Applications are no longer accepted.
J.J. Taylor rating
9.1
Based on 11 frontline employees who took The Breakroom Quiz
20th of 365 rated retail wholesalers
Job description
GENERAL SUMMARY:
Leads the strategy, financial oversight, vendor management, audit, data-driven decision-making, and performance monitoring of the company's healthcare plan. This role collaborates across HR, Finance, Legal, and external partners and vendors to optimize cost, ensure compliance, and deliver a best-in-class benefits experience. This is a $16mm/year spend for our family of companies, and we are seeking someone to optimize every dollar spent, while ensuring our benefits remain a defining part of our culture as a "first choice" employer in our various industries. This role serves as the internal owner of the company's healthcare spend, responsible for ensuring plan decisions are supported by data, aligned with fiduciary obligations under ERISA, and structured to maximize value for both the company and employees.
Essential Duties And Responsibilities:
Lead the development and execution of the company's healthcare plan strategy aligned with total cost of care, workforce objectives, and long-term financial sustainability.Identify and address structural cost drivers within the healthcare plan, develop risk mitigation strategies, evaluate cost-containment opportunities, and design plan structures that improve value while maintaining appropriate access and employee experience.
Evaluate vendor recommendations, market solutions, and plan design changes using claims data, financial analysis, and independent benchmarking to ensure decisions are supported by measurable value and aligned with company objectives.
Additional Duties And Responsibilities:
Competencies:
Educational/Vocational/Previous Experience Recommendations:
Candidates should demonstrate experience working with complex data, managing or influencing financial outcomes, and collaborating across internal stakeholders and external vendors to drive measurable results.
Experience supporting or managing self-funded health plans and working with healthcare vendors such as TPAs, carriers, pharmacy benefit managers, or benefits consultants is strongly preferred but not required.
Working Conditions:
The statements above are intended to describe the general nature and level of work being performed by people assigned to this job. Other duties may be assigned as needed.
Leads the strategy, financial oversight, vendor management, audit, data-driven decision-making, and performance monitoring of the company's healthcare plan. This role collaborates across HR, Finance, Legal, and external partners and vendors to optimize cost, ensure compliance, and deliver a best-in-class benefits experience. This is a $16mm/year spend for our family of companies, and we are seeking someone to optimize every dollar spent, while ensuring our benefits remain a defining part of our culture as a "first choice" employer in our various industries. This role serves as the internal owner of the company's healthcare spend, responsible for ensuring plan decisions are supported by data, aligned with fiduciary obligations under ERISA, and structured to maximize value for both the company and employees.
Essential Duties And Responsibilities:
- Strategy.
Lead the development and execution of the company's healthcare plan strategy aligned with total cost of care, workforce objectives, and long-term financial sustainability.Identify and address structural cost drivers within the healthcare plan, develop risk mitigation strategies, evaluate cost-containment opportunities, and design plan structures that improve value while maintaining appropriate access and employee experience.
Evaluate vendor recommendations, market solutions, and plan design changes using claims data, financial analysis, and independent benchmarking to ensure decisions are supported by measurable value and aligned with company objectives.
- FP&A.
- Oversee the financial performance of the self-insured healthcare plan, including, price and utilization trend analysis, forecasting, and budgeting.
- Conduct in-depth cost analysis of healthcare plan data and reports to ensure appropriate and effective healthcare benefit spending and vendor oversight.
- Procurement.
- Lead end-to-end RFP process and contract negotiations for broker-consultants, third party administrators, pharmacy benefit managers, stop-loss carriers, and other benefit/wellness providers to ensure competitive pricing, services and guaranteed at risk performance.
- Require transparency in vendor data, subcontracting arrangements, pricing terms with third parties, health plan reporting and all real or potential conflicts of interest.
- Manage vendor performance and contract compliance, develop vendor performance standards, and implement regular reporting to senior management
Additional Duties And Responsibilities:
- Collaborate with HR to communicate and educate employees on healthcare benefits programs and drive consumer-driven culture change around healthcare utilization.
- Stay informed on healthcare issues impacting employer sponsored healthcare to ensure healthcare plan compliance and optimized cost benefit offerings.
Competencies:
- Advanced knowledge of health plan design, self-funded plan mechanics, and applicable regulatory requirements (ERISA, ACA, CAA, MHPAEA), including the practical application of these frameworks to plan governance and decision-making.
- Ability to interpret and analyze medical and pharmacy claims and utilization patterns, and unit cost trends to identify underlying cost drivers and inform strategic plan decisions.
- Vendor management, contract negotiation, and enforcement of performance guarantees and audit rights
- Financial analysis and budgeting for healthcare spending, including forecasting and trend modeling, and evaluation of financial impact associated with plan design, utilization changes, and vendor performance.
- Ability to communicate complex financial or contractual concepts to executives and employees
- Strategic thinking to design cost-effective, high-value benefits aligned with business objectives
- Problem solving and decision-making using data, benchmarking, and contractual levers
Educational/Vocational/Previous Experience Recommendations:
- Relevant Bachelor's degree required. MBA, JD, and/or CPA preferred.
- Minimum of 5 years of related experience or training.
- The company recognizes that strong candidates for this role may come from a variety of professional backgrounds. Experience may include employer-sponsored healthcare, benefits strategy, healthcare analytics, consulting, finance, procurement, vendor management, or healthcare operations.
Candidates should demonstrate experience working with complex data, managing or influencing financial outcomes, and collaborating across internal stakeholders and external vendors to drive measurable results.
Experience supporting or managing self-funded health plans and working with healthcare vendors such as TPAs, carriers, pharmacy benefit managers, or benefits consultants is strongly preferred but not required.
Working Conditions:
- Normal office environment. This position is primarily based at company office locations; however, a hybrid work arrangement may be considered for the right candidate based on role requirements and business needs.
- This position requires up to 20% travel, primarily to main office locations and meetings with key internal and external partners.
The statements above are intended to describe the general nature and level of work being performed by people assigned to this job. Other duties may be assigned as needed.
What J.J. Taylor employees say
Pay
Benefits
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About J.J. Taylor
Sourced by ZipRecruiter
Industry
Wholesale
Company size
501 - 1,000 Employees
Headquarters location
Jupiter, FL, US
Year founded
1958