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Health Plan Consultant Jobs (NOW HIRING)

Work in a cross functional team of Strategic Account Manager/Account Relationship Consultant ... Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ...

Retirement Plan Consultant

Denver, CO · On-site

$68K - $102K/yr

Retirement Plan Consultants are dedicated to educating individual customers & participants on the ... Currently licensed in life and health insurance products or the ability to obtain a license in a ...

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Health Plan Consultant information

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$17

$34

$65

How much do health plan consultant jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for health plan consultant in the United States is $34.22, according to ZipRecruiter salary data. Most workers in this role earn between $26.92 and $38.46 per hour, depending on experience, location, and employer.

What does a healthcare consultant do?

A healthcare consultant advises organizations on improving healthcare delivery, managing costs, and complying with regulations. They analyze data, develop strategies, and often use tools like electronic health records and analytics software to optimize operations. Strong communication and industry knowledge are essential for success in this role.

What are some common challenges Health Plan Consultants face when working with clients, and how can they be addressed?

Health Plan Consultants often encounter challenges such as navigating complex regulatory requirements, aligning benefits with client budgets, and communicating intricate plan details to clients with varying levels of insurance knowledge. Addressing these challenges typically involves staying updated on industry regulations, leveraging analytical tools to design cost-effective solutions, and using clear, client-friendly communication. Building strong relationships and proactively educating clients can also help ensure plan recommendations are well understood and effectively implemented.

What is the difference between Health Plan Consultant vs Insurance Agent?

AspectHealth Plan ConsultantInsurance Agent
CredentialsMay require health industry certifications, licenses vary by stateLicensed to sell insurance products, state-specific licenses required
Work EnvironmentConsults with clients, analyzes health plans, often works for consulting firms or insurance companiesWorks directly with clients to sell insurance policies, often independently or for agencies
Employer & Industry UsageUsed in healthcare and insurance industries, focusing on health plan optionsCommon in insurance sales, including health, life, and property insurance

While both roles involve health insurance, a Health Plan Consultant primarily advises clients on health plan options and benefits, often working in a consulting capacity. An Insurance Agent focuses on selling insurance policies directly to clients. The roles overlap in industry and licensing but differ in their core functions and client interactions.

How much do health care consultants make?

Health plan consultants typically earn between $60,000 and $100,000 annually, depending on experience, location, and employer size. Senior or specialized consultants can earn higher salaries, especially with certifications and extensive industry knowledge.

What does a Health Plan Consultant do?

A Health Plan Consultant advises organizations or individuals on selecting and managing health insurance plans. They assess client needs, compare plan options, ensure compliance with regulations, and help optimize benefits while controlling costs. These consultants often stay up-to-date on healthcare laws and insurance market trends to provide informed recommendations. Their goal is to ensure clients receive suitable and cost-effective health coverage.

What are the key skills and qualifications needed to thrive as a Health Plan Consultant, and why are they important?

To thrive as a Health Plan Consultant, you need expertise in health insurance products, regulatory compliance, and benefits analysis, often backed by a bachelor's degree in a related field. Familiarity with data analysis tools, CRM software, and industry certifications such as Certified Employee Benefit Specialist (CEBS) is highly beneficial. Strong interpersonal skills, problem-solving abilities, and the capacity to communicate complex concepts clearly help consultants build trust with clients and tailor solutions. These skills ensure effective plan design, client satisfaction, and regulatory adherence in a highly dynamic healthcare environment.

How can I get into healthcare consulting?

To become a health plan consultant, gaining a background in healthcare, health insurance, or related fields is essential. Relevant skills include data analysis, communication, and knowledge of healthcare regulations; certifications like CPC or CHC can enhance prospects. Entry often involves obtaining a bachelor's degree and gaining experience through internships or related roles.

What degree do you need to be a health consultant?

Health plan consultants typically hold a bachelor's degree in health administration, public health, business, or a related field. Some roles may require or prefer a master's degree or relevant certifications, along with strong knowledge of healthcare policies and insurance systems.
More about Health Plan Consultant jobs
What cities are hiring for Health Plan Consultant jobs? Cities with the most Health Plan Consultant job openings:
What states have the most Health Plan Consultant jobs? States with the most job openings for Health Plan Consultant jobs include:
Infographic showing various Health Plan Consultant job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $71,182 per year, or $34.2 per hour.

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago


Job description

Overview

With over 50 years of proven success, ECG, ranked as a Best Midsized Firm to Work For 2026 by Consulting Magazine, is the most experienced healthcare consulting firm in the US. Working exclusively in this space, our people consistently demonstrate their ability to solve challenges for providers and achieve better patient outcomes. Across our eight office locations, we’re seeking individuals who will show the courage to find innovative solutions and make a direct impact on the delivery of healthcare services nationwide.

About ECG

ECG is a national consulting firm that is redefining healthcare together with its clients. We provide a broad range of strategic, financial, operational, and technology-enabled consulting services to the full continuum of care, including hospitals, health systems, medical groups, academic medical centers, children’s hospitals, cancer centers, ambulatory surgery centers, investors, and payers/health plans.

Our work focuses on creating practical, tailored solutions that help clients maximize resources and achieve sustainable results. We value collaboration, integrity, and innovation, and are committed to fostering an inclusive and supportive work environment.


Job Details

Join Our Payer Strategy Contracting Division

Our PSC Division guides clients through payer strategy development, reimbursement analysis and design, contract negotiations, and other strategic and operational issues affecting commercial and government revenue streams. As part of our team, you’ll help our clients optimize their managed care contract portfolios and develop successful value-based reimbursement strategies.

PSC engagements include work with inpatient, outpatient, professional, behavioral health, post-acute, and ancillary providers, as well as payers. We assist clients primarily in the three areas below.

Contracting and Reimbursement

Our Contracting and Reimbursement practice is an industry leader in healthcare payment reform and accountable care strategies for large, complex healthcare organizations, including major health systems and provider-owned health plans. We help our clients:

  • Develop innovative payment approaches.
  • Negotiate contracts.
  • Devise reimbursement strategies.
  • Improve revenues.

Value- and Risk-Based Payment Programs

We offer our clients comprehensive value- and risk-based payment program development services, including planning, implementing, and optimizing value-enhancing care models. Common projects include:

  • Value-based readiness assessments and payment design.
  • Care model and reimbursement strategy.
  • Medicare Shared Savings Program, Accountable Care Organization (ACO) REACH, or commercial ACO development.
  • Clinically integrated or regional affiliate network development.
  • Assistance with Medicaid managed care program participation.
  • Patient-centered medical home transformation.
  • Population health service organization establishment.
  • Support for participation in grant-funded or governmental programs.

Payer Services

Our Payer Services practice advises traditional and provider-owned insurance companies in areas such as:

  • Commercial insurance.
  • Medicare Advantage.
  • Medicaid managed care.
  • Third-party administrator services.
  • Provider network performance.

Your Opportunity with ECG: Manager

Managers at ECG play a pivotal role in delivering high-quality consulting work while leading teams, shaping client deliverables, and contributing to the firm’s culture. They are responsible for managing day-to-day project activities, advancing work streams, developing staff, and ensuring deliverables meet ECG’s quality standards. Managers also support strategic initiatives, business development efforts, and operational excellence across the firm.

The role requires a blend of analytical acumen, structured problem-solving, strong communication, and leadership capabilities.

 

Your Responsibilities May Include

Project Delivery and Client Service

  • Lead high-complexity work streams and ensure deliverables are accurate, insightful, and aligned with client goals.
  • Apply project management principles to schedule, coordinate, and monitor work streams, including budgets, team performance, and project dependencies.
  • Conduct quantitative and qualitative analyses and synthesize findings into actionable recommendations.
  • Translate data into meaningful insights and clear visualizations that support client understanding.
  • Identify and define complex problems; analyze underlying issues and develop feasible, reasoned solutions.
  • Present components of deliverables to clients, respond to questions on assigned content, and coordinate follow-up communications.
  • Adapt methodologies to fit specific client needs and identify risks requiring escalation.

Team Leadership and People Development

  • Provide timely, actionable feedback to team members; model professionalism, tact, empathy, and inclusivity.
  • Manage effective working relationships, even in challenging situations, and contribute to a positive team culture.
  • Help team members understand how their goals align with project and organizational objectives.
  • Demonstrate situational awareness and adapt leadership style to optimize performance.
  • Mentor junior consultants, share knowledge generously, and promote a culture of continuous learning.
  • Begin taking responsibility for overall team contributions to project success.

Communication

  • Articulate desired outcomes and guide team members in developing written and verbal communications.
  • Support staff in tailoring communication to specific audiences for greater impact.
  • Lead selected portions of presentations and facilitate discussions by drawing in new perspectives and clarifying key points.
  • Ensure follow-up communications, clarifications, and client touch points are completed effectively.

Strategic Thinking and Problem-Solving

  • Formulate strategic objectives and priorities across multiple projects.
  • Identify opportunities to advance organizational goals.
  • Adapt standard methods to meet the needs of each project.
  • Identify project risks and contingencies, escalating when needed.
  • Develop new insights and solutions for common project challenges.

Business Development and Firm Contribution

  • Identify and research potential market opportunities.
  • Engage in outreach and relationship-building activities as a representative of ECG.
  • Participate in creating marketing materials, pitch decks, and proposals. Contribute to business-winning activities.
  • Support operational improvements, practice development, and initiatives that strengthen the firm’s competitive position.

Qualifications

  • Master’s degree in Business Administration required.
  • 6+ years of experience in health plan consulting, payer strategy, or health plan finances and operations.
  • Strong knowledge of the healthcare payer landscape, including Medicare Advantage, Medicaid managed care, and commercial insurance.
  • Proven ability to lead complex projects and manage multiple stakeholders.
  • Experience analyzing healthcare data, including claims, pricing, enrollment, cost, and utilization datasets.
  • Strong analytical, problem-solving, and project management skills.
  • Excellent written and verbal communication skills, with the ability to translate complex information into actionable recommendations.
  • Proficiency in developing client-ready deliverables, including PowerPoint presentations, Excel models, reports, and memos.
  • Comfortable working with senior executives and facilitating strategic discussions.
  • Ability to work independently and collaboratively in a fast-paced, client-facing environment.
  • Exceptional organizational skills, attention to detail, and ability to manage competing priorities.
  • Demonstrated professionalism, sound judgment, and strong interpersonal skills.
  • Commitment to mentoring junior team members and fostering a positive team culture.
  • Ability to thrive in a hybrid work environment.
  • Ability to travel as needed

 

Job Locations

  • Atlanta, Boston, Chicago, Dallas, Minneapolis, San Diego, or Washington, DC
  • Hybrid work schedule, with a minimum of two days per week in office when not traveling for a client engagement
  • We will consider remote hires, but prefer an in-office presence through our hybrid model

 

Schedule

Full time/exempt

 

What You Can Expect of Us

To reward our driven, innovative, and passionate employees, we’ve built a company culture that’s centered on performance. We offer an attractive compensation package, challenging work, and an entrepreneurial environment where you can take ownership of your career—and get out as much as you put in.

The estimated base salary range for this job is $150000.00 - $188000.00 annually. It represents a good faith estimate of the range that ECG reasonably expects to pay at the time of the job posting. The actual salary paid will vary based on multiple factors, including but not limited to years of experience, special skills, and market changes. This job is eligible to participate in ECG’s annual incentive compensation program, which reflects ECG’s pay-for-performance philosophy. The job is also eligible to participate in ECG’s benefit plans, which include medical, dental, and vision coverage, a 401(k) matching program, unlimited PTO, and other wellness programs.

 

Apply now and make an impact for years to come.

To begin the recruitment process, please submit your resume via our career site at https://careers.ecgmc.com.

ECG provides equal employment opportunities to all employees and applicants for employment without regard to sex, race, color, religion, national origin, citizenship, ancestry, age, disability, pregnancy, medical condition (cancer and genetic characteristics), genetic information, gender, gender identity or expression, sexual orientation, marital status, military or veteran status, or any other legally protected characteristic. We participate in E-Verify as part of our onboarding process. Having the permanent legal right to work in the United States is a condition of employment. ECG is not currently able to provide assistance to candidates requiring sponsorship or a visa.

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